Thank you for such a wonderful article. I only have to check my blood sugar 3 times a week. This was very helpful.

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I think a lot of PCPs downplay the importance of self-monitored blood glucose testing -- in part because many health insurance policies won't pay for sufficient testing supplies, and in part because not all PCPs have any idea what to do with the data. If you're not on insulin, Medicare will only pay for 1 test a day, and VA only for 1 every 2 days. I believe they don't pay for more than 4 tests/day for those on insulin. None of these is enough to get the sort of trend analysis needed to adequately advise and treat patients.

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Last edited about 1 year ago

Gestational diabetics need more frequent testing. If the patient happens to have Medicaid, they are more fortunate to be able to get more of their necessities from their local health department. And, gestational diabetics are called "HIGH RISK" patients within the health department system, they are given loaner glucometers and also given test strips when needed, and advised to test frequently. They are given booklets or sheets to fill out, whether they are on Insulin or not, with both fasting results and random results and required to bring them to their OB appointments routinely, to continue OB care with the health department. Medicaid does work for some.

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This is good information and pretty much what any OB GYN will recommend if you're GGT and 2 hr GGT were abnormal. It is extremely important to check your sugars this often when pregnant as it affects the baby.

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