How often you need to check your blood sugar depends upon how the information that blood sugar testing provides will be used. All too often, people with diabetes are instructed to test their blood sugar frequently and yet neither they nor their physician or other caregivers make significant use of the information. Generally, when treatment (such as the amount of insulin to be taken before the next meal) is not being adjusted immediately or even day to day, there is little justification for very frequent testing. Except for people who cannot or will not test, all people with diabetes should be prepared to check their blood sugar frequently when they are sick, under severe physical stress, or taking medications that are known to markedly affect the blood sugar level, such as steroids. Examples of possible glucose monitoring
schedules for various circumstances are shown in Table 7.
Advice:
How often you need to check your blood sugar depends upon how the information that blood sugar testing provides will be used.
Table 7 Glucose Monitoring Strategies
Type of Diabetes
|
Testing Strategy
|
Type 1, 2, or GDM on intermit-
tent insulin 2 to 4 times daily
|
Before meals, bedtime, occ.
after meals, & during night
|
Type 1 or 2 on continuous insulin infusion (pump)
|
Before meals, bedtime, sometimes
after meals, & during night
|
Type 2 on oral antidiabetic pills (OADs)
|
Before breakfast and supper
alternating with before lunch and
bedtime, 3 days/week
|
Type 2 or GDM on lifestyle intervention
|
As for type 2 on OADs, 1
to 3 days/week
|
All types, when sick or unstable
|
As needed to intervene effectively,
q2-hours if needed
|
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