For type 2 diabetes patients doctors usually recommend to test their blood sugar levels once a day.
FBS (Fasting Blood Sugar): As the name indicates, this test will be conducted after the fasting of 8 hours.
Proper maintenance of the blood sugar test equipment is absolutely necessary to prevent the errors. The Diabetes Forum - find support, ask questions and share your experiences with 209,001 people. Testing your blood glucose both before and after a meal allows you to see how that meal affects your blood glucose levels and helps you to understand which meals may be best for your blood glucose control.
Pre and post meal testing allows you to see how your meal and, where relevant, your medication for that meal affects your blood glucose levels. Post-prandial blood glucose measurements are commonly taken two hours after you have eaten. If you test only before meals or only after meals, you don’t get to see how your levels are actually being affected by the meal itself.
If your blood glucose levels tend to rise to high numbers after meals, it can leave you feeling tired and also could increase your likelihood of developing complications so there’s very good reasons behind testing before and after meals. Some people may be put off by seeing high after meal readings but this can represent a chance to re-evaluate your diet or meal choices or to discuss your regime with your doctor or consultant. What the pre-meal test results show may differ slightly for people with type 1 and type 2 diabetes. Type 1 diabetes: Pre-meal tests are a good way of seeing whether you have injected the right size of dose for your previous meal.
If you have injected too little insulin, you will see your pre-meal results are higher than they should be before your next meal. Type 2 diabetes: Your pre-meal tests can provide an indication of how well your body is coping, with support from any medication, with your previous meal.
If you have questions about your results and what they may be showing, ask your healthcare team. Your post-prandial blood glucose levels will largely be influenced by the meal you have eaten, the type and dose of medication you take and how sensitive your body is to insulin. If the number of test strips you can have is limited, it makes making the most out of the test strips you have all the more important. You may not need to test before and after every meal, but any pair results you can take will greatly help your understanding of how the meals are affecting your levels. I have found the best advice for healthy eating is to start with the diabetes web site, then ask your doctor to include you in one of the Desmond courses, which will show you what foods do to you. I was having real problems getting my blood levels down but was only being tested periodically by my GP.
From all the correspondence I see on your web site it is obvious that the medical profession sees Type 2 diabetics as being mainly self inflicted and in these straightened financial times not something that deserves money being spent on as its the patients own fault. SIGN guidelines (the Scots equivalent of NICE) don't make any provision at all for diet controlled diabetics to be enabled to monitor their blood. I think my doctor has not realised that I am still collecting 50 strips a month as a diet and exercise controlled Type 2. Although I'm Type 2, I have been testing for four years, and it has has enabled me to get my BG down to nearly non-diabetic levels (5.4% HBA1c, down from over 7% at the start). I am interested in trial and error at present - used to test before a meal in the am and 2 hours or so after a meal in the evening. There was one report on the disadvantages of monitoring in type 2 and my doctor now refuses to supply me with testing strips.
Find support, ask questions and share your experiences with 209,001 members of the diabetes community.
10 week (free) low-carb education program developed with the help of 20,000 people with T2D and based on the latest research.
The first comprehensive, free and open to all online step-by-step guide to improving hypo awareness. If you’re regularly getting low sugar levels prior to meals, one or more factors could be at play. We take a look at what the more common reasons are and provide guidance as to how you can tackle each problem. If you are regularly getting low sugar levels before a particular meal, it could that you are taking too much short or rapid insulin for the previous meal.

You may also get hypos within a couple of hours of the previous meal if you’ve taken too much insulin for that meal. If you inject intermediate insulin and are experiencing low blood glucose levels before dinner, another possible cause is if your dose of intermediate insulin at breakfast is too high. If too much intermediate insulin at breakfast time suspected, reduce the dose and monitor blood glucose levels to assess whether the change has improved your control. Too much intermediate insulin at breakfast and too much short acting insulin at lunch are both possibilities for experiencing hypos before dinner.
If hypoglycemia occurs before having a meal that’s been delayed then this will need to be addressed. If this is not always possible, make sure you have a modest snack at the time you’d usually take your meal and then have your proper meal when you can. Ask yourself whether any of the low sugar levels before meals could be influenced by physical activity. If exercise has been strenuous or over a longer period of time, such as over an hour, then the exercise can lower blood glucose levels through the day and into the following night and day in some cases. The action you take can depend on a few factors such as over what period your get low sugar levels over. Have you ever wondered why you feel hungry a short while after having a feed full of carbs? The problem is, while your blood sugar levels are dropping down after the carb rush, your hunger starts to kick in.
Dr Andreas Eenfeldt (The Food Revolution video) performed his own tests on himself regarding blood glucose levels (see attached image).
Meal 1 : Piece of non-lean steak and veggies (all fried in butter) with Bernaise sauce (egg yolk and butter sauce). As you can see by the graph (Click the thumbnail to see a larger version), Meal 1 (the Low Carb, High Fat meal) kept his blood sugar at a steady, even level, right where it should be. These are some of the reasons there is a swing in the medical profession (those who are still not completely set in their ways, or not willing to deviate from the current nutrition beliefs) towards a Low Carb, High Fat food lifestyle.
To prevent the long-term health complications and to design a treatment plan, the diabetes patients need to undergo blood sugar tests very regularly. Patients need to test their glucose levels before meals and after meals, before and after workout, before going to the bed etc. This helps a lot in designing the treatment plan for diabetes after 2 to 3 months of the initial treatment. Whether you have type 1 or type 2 diabetes, the peak blood glucose levels are often likely to occur around two hours after meals.
If you have high results, it may indicate that either the carbohydrate you are eating is too much or that your medication may not be adequate.
Most people with diabetes can expect to see a rise in blood glucose levels for their after meal results.
I complained to him that I was eating all the right things and in moderation but without a testing kit, it was akin to being told to drive for 100s of miles at 32mph without a speedometer. I have always been fit and underweight all my life and I cannot get a grip of my sugar levels.
I was told I couldn't have any because the doctors think that Type 2 Diabetes should be managed by visiting the nurse at the surgery for blood tests. I have been monitoring, at my own expense, since diagnosis and feel that it has played a big part in helping me be more in control of my diabetes. I have struggled with keeping my blood sugar levels under control much to the annoyance of my doctor.
I use the meter to get feedback on what foods keep levels low, and then act on the information - which of course is the essential bit. I now have a steady (sort of) indication of glucose level at those times so have been just testing pre-meal in the am.
I am on diet only, but I have been told that as the test strips cost a lot I am issued with many strips. An alternative option is to have more carbohydrate for the meal prior to the low blood glucose levels. If you are at all confused as to which insulin dose is causing the low sugar levels, speak to someone in your diabetes health team who will be able to advise you.
You are full straight away, but an hour or two later you are looking for a snack to tide you over until the next meal.

The carbs are quickly absorbed into the blood stream sending your Blood Glucose levels sky high.
He recorded his blood sugar levels over a 6 hour period after eating two completely different kinds of meals.
If the patient is able to manage type-2 diabetes with the daily diet, routine and work out, he may not need to test his blood sugar regularly.
I was not told about personal testing (just to go back in 3 months) nor was I given any advice about prescriptions? I can now eat virtually anything so long it is calorie controlled with daily exercise, also eating last meal around 7pm helps overall control.
Given how expensive I will be for the NHS if I don't try and control my diabetes I feel the least they could do is meet me half way by providing strips. At my last check-up, the diabetes nurse said that GPs were advising patients to start taking Metformin to assist with preventing cardio-vascular problems and aid to lowering cholesterol. But I am now switching to 1 pre-prandial in the morning and then a post-prandial test after breakfast and main meal in the evening. I test 3-4 times a day for 4-5 days in a row, and use the information gleaned from that to moderate what I eat for the rest of the month.
The first things I learned were that 1) the postprandial peak is usually one hour after meals, not two, and that 2) following the standard dietary advice to eat plenty of starch with meals invariably produces unacceptably high 1 hour peaks and high HbA1cs. Therefore, 50 blood glucose test strips should last 3-4 months I would be interested to hear if any other member has had the same or other letter on the same lines. I also found it to be a good indicator of what foods caused swings in readings and if I was "coming" down with something as I read high when ill and this enables me to cope with visiting the doctor and taking steps to reduce the impact of an infection, earlier.
I think this is ridiculous as I am unable to judge if I am going wrong or where I am going wrong. Ready for the next meal to have the body go through that whole blood sugar rollercoaster ride again. Should be using Gliclozide but as i am already 3 stone over my ideal weight it makes no sense in taking a tablet that doesn't help with my weight issues therefore I stopped taking it - I am trying to control again with diet (joined weight watchers) and losing about a pound a week.
I am concerned that although my pre-prandials are OK in reality my body may be fighting high glucose levels after meals and it's high glucose levels at any time that I think I should be controlling?
Most health professionals who keep up with the research must be aware of that effect - and yet they still push starch at us. I want to be in control of my condition, I do not want this to fall to someone else worried about cost and does not suffer the side affects of the poorly managed care. They drop so far that they go below the normal recommended levels, then slowly rise back up.
Human body is naturally capable of maintaining the optimal blood sugar levels under a healthy metabolism.
Am I entitled to the same dispensation as a diabetic or what, I feel like I'm in no man's land?! It has also allowed me to eliminate some foods that one would think okay but don't work for me. If I go to bed having eaten 2 or 3 hours before, I wake up and have a high level reading even though levels were normal on going to bed. I had fish and chips the other night and decided to test 2 hrs afterwards - I was horrified at how high my glucose was at 11.5 so that's the last fish'n chips from the chippy!
I used to sit around 7 for my Hba1c test gradually since they have stopped me self testing I am regulary coming back with 9 or 10 scores.
The highs and lows in blood sugar levels may lead to different kinds of health complications.
If you have more than a glucose level of 11.1 mmol per L, it indicates that you have diabetes. I think I have fallen through the net as they do not ask me to come round for checks anymore.

Blood sugar test 5.1 audio
Glucose fasting test 2 hour ogtt


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