Medirse la glucosa en la sangre también puede evitar que ocurran problemas inmediatos debidos a un nivel de glucosa demasiado alto (hiperglucemia) o demasiado bajo (hipoglucemia). La frecuencia con la que la gente con diabetes debe medirse el nivel de glucosa en la sangre varía de persona a persona.
Algunas personas con diabetes de tipo 1 usan el sistema de control continuo de la glucosa (continuous glucose monitoring o CGM).
The Hormone Health Network partners with other organizations to further patient education on hormone related issues. A monthly email newsletter covering important issues related to hormones and hormone health. 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. Blood sugar – wikipedia, the free encyclopedia, The blood sugar concentration or blood glucose level is the amount of glucose (sugar) present in the blood of a human or animal. Measuring your hemoglobin a1c for average blood sugar, Your average blood sugar can be measured by a hemoglobin a1c test.
Why does blood sugar go up and down – bd: medical supplies, What makes my blood sugar go up and down? Correlation between hemoglobin a1c (hba1c) and average, Correlation between hemoglobin a1c (hba1c) and average blood glucose: can hba1c be reported as estimated blood glucose concentration?.
Con la diabetes de tipo 2, el cuerpo no produce suficiente insulina o no usa la insulina debidamente (denominado resistencia a la insulina). Mantener el nivel de glucosa de la sangre cerca de lo normal es clave para prevenir estos problemas de salud.

Debe de anotar sus medidas de glucosa y resaltar las que sean mayores o menores al nivel recomendado.
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. Las mujeres con diabetes gestacional son más propensas a la diabetes de tipo 2 posteriormente. Asegúrese de hablar con su proveedor de servicios de salud sobre lo mejor para usted. Su proveedor de servicios de salud puede explicarle cómo funciona el CGM y decirle si es adecuado para usted.
Cuando tenga una medida fuera de lo común, anote los factores que puedan haber afectado su nivel de glucosa.

My blood sugar spikes at night
Normal range blood glucose for infants 6-24


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