Why monitor glucose control?
Monitoring the glucose control in diabetes is critical for the safety of a person with diabetes and is a necessary element of self-management.
The blood glucose profile of a person with diabetes is never constant and may fluctuate between hypoglycemia and hyperglycemia due to the varying amounts of food consumed, physical activities, the medical status such as pregnancy or illness (in daily life). Both hypoglycemia and hyperglycemia are avoidable. Monitoring of blood glucose has become a necessary element of self-management in order to maintain a somewhat constant blood glucose level and to avoid the development of hypoglycemia and hyperglycemia.
The link between the development of diabetic complications and chronic hyperglycemia has been proven. This has highlighted the importance of maintaining a near normal glycaemic control and hence, monitoring blood glucose, as part of diabetes management, has gained increasing emphasis today. Thus monitoring helps the person with diabetes in adjusting their therapy safely and effectively
Blood sugar monitoring is like a map or a compass giving direction and providing information to you and your doctor for doing the appropriate changes in treatment plan. Monitoring helps you and your health care team to choose:
How to Monitor?
Monitoring of glucose level involve two components
Glycosylated hemoglobin (HbA1c) gives idea about the mean blood glucose level over last 2 to 3 months. Normal value of HbA1c is 4 to 6 %. HbA1c value 6 corresponds with mean blood glucose of 135 mg/dl. Each percent increase in HbA1c value is associated with increase in mean blood glucose level by 35 mg/dl. The American Diabetes Association recommends an ideal goal of < 7% HbA1c for diabetic patients.
The American Diabetes Association recommends measurement of HbA1c every three months for the patients not reaching target goals of glycemic control. Ask your doctor about the right frequency of measurement for you.
Measurement of plasma glucose level gives idea about the glucose level at point of time. Plasma glucose level can be measured at laboratory or by patients himself using handy glucose meter like SUGARCHEK. When it is measured by patient himself it is called as Self Monitoring of Blood Glucose (SMBG).
SMBGThe American Diabetes Association states that SMBG as an integral component of effective therapy in diabetes. Following are the advantages of SMBG:
Which blood glucose to be monitored?The American Diabetes Association recommends monitoring of premeal blood glucose level. For example Fasting Plasma Glucose level (FPG). In special situations monitoring of Post Prandial Plasma Glucose is recommended. Discuss with your doctor which blood glucose to be monitored.
What should be the frequency of measurement of SMBG?
Who and when?
A few tips
Diabetes monitoring log(Provided free with every Sugarchek blood glucose monitoring system)
|BLOOD SUGAR VALUE||INSULIN/TABLET DOSE||HYPO||REMARK|
|DATE||BB||AB||BL||BD||BT 3AM||MORNING||AFTERNOON||EVENING||TIME/BS||Wt., B.P.,
Using a meter to test blood sugarUsing a home monitoring kit is very simple and can be done by yourself anywhere you happen to be. The kits are small and portable. Basically it consists of pricking your finger with a lancet and applying a drop of blood to a test strip that sits in the machine. Glucose strip generates current which is measured by the glucose meter. Follow the directions for your meter. Review the basics of operating your meter with your diabetes educator once a year. Understand the coding and calibration of glucose meter.
How to get good blood sample?
Urine testing for glucose and ketonesUrine testing is recommended only if blood glucose monitoring is not possible. This is because urine test does not give