Diabetes Testing And Monitoring
If you have diabetes, blood glucose monitoring can help you keep your glucose levels within a target range by balancing food, exercise and insulin, reducing your chances of diabetes complications. A range of testing and monitoring equipment is available to help people manage their diabetes. Your doctor or diabetes nurse or educator can advise you on the most appropriate equipment for you and your situation.
The Royal Australian College of General Practitioners recommends that if you have type 2 diabetes and take oral medication only, you should talk to your doctor or specialist about the need to test your blood sugar levels at home, as most people in this situation do not need to do this type of monitoring. For further information, visit the Choosing Wisely Australia website.
Prevent Type 2 Diabetes
If your test results show you have prediabetes, ask your doctor or nurse if there is a lifestyle change program offered through the CDC-led National Diabetes Prevention Program in your community. You can also search for an online or in-person program. Having prediabetes puts you at greater risk for developing type 2 diabetes, but participating in the program can lower your risk by as much as 58% .
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How Do I Measure My Blood Sugar Level
Follow your doctors advice and the instructions that come with the BGM or CGM. Different meters work differently, so be sure to check with your doctor for advice specifically for you. With a BGM, youll usually follow the steps below:
- Wash your hands and dry them well before doing the test.
- Use an alcohol pad to clean the area that youre going to prick. For most glucose meters, you will prick your fingertip. However, with some meters, you can also use your forearm, thigh, or the fleshy part of your hand. Ask your doctor what area you should use with your meter.
- Prick yourself with a sterile lancet to get a drop of blood.
- Place the drop of blood on the test strip.
- Follow the instructions for inserting the test strip into your glucose meter.
- The meter will give you a number for your blood sugar level.
If you have a CGM, youll follow the insertion directions that come with the monitor. Once its warmed up, the transmitter wirelessly sends the data to your computer or smartphone.
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Can I Do A Fasting Blood Sugar Test At Home Instead
There are kits that allow you to test your blood sugar at home. But they should not be used to diagnose diabetes.
The results are often not as accurate as tests by a healthcare provider. Several factors can affect accuracy, such as:
- Environmental conditions.
- Unclean skin on the finger being pricked.
- Expired or damaged test strips.
- Not enough blood in the testing sample.
At-home blood testing kits are intended to help people who have already been diagnosed. They help people with diabetes manage the condition and understand what factors affect their blood sugar.
A note from Cleveland Clinic
Fasting blood sugar is a simple, common blood test to diagnose prediabetes, diabetes or gestational diabetes. Before the test, you shouldnt have anything to eat or drink for 8 to 12 hours. Talk to your healthcare provider about whether you need a fasting blood glucose test.
Last reviewed by a Cleveland Clinic medical professional on 10/17/2021.
References
Special Features Of A Cgm
CGMs are always on and recording glucose levelswhether youre showering, working, exercising, or sleeping. Many CGMs have special features that work with information from your glucose readings:
- An alarm can sound when your glucose level goes too low or too high.
- You can note your meals, physical activity, and medicines in a CGM device, too, alongside your glucose levels.
- You can download data to a computer or smart device to more easily see your glucose trends.
Some models can send information right away to a second persons smartphoneperhaps a parent, partner, or caregiver. For example, if a childs glucose drops dangerously low overnight, the CGM could be set to wake a parent in the next room.
Currently, one CGM model is approved for treatment decisions, the Dexcom G5 Mobile. That means you can make changes to your diabetes care plan based on CGM results alone. With other models, you must first confirm a CGM reading with a finger-stick blood glucose test before you take insulin or treat hypoglycemia.
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Monitoring Your Blood Sugar
Regular blood sugar monitoring is the most important thing you can do to manage type 1 or type 2 diabetes. Youll be able to see what makes your numbers go up or down, such as eating different foods, taking your medicine, or being physically active. With this information, you can work with your health care team to make decisions about your best diabetes care plan. These decisions can help delay or prevent diabetes complications such as heart attack, stroke, kidney disease, blindness, and amputation. Your doctor will tell you when and how often to check your blood sugar levels.
Most blood sugar meters allow you to save your results and you can use an app on your cell phone to track your levels. If you dont have a smart phone, keep a written daily record like the one in the photo. You should bring your meter, phone, or paper record with you each time you visit your health care provider.
Sometimes having high blood sugar can feel like a test you didnt pass. But numbers are just numbers. Think of them instead as information. Did a certain food or activity make your levels go up or down? Armed with that knowledge, you can make adjustments and get closer to your target range more often.
What Causes Blood Sugar To Be High
Many things can cause high blood sugar , including being sick, being stressed, eating more than planned, and not giving yourself enough insulin. Over time, high blood sugar can lead to long-term, serious health problems. Symptoms of high blood sugar include:
- Feeling very tired.
- Having blurry vision.
- Needing to urinate more often.
If you get sick, your blood sugar can be hard to manage. You may not be able to eat or drink as much as usual, which can affect blood sugar levels. If youre ill and your blood sugar is 240 mg/dL or above, use an over-the-counter ketone test kit to check your urine for ketones and call your doctor if your ketones are high. High ketones can be an early sign of diabetic ketoacidosis, which is a medical emergency and needs to be treated immediately.
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How Long Does It Take Your A1c To Go Down
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Managing Blood Sugar When Youre Ill
When you get sick, your blood sugar levels may fluctuate and become unpredictable.
If you’re sick, it’s very important that you:
- drink plenty of water or sugar-free fluids
- check your blood sugar levels more often than usual
- take 15 grams of carbohydrate every hour if you are not able to follow your usual meal plan
- replace food with fluids that contain sugar if you can’t eat solid food
- continue to take your insulin or other diabetes medication
If you have a cold or flu and want to use a cold remedy or cough syrup, ask your pharmacist to help you make a good choice. Many cold remedies and cough syrups contain sugar, so try to pick sugar-free products.
As an extra precaution, you should always check with your health-care team about guidelines for insulin adjustment or medication changes during an illness.
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What Happens After The Diagnosis
Usually, the following things happen after your diagnosis:
A free education course for type 2 diabetes can help you manage your condition.
Page last reviewed: 18 August 2020 Next review due: 18 August 2023
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What Is Normal Fasting Blood Sugar And What Is A Diabetes Blood Sugar Level
The results of the fasting blood sugar test will come back as a number:
- 99 mg/dL or lower: This is a normal fasting blood sugar level.
- 100125 mg/dL: Fasting blood sugar in this range typically indicates prediabetes. This means your blood sugar levels are higher than normal but not high enough to be classified as diabetes.
- 126 mg/dL or above: This indicates high blood sugar, the main sign of diabetes.
If you have a high fasting blood sugar level, your healthcare provider may repeat the test to make sure. If the test reveals that you have prediabetes, your healthcare provider will recommend you repeat the fasting blood sugar test every year or two. The results will help you know whether you are progressing to Type 2 diabetes.
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