Take Steps To Prevent Infection
To avoid infection, practice the strategies advised by the
Frequent and repeated testing can cause sore fingertips. Here are a few suggestions that may help prevent this:
- Dont reuse a lancet. They can become dull, which may make pricking your finger more painful.
- Be sure to prick the side of your finger, not the pad. Pricking the end of your finger can be more painful.
- Though it may be a tempting way to produce more blood quickly, dont squeeze your fingertip vigorously. Instead, hang your hand and arm down, allowing blood to pool in your fingertips. In addition:
- You can help increase blood flow by washing your hands with warm water.
- If you still have too little blood, you can squeeze your finger, but start at the part closest to your palm, and work your way down your finger until you have enough.
- Dont test on the same finger each time. As part of your routine, establish which finger youll use and when. This way, youll never repeat testing on the same finger during the same day.
- If a finger becomes sore anyway, avoid prolonging the pain by not using it for several days. Use a different finger if possible.
- If you have chronic finger pain as a result of testing, see your doctor about changing glucose monitors. Some monitors can use blood drawn from other parts of your body.
Being asked by your doctor to monitor your glucose levels is an important part of the diagnostic process. Remember that many things can affect your blood sugar, including:
Symptoms Of High Blood Sugar In The Morning
If you wear a continuous glucose monitor , or if you routinely check your blood glucose every morning, you can see whether or not you are experiencing early morning hyperglycemia. In addition, you may also experience some of the signs and symptoms of hyperglycemia, which may include:
- Frequent and excessive urination
- Blurry vision
How Can I Check My Blood Sugar
Use a blood sugar meter or a continuous glucose monitor to check your blood sugar. A blood sugar meter measures the amount of sugar in a small sample of blood, usually from your fingertip. A CGM uses a sensor inserted under the skin to measure your blood sugar every few minutes. If you use a CGM, youll still need to test daily with a blood sugar meter to make sure your CGM readings are accurate.
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How To Use A Blood Glucose Meter:
- After washing your hands, insert a test strip into your meter.
- Use your lancing device on the side of your fingertip to get a drop of blood.
- Touch and hold the edge of the test strip to the drop of blood and wait for the result.
- Your blood glucose level will appear on the meter’s display.
Note: All meters are slightly different, so always refer to your user’s manual for specific instructions.
Some Ways To Help You Prevent High Morning Readings
What should my blood sugar be when I wake up? It depends if you already have diabetes or not. However, you should also know what you could do to keep your blood sugar levels from rising in the morning. Here are few suggestions:
1. Manage Your Body Weight
If you are overweight, consider losing weight to make it easy to manage your blood sugar levels. It really helps when you have been recently diagnosed with type-2 diabetes. Weight loss usually helps regulate hormones and increase insulin sensitivity to lower your blood sugar levels. To lose weight, pay attention to your diet first avoid processed foods, eat veggies and fruits, and cut the intake of less-healthy foods. Cranking up your physical activity may also help.
2. Have a Bedtime Snack
Eating something before you go to sleep may help stabilize your blood sugar. Your snack should contain no more than 20g of carbs. This keeps your liver from producing excess glucose while you sleep. Some of the most impressive carb-friend snack options are low-fat yogurt, frozen grapes, small piece of fruit, a serving of fresh salsa and tortilla chips, and soybeans.
3. Have an Active Lifestyle
A Quick Tip
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Low Blood Glucose Levels
Hypoglycaemia is when your blood glucose level below is too low . This can occur when on insulin injections or medications that make the pancreas produce more insulin. This is why it is important to know how your medication works. If unsure, ask your healthcare professional or Pharmacist how your medication works and if it could cause hypoglycaemia.
Signs and symptoms of hypoglycaemia include:
- Excessive sweating
- Change from normal behaviour e.g. unusually aggressive or tearful
Low blood glucose levels can be caused by:
- Delayed or missed meal/snack
- Eating less starchy food than usual
- Being more activity than usual
- Taking too much insulin or diabetes tablets
- Drinking too much alcohol or drinking alcohol without having starchy food
Treating a low blood glucose level
Treat immediately with 15-20grams of fast acting carbohydrate
- 170ml of Lucozade
- 200ml of smooth orange juice
- 4-5 GlucoTabs, 5-6 dextrose tablets or 4 jelly babies
- Non-diet fizzy drink Regularly check label of product since some manufactuerers are planning to reduce the sugar content of their drinks due to Soft Drinks Industry Levy
After 5-10 minutes if blood glucose level is still below 4 mmol/l, repeat one of the above. Once blood glucose is 4 mmol/l or higher then have something to eat such as:
- A slice of bread
- Two plain biscuits or crackers
- Or your usual meal if it is due.
If unconscious, nothing should be given by mouth and paramedics should be called.
Levels After Youve Eaten
Many foods have types of carbohydrates called starches and sugars. When you eat foods with these types of carbohydrates, your body breaks them down into glucose, which is a type of simple sugar, and releases the glucose into your bloodstream. Aside from glucose produced by your liver, food is the main source of plasma glucose.
Two hours after eating, your blood sugar levels rise. They rise more when you eat more carbohydrates, when you do not eat fiber, fat, or protein with your carbs, and when you eat certain types of carbohydrates, such as refined sugars and starches.
These are target values from The Joslin Diabetes Center, which include levels for people with diabetes:
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The Best Time To Check Blood Sugar
Kathi Valeii is a freelance writer covering the intersections of health, parenting, and social justice.
Living with diabetes includes monitoring your blood sugar levels. Most people do this by pricking their fingers with a blood sugar meter , which measures sugar in a small amount of blood.
Some people use a continuous glucose monitor , a sensor under the skin that checks blood sugar every few minutes. People who use a CGM must also use a blood sugar meter daily to ensure their CGM is accurate.
When you have diabetes, monitoring blood sugar levels is crucial because keeping blood sugar in a target range can help prevent complications, including:
- Kidney disease
- Vision problems
When you check your blood sugar matters. There are several times throughout the day that health experts recommend checking your blood sugar.
This article explains the importance of monitoring your blood sugar, how blood sugar is measured, and how to check it.
Symptoms Of High Or Low Blood Sugar
When the person has low blood sugar, they may experience hypoglycemia which can be characterized by-
- Dry mouth
People with type 2 diabetes may experience symptoms of high or low blood sugar. The levels can be checked by pricking a finger to get a drop of blood and putting it on a glucose meter.
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Check Your Blood Sugar If:
- You have symptoms of low blood sugar . This includes dizziness, shaking, sweating, chills, and confusion.
- You have symptoms of high blood sugar , which include sleepiness, blurry vision, frequent urination, and excessive thirst.
- You have a job in which poor blood sugar control could cause safety problems.
- You need help deciding if its safe to drive or perform other tasks that require concentration if you are taking insulin or have had hypoglycemia in the past.
You need to learn how meals, physical activity, and medicine affect your blood sugar level.
Sleep And Blood Sugar Testing
Testing your blood sugar before you go to sleep and after you awaken will reveal if it is high or lowand what might be causing that. Normally, the body releases insulin in the early morning to keep glucose levels, which naturally rise in the a.m., in check. If you have diabetes and your blood sugar is high when you awaken, you may need medication adjustments, says Wolf. On the other hand, if you check your blood sugar before you go to sleep and its on the lower end, you may want to eat a snack, adds Wolf. This applies for anyone taking insulin to control their blood sugar. Your physician will likely adjust your medication if your blood sugar is consistently low before bedtime.
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How Do I Check My Blood Glucose
Picture 1: Poke the side of the finger with the lancet
What Should I Do If My Blood Sugar Gets Too Low
Low blood sugar is also called hypoglycemia . It means your blood sugar level drops below 70. Having low blood sugar is dangerous and needs to be treated right away. Anyone with diabetes can have low blood sugar. You have a greater chance of having low blood sugar if you take insulin or certain pills for diabetes.
Carry supplies for treating low blood sugar with you. If you feel shaky, sweaty, or very hungry, check your blood sugar. Even if you feel none of these things, but think you may have low blood sugar, check it.
If your meter shows that your blood sugar is lower than 70, do one of the following things right away:
- chew 4 glucose tablets
- drink 4 ounces of fruit juice
- drink 4 ounces of regular soda, not diet soda or
- chew 4 pieces of hard candy
After taking one of these treatments, wait for 15 minutes, then check your blood sugar again. Repeat these steps until your blood sugar is 70 or above. After your blood sugar gets back up to 70 or more, eat a snack if your next meal is 1 hour or more away.
If you often have low blood sugar, check your blood sugar before driving and treat it if it is low.
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Questions To Ask Your Doctor
When visiting your doctor, you might keep these questions in mind to ask during your appointment.
- What is my target blood sugar range?
- How often should I check my blood sugar?
- What do these numbers mean?
- Are there patterns that show I need to change my diabetes treatment?
- What changes need to be made to my diabetes care plan?
If you have other questions about your numbers or your ability to manage your diabetes, make sure to work closely with your doctor or health care team.
Check Your Blood Sugar Levels Before Sleeping
Checking your blood sugar levels before sleeping is a good idea to make sure you’re not going low. If you are using a glucose meter try to avoid going to bed with hypoglycemia. If you have a continuous glucose monitor make sure you review the
It might take some practice but eventually, this routine could become natural and we’ll be able to have an accurate representation of what our body needs without having to even think about it.
If any numbers seem high at all – don’t hesitate check with your doctor as soon as possible so they can help you figure out how best to get them under control. We want those numbers right where they should be!
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When Should I Be Measuring My Blood Sugar Levels Throughout The Day
According to the Diabetes Canada clinical practice guidelines, the schedules for testing blood sugar should be as follows:
|Situation||How often to check blood sugar|
|Type 1 diabetes using multiple daily insulin injections or using an insulin pump||Check four or more times per day|
|Type 2 diabetes, taking diabetes medication known to cause hypoglycemia||Check at times when symptoms of hypoglycemia occur, or at times when hypoglycemia has occurred previously|
|Type 2 diabetes, and meeting your blood sugar targets||Check once or twice per week, to ensure that your blood sugar targets are being met between A1C tests|
|Type 2 diabetes and not meeting your blood sugar targets|
What Time Of Day Should I Test
Recommendations for the best time of day to test your blood sugar depend on your medicine, mealtimes, and blood sugar control. Your doctor may provide a chart that outlines when to check your blood sugar and what level you should target. Your doctor may also suggest different goals, depending on your situation.
The chart may look something like this:
|Time to Test|
|Adjust diet or medicine|
*Depends on the size of the meal and the amount of insulin in your medicine
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How To Lower Morning Blood Sugar
Trying to learn how to lower morning blood sugar? Heres why your glucose levels rise in the morning and a few things you can try to keep them in range.
Waking up with high glucose levels may feel like it doesn’t make sense. You spend several hours asleep, not consuming any carbs, and yet somehow your glucose levels are still high when you wake up in the morning.
Why does this happen? What can you do to make sure your glucose levels are safely in range in the morning? Learn more about some tips on avoiding high morning blood sugar levels so you can start your day off right.
What Are Target Blood Sugar Levels For People With Diabetes
A target is something that you aim for or try to reach. Your health care team may also use the term goal. People with diabetes have blood sugar targets that they try to reach at different times of the day. These targets are:
- Right before your meal: 80 to 130
- Two hours after the start of the meal: Below 180
Talk with your health care team about what blood sugar numbers are right for you.
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Stay Away From Stimulants
Stimulants can affect your sleep cycle in a few different ways. Some stimulants have light addictive properties which create a decreased quality of sleep. Also, the brain needs time to wind down and feel relaxed for quality shut-eye so these drugs will not only make you anxious but they’ll also keep you up at night with the inability to fall asleep. One of the well-known stimulants is caffeine that can be found in Cola, coffee, and some teas. Stay away from this and other stimulants before bedtime to have a more natural night’s sleep.
Blood Sugar Levels After Eating
Blood sugar level simply means the concentration of a simple sugar in certain amount of blood. In the United States, it is measured in mg/dl or milligrams per deciliter. Glucose concentration in the body fluctuates the whole day. Actually, there can be significant variations from minute to minute. Blood sugar levels after eating normally skyrocket and exercising will normally drop the levels. Doctors are interested in fasting glucose, glucose levels after eating, which is at times tested.
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What Is The A1c Test
The A1C test is a simple blood test that measures your average blood sugar levels over the past 2 or 3 months. The test is done at a lab or your doctors office in addition tonot instead ofregular blood sugar testing you do yourself.
A1C testing is part of the ABCs of diabetesimportant steps you can take to prevent or delay health complications down the road:
- A: Get a regular A1C test.
- B: Try to keep your blood pressure below 140/90 mm Hg .
- C: Manage your cholesterol levels.
- s: Stop smoking or dont start.
The A1C goal for most adults with diabetes is between 7% and 8%, but your goal may be different depending on your age, other health conditions, medicines youre taking, and other factors. Work with your doctor to establish a personal A1C goal for you.
Blood Sugar Levels During Pregnancy
The NIDDK states that gestational diabetes is high blood sugar that occurs during pregnancy if you were not diabetic before getting pregnant. Healthy blood sugar during pregnancy can help lower your risk of developing type 2 diabetes later. It can also lower the risk of your baby being born prematurely, at a high birth weight, and having respiratory problems.
Blood sugar and insulin levels during the first trimester of pregnancy tend to be lower than usual, but they rise during the late second and early third trimesters. You can be diagnosed with an oral glucose tolerance test .
These are the steps for the 2-step strategy.
- Drink a solution with 50 grams of glucose about the amount in 1 16-oz. bottle of a soft drink
- Get your blood drawn after 1 hour. IF the value is high, retest
- Fast overnight
- Drink a solution with 100 grams of glucose about the amount in 12 peanut butter cups
- Get your blood drawn immediately and after 1, 2, and 3 hours
Or, your doctor might use the 1-step strategy with a 2-hour OGTT:
- Fast overnight
- Drink a solution with 75 grams of glucose
- Get your blood drawn immediately and after 1 and 2 hours
These are some values to know from NIDKK related to gestational diabetes and healthy blood sugar in pregnancy.
|Time or Situation|
|Baseline: at least 105 mg/dl1 hour: at least 190 mg/dl2 hours: at least 165 mg/dl3 hours: at least 145 mg/dl|
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