Self monitoring of blood glucose (SMBG) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia.
It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good SMBG record is maintained by the patient. Normally we check fasting and 2 hr post prandial blood sugar levels in lab for routine follow up. In practice I have seen several patients who had fasting and post prandial blood glucose lab tests in normal range but HbA1c levels below 7 is not achieved because they might have high blood sugars in other post meals which has got unnoticed. To achieve best blood glycemic control it is important to control blood sugar levels within normal limits during entire day and not just fasting or post breakfast levels. In the above image of SMBG chart I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day. This seven point SMBG charting approximately covers entire day glucose fluctuations to some extent (ofcourse  not as accurate as CGMS). I have also mentioned a comment column in the above SMBG chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if Hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mentioned that.
You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.
Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and SMBG charting of glucometer readings helps a lot to patient. If you find that some of the post meal or pre meal readings are high or low, please consult your diabetologist with SMBG chart to adjust your medication or insulin dosage. We also carry blood glucose product of Roche(Go, Sensor), Abbott(Freestyle, Medisense Optium) and so on. An important reason to know your average blood glucose is that it is closely related to your risk of developing long-term complications of diabetes. How does this chart apply to you?The A1c measures the average blood glucose over the past 2-3 months. You have very low or very high blood glucose levels during the night, but you do not wake up to test. In fact, things like missing a mealtime injection or eating more carbs than you planned can cause spikes, which may only occur at certain times of day. Want to get more specific?In addition to looking at your overall 7-day or 14-day averages, you can focus on the average blood glucose at a particular time of the day.


Important note: The content of this article is not intended to be a substitute for professional medical advice, diagnosis or treatment. The BD Diabetes Learning Center describes the causes of diabetes, its symptoms, and diabetes complications such as retinopathy and neuropathy.
Important Note: The content of this website is not intended to be a substitute for professional medical advice, diagnosis or treatment. Unless otherwise noted, BD, BD logo and all other trademarks are property of Becton Dickinson and Company.
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Blood typing: medlineplus medical encyclopedia, Blood typing is a method to tell what specific type of blood you have. What' blood type blood types, Blood types basic types blood—, , ab, — positive negative -type. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in entire day.
There is bright chance of sugar excursions in the other post meal readings which gets unnoticed.
If you measured your blood glucose at random, many times each day for 2-3 months, the average blood glucose level in your meter and your A1c test would show virtually the same level. Since the A1c measures 2-3 months, while the 14-day average measures only 2 weeks, if your blood glucose has been much better in the past 2 weeks, the A1c level will not have caught up yet. These high post-meal values are reflected in the A1c number but are not reflected in your meter's 14-day average. Again, these abnormal values will not be included in the meter's 14-day average, but they are reflected in the A1c. Knowing this allows you to concentrate on solving specific problem situations in your diabetes care routine.
This is called time-specific averaging.Looking at time-specific averages is another way to discover trouble spots in your diabetes care. Do not disregard your doctor's advice or delay in seeking it because of something you have read on this article.


This site contains detailed information about blood glucose monitoring, insulin injection and safe sharps disposal. Most blood glucose meters tell you your average blood glucose.Your meter probably has more "smarts" than you give it credit for. In most people, the 14-day average blood glucose reflects the A1c, but is not an exact match. With this feature, you see the average of the last three glucose readings in a 2-hour period that you specify.
He specializes in treating diabetes, osteoporosis, thyroid diseases, and lipid disorders at North County Endocrine. Interactive quizzes, educational literature downloads and animated demonstrations help to teach diabetes care skills.
He is in full-time clinical practice and a clinical investigator active in conducting phase II to IV clinical trials. It can show you how changes in your diabetes care, especially your meals, have affected your blood glucose.The more often you test your blood glucose, the closer the A1c level and 14-day average will be. Later, when the dinner average is in target, she can work on lowering the high bedtime average.This approach is called "pattern management".
This allows you to see your blood glucose average over the last 1 or 2 weeks just by pushing a button on your meter. With pattern management, you look at how your meals and insulin doses usually affect your blood glucose. As a clinical Assistant Professor at the University of California at San Diego, he is active in the education of endocrinology fellows. You work on your specific trouble spots to improve them, one at a time.In summary, knowing how to get the most out of your blood glucose meter is essential because today's meters have newer, more helpful features "on board".



Test blood glucose at home
Hypoglycemia diabetes difference chart


Comments

  1. 13.01.2016 at 17:24:22


    Milligrams per deciliter?�the equivalent of about one teaspoon stress can raise your.

    Author: AFTOSH
  2. 13.01.2016 at 15:48:23


    Nearly perfect blood sugars level (acute hyperglycemia) spoons per bottle of water) to help lower my blood.

    Author: SuNNy
  3. 13.01.2016 at 17:19:53


    And 100 mg/dl (milligrams per deciliter), with.

    Author: wugi