MODULE 4- MONITORING DIABETES

Simple: That is the answer. . . you.

Those who use insulin for diabetes should constantly check their blood glucose levels.

Those who take diabetes medications and have type 2 diabetes should consult their doctors about whether and how often to monitor. In addition to other diabetic treatments, insulin is a potent blood glucose-lowering agent. Monitoring your blood glucose levels will allow you to determine how well they are doing their duties. Additionally, using these medications puts you at risk for low blood sugar (hypoglycemia). You won’t have to guess if your blood glucose is low thanks to monitoring. It can also help you choose which foods to eat during meals and how much of them.

Low blood glucose levels are less of a concern for people with type 2 or gestational diabetes who control their blood glucose with exercise and diet programs. Monitoring, though, might be beneficial. You receive feedback on how effectively you are managing your diabetes. Positive criticism could be a great source of inspiration for you. Your fitness regimen or dietary decisions have an impact, which is visible. It directs therapy modifications for expectant mothers to maintain your and your baby’s health.

Managing your diabetes is the greatest approach to live a healthy life. You can achieve this by controlling your blood glucose levels through diet, exercise, and medication. The single most crucial thing you can do for yourself is to regularly monitor the level of glucose in your blood.

The only way to understand how your body reacts to food, medication, activity, and stress is by monitoring. You cannot alter your diabetes care strategy until you are aware of this. You will achieve your glycemic objectives through trial and error and a little patience.

Take measures and keep track of the results rather than stating that you are feeling good or bad. These records will demonstrate the effectiveness of your diabetes management strategy.

Why Should I Even Try?

  • You run the risk of developing hypoglycemia if you take insulin or specific diabetic medications and your blood sugar levels fluctuate too much during the day. For instance, you risk losing consciousness if you take insulin and your blood glucose level dips too low and you don’t treat it.
  • Although high blood sugar may not result in an immediate emergency, it can eventually create serious consequences. Debilitating eye, renal, circulation, and nerve diseases can occur in people with a history of persistently high blood sugar. Dehydration may also be a concern.

Of course, how frequently you check your blood sugar depends greatly on you. It depends on your blood glucose targets, whether you have type 1 or type 2 diabetes, how frequently

You’re willing to use what tools and materials you can afford. The reasons you check your blood sugar will also influence how frequently you monitor.

You might need to check your blood glucose level each time before injecting or eating a meal if you have type 1 or type 2 diabetes and use the results to adjust your next meal or insulin dose (3–4 times a day). To check if you administered the correct insulin dose, you may also observe after meals.

It’s crucial to check your blood sugar at least four, and often even eight, times every day if you want to keep it near to normal. You would check each time you ate, right before you went to bed, every day, at 3 a.m. or so, and roughly once a week. Studies on type 1 diabetes have revealed a link between blood glucose control and the frequency of blood tests.

You could choose to check only twice day if you only take one or two oral medications or insulin shots each day. People with type 2 diabetes typically have blood glucose levels that are more constant throughout the day. If you take oral diabetic medications, you might not need to check as frequently because you can’t adjust your dose based on the findings.

Without using drugs, people with type 2 diabetes who manage their blood sugar may monitor once or twice a day, three or four times a week, or not at all. However, monitoring your blood glucose levels on a regular basis will help you manage your diabetes and determine whether your efforts are having the desired effect. Regularly checking your fasting or pre-breakfast blood glucose levels is one strategy. Checking your blood sugar at several points during the day, such as before and after a workout, before and after a meal, and before going to bed, can also be helpful. This helps you understand what’s going on with your blood sugar levels.

Monitoring Goals

Understanding how your blood glucose responds to your daily activities is your aim. But you might also need to record atypical highs and lows.

Standard Periods for Blood Glucose Checks

  • Before a particularly large snack, breakfast, lunch, or dinner
  • Prior to going to sleep
  • 1-2 hours following a particularly large snack, breakfast, lunch, or dinner.

At 2:00 or 3:30 a.m.

There are instances when you could not feel quite right and have no idea why. You might be able to identify the issue by keeping an eye on your blood sugar levels. After a three-mile run, for instance, you can feel weary from the exercise or you might be experiencing a low blood glucose reaction. Simply said, without monitoring, you cannot know. If you think your blood sugar is low, but it’s actually high, you might opt to eat. Only monitoring will provide you with the details you need to choose the best course of treatment.

You will grow more assured in your capacity to control your diabetes over time. You might believe that fewer checks are necessary. Beware! It can be tempting to believe that your glucose level can be determined by how you feel, but research has shown that most people are not reliable at estimating their glucose levels. Guessing can be harmful, especially if your blood glucose level swings erratically.

You may need to check your blood sugar more frequently at certain times, especially if you’re attempting to figure out how different circumstances affect your blood sugar. Your blood glucose will generally be impacted by modifications to your diet, medications, physical activity, stress, and illnesses. Therefore, during these circumstances, you’ll need to perform additional blood glucose checks. You can respond to and handle your blood glucose effectively with the aid of these checks. Always keep an eye on your blood glucose levels if you think they may be too high or too low.

Additional Fees for Meals

Simply said, some foods cause an increase in blood sugar. There are, however, a lot of details to consider. Your blood glucose level will be impacted by the quantity and type of carbs in certain foods as well as the total amount of food you consume at a meal. Sounds challenging, doesn’t it?

Well, starting to educate yourself on how diet impacts blood glucose levels is the greatest way to take control. When you eat unfamiliar foods or special meals, you should keep a closer eye on your blood glucose levels. The way various foods affect your glucose level may surprise you. One to two hours after consuming certain foods, check your blood sugar levels. Do you notice that eating rice or pasta causes your blood sugar to rise more quickly? Does it increase more quickly after a granola bar or a cookie? You can create a plan so that your blood glucose does not climb too high, too quickly by learning how your body reacts to certain foods.

Additional Examinations of Physical Activity and Exercise

Exercise and other forms of physical activity generally lower blood sugar levels and increase insulin sensitivity. Your muscles work harder and exhaust their stored glucose during exercise. When the amount of glucose in your muscles drops, your body uses blood glucose. Some of the glucose that accumulates in the blood can be used up through exercise.

When exercising, special safety measures must be taken. Make sure your blood sugar levels don’t fall too low too quickly. When your muscles absorb glucose from the blood to replenish their glucose reserves after exercise, this may occur (this is more common in type 1 diabetes). Make sure to monitor your blood glucose very away and several hours after working out.

You can determine whether you need to consume a little more or inject a little less insulin by performing extra checks before and after physical activity. Some persons with type 2 diabetes who begin a regular exercise regimen find they no longer need to use insulin or other diabetes drugs. To be safe, however, discuss your blood glucose readings and exercise regimen with your medical team before making any dietary, insulin, or pharmaceutical modifications.

Exercise and High Blood Glucose Levels

It may sound unusual, but individuals with type 1 diabetes must also monitor their blood sugar levels to make sure they aren’t too high while exercising. Exercise may result in an increase in blood glucose rather than a decrease in blood glucose if your level is over 250 mg/dl.

When insulin levels are low, intense exercise might cause the liver to release stored glucose. Ketones should be tested in people with type 1 diabetes whose blood glucose level is more than 250 mg/dl. If ketones are present, avoid exercising. Even if there are no ketones present, proceed with caution if your blood glucose level is higher than 300 mg/dl.

Additional checks for newly prescribed drugs or insulin

Finding the ideal dosage can be challenging if you have type 2 diabetes and take oral medications. When you are starting a new drug or looking for the ideal dose of a prescription, you will need to monitor periodically. To prevent low blood glucose, check your blood sugar once or twice daily (before breakfast and one more during the day). On occasion, you might want to test how the drug interacts with your diet 2 hours after meals. Your monitoring data will assist you and your healthcare professional in determining whether any changes are required.

An increase in blood glucose monitoring will also result from starting or altering an insulin plan.

Additional Periods for Checks

  • Prior to driving (if you take insulin)
  • Whenever you exercise more than normal
  • If you’ve gained or lost weight
  • If you begin using a drug for a condition other than diabetes that alters blood sugar levels or impairs your ability to detect low blood sugar warning symptoms.
  • If you awaken with elevated blood sugar or experience nighttime hypoglycemia
  • When your levels have consistently fallen outside of your intended range rather than rising within it
  • If you’re feeling unwell. By checking, you can decide whether your blood glucose level requires attention.

Additional Inspections in Stress

These days, it seems like everyone is a little stressed out—and having diabetes may make things even more stressful. Hormones produced by stress can cause blood sugar levels to rise. Unexpected changes in blood glucose levels can also be unintentionally caused by stress.

As a result, while you’re under stress, you should check your blood sugar more frequently. Stress has a more difficult time being quantified than insulin units or calories burnt during exercise. However, stressful circumstances (such as a difficult day at work) may be pushing your blood glucose out of range, so be sure to check your blood glucose when you feel worried.

When you “do everything right” and still can’t understand why your blood glucose level is so high, consider the stresses in your life and how you handle them. Do you consume food when you are stressed? Your blood sugar may rise as a result of these extra calories and stress chemicals.

Added Inspections During Illness

Another type of stress on your body that might cause blood sugar to rise is being ill. To combat the disease, your body releases hormones, but these hormones also oppose the effects of insulin and cause blood sugar levels to rise. Your diabetes may become unmanageable as a result of illness. Diabetes emergencies, such as comas and fatalities, can also be brought on by extremely high blood glucose levels brought on by illness.

Monitoring blood sugar levels is crucial throughout any sickness. Even if you have type 2 diabetes and only check your blood sugar once per day, you might want to check more frequently when you’re sick. You should typically check your blood sugar every 3 to 4 hours.

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