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Medical Forum / Diseases and Disorders / Diabetes / February 2006BS Check-up
HI, How many time, per day, should one check the BS. Regards. > HI, > > How many time, per day, should one check the BS. That depends how well controlled your diabetes is, how much variation you like in your diet, how much exercise you do and how your bg reacts to it, what kind of stress you're under, and a whole load of other factors. I tested about 12 times a day as a newbie; now I generally do a couple, sometimes less. Lots more if I change an exercise routine, or try an unfamiliar food, or am feeling unwell. This link is brilliant for getting a grip on diet: http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm Nicky.  SignatureA1c 10.5/5.4/<6 T2 DX 05/2004 1g Metformin, 100ug Thyroxine 95/74/72Kg Read this: http://www.alt-support-diabetes.org/newlydiagnosed.htm SignatureJoe W T2 Nov '05 30mg Actos, 3gr(1/2 tsp or 500mg pill) Cinnamon, Diet(>100 carbs) & 30 minute walk(everyday) & BowFlex 3x/week *****Diabetes, be proactive, not reactive.***** > HI, > > How many time, per day, should one check the BS. > > Regards. > HI, > > How many time, per day, should one check the BS. As much as you and your doctor feel its necessary, but at least do a fasting test in the morning and anoher test before you go to bed. Specific numbers are entirely a personal matter that depend on your condition. Mush, everyone is different, I test , after all these years, at least six to eight times a day. I test when I get up, two hours after breakfast, before lunch and two hours after, repeating the same for dinner. I guess that is six times a day. If I feel I may have overdone it, I will test more Loretta -- In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism. Thanks a lot. Loretta. > Mush, everyone is different, I test , after all these years, at least > six to eight times a day. I test when I get up, two hours after [quoted text clipped - 3 lines] > > Loretta "mush97" wrote in message news > HI, > >How many time, per day, should one check the BS. I had been testing 5-6 times per day, two months ago my Doctor cut me back twice a day and last month he cut be back to once a day. I'm a type two with a 30 day average of 115. Hope that helps Jim >"mush97" wrote in message news >> HI, [quoted text clipped - 9 lines] > >Jim Hi Jim Cut you back? Does the doc limit how many strips you may use? Must you obey? Does he check your meter to see if you exceeded his quota? What will he do to you if you do? I cut back from 8-10 per day when my A1c dropped under 6.2% and I could reliably predict a BG under 7(126) an hour after eating. These days I test anywhere between none at all to 8 in a day - it all depends on the circumstances. What was your A1c and average 1hr PP when you cut back to once daily? Ask yourself some questions: What is the worst harm that may happen, and who to, if the doc is wrong? What is the worst harm that may happen, and who to, if the doc is right? I'll keep recommending http://www.alt-support-diabetes.org/NewlyDiagnosed.htm Cheers, Alan, T2, Australia. d&e, metformin 2x500mg SignatureEverything in Moderation - Except Laughter. > On Mon, 27 Feb 2006 00:55:52 GMT, "JCarew" > <othmer@prodigy.net> wrote: > >"mush97" wrote in message news > >> HI, [quoted text clipped - 7 lines] > > > >Hope that helps > Hi Jim > > Cut you back? Right >Does the doc limit how many strips you may > use? Yes by giving a prescription that's reads only one per day >Must you obey? Yes! Or run out of test strips before I am eligible for a new prescription. >Does he check your meter to see if you >exceeded his quota? He checks my meter during my office visit and, he downloads the info into his computer and prints out a graph for my medical file. >What will he do to you if you do? I don't know. Ground me for a week or something like that I suppose. What's your point? > I cut back from 8-10 per day when my A1c dropped under 6.2% > and I could reliably predict a BG under 7(126) an hour after [quoted text clipped - 6 lines] >What is the worst harm that may happen, and who to, if the > doc is wrong? > What is the worst harm that may happen, and who to, if the > doc is right? [quoted text clipped - 4 lines] > Cheers, Alan, T2, Australia. > d&e, metformin 2x500mg >> On Mon, 27 Feb 2006 00:55:52 GMT, "JCarew" >> <othmer@prodigy.net> wrote: [quoted text clipped - 40 lines] >or something like that I suppose. >What's your point? Jim, I'm sorry if I came on too strong. I didn't mean to. I made my point with those final two questions, I've left them in below. It's your life, not his. He is your doctor, not your superior officer. I didn't even accept that sort of attitude from my superiors in the military. Today I called a repairman to fix the oven. He assessed the problem, made the repair, and was paid. He worked for me. In a couple of weeks I'm seeing a guy to look at some repairs and maintenance needed on my body. Same deal. And just like the tradesman who fixed my stove, when the tradesman who was monitoring my CLL didn't meet my needs I found a new one. he is a more skilled and educated tradesman - but a tradesman I employ to do a task all the same. >> I cut back from 8-10 per day when my A1c dropped under 6.2% >> and I could reliably predict a BG under 7(126) an hour after [quoted text clipped - 12 lines] >> I'll keep recommending >> http://www.alt-support-diabetes.org/NewlyDiagnosed.htm Cheers, Alan, T2, Australia. d&e, metformin 2x500mg SignatureEverything in Moderation - Except Laughter. "Alan S" <loralweightandcarbs@optusnet.com.au> wrote "JCarew" <othmer@prodigy.net> wrote: > >> On Mon, 27 Feb 2006 00:55:52 GMT, "JCarew" > >> <othmer@prodigy.net> wrote: [quoted text clipped - 40 lines] > >or something like that I suppose. > >What's your point? > Jim, I'm sorry if I came on too strong. I didn't mean to. > I made my point with those final two questions, I've left > them in below. > > It's your life, not his. He is your doctor, not your > superior officer. I didn't even accept that sort of attitude > from my superiors in the military. In 20 years with the same doctor he has saved my life twice and my wife's once. I see know reason to start not trusting his judgment now. > Today I called a repairman to fix the oven. He assessed the > problem, made the repair, and was paid. He worked for me. In [quoted text clipped - 4 lines] > is a more skilled and educated tradesman - but a tradesman I > employ to do a task all the same. I take it were you live is in an area wear there is know shortage of doctors willing to handle diabetic patients. Besides being our doctor he's also a personal friend plus he's one of the top diabetic doctor's in our area. > >> I cut back from 8-10 per day when my A1c dropped under 6.2% > >> and I could reliably predict a BG under 7(126) an hour after > >> eating. These days I test anywhere between none at all to 8 > >> in a day - it all depends on the circumstances. What was > >> your A1c and average 1hr PP when you cut back to once daily? Same as it was before > >> Ask yourself some questions: > >> > >>What is the worst harm that may happen, and who to, if the > >>doc is wrong? Nothing that couldn't happen to me if I went back to testing 5-6 times a day > >> What is the worst harm that may happen, and who to, if the > >> doc is right? Nothing that couldn't happen to me if I went back to testing 5-6 times per day > >> I'll keep recommending > >> http://www.alt-support-diabetes.org/NewlyDiagnosed.htm Good for you Jim > In 20 years with the same doctor he has saved my life > twice and my wife's once. I see know reason to start > not trusting his judgment now. Interesting. I have had ear problems all my life. Last week I had surgery on my only hearing ear... and it is missing one of the 3 little bones after the ear drum so it has always been down. Prior to that I lost all hearing in my left ear. This has been +30 years. For 30 years Dr K. wouldn't go near my hearing ear. "It works, -sort of, and it's the only one. We leave well enough alone." I've been putting drops in it twice a week for 30 years and it still is infected. I have an exposed facial nerve (no mastoid bone) so a dangerous operation. Anyway Dr. K. is wanting to retire so finds me a nice Dr. L. Young guy but on the leading edge he is. "Damn, gotta be fixed he says." Takes 4 months to get OR time but last week I got it fixed... and it still works! I hope it's fixed too. Not only that he is going to get me an implant for my left side. I haven't heard a noise from the left side of my head for 35 years. I cannot believe my good fortune on changing doctors. Like you I would never had done it on my own. I owe both docs a big thank you. -- Dave, T2, Canada > Anyway Dr. K. is wanting to retire so finds me a nice Dr. L. Young guy > but [quoted text clipped - 4 lines] > left > side. I haven't heard a noise from the left side of my head for 35 years. Congratulations on the success about your ear! I hope the "fix" stays fixed. Are you going to be getting one of those cochlear implants? I have a young cousin who's getting one (I think that's what they said) in a few months (she's 10, & they're waiting until after the summer-fun-&-swimming season). bj > > Anyway Dr. K. is wanting to retire so finds me a nice Dr. L. Young guy > > but [quoted text clipped - 11 lines] > (she's 10, & they're waiting until after the summer-fun-&-swimming season). > bj No, that one wouldn't work for me. I'm would be getting the BAHA unit here... http://www.umm.edu/otolaryngology/baha.html Not the prettiest but I'm not involved in any beauty contests. It would just give me sound from the left side I think. That site also has info on the Cochlear Implant for you. -- Dave >"Alan S" <loralweightandcarbs@optusnet.com.au> wrote > "JCarew" <othmer@prodigy.net> wrote: [quoted text clipped - 99 lines] > >Jim No problem Jim. I'd also stick with a doc who had saved my life - makes good sense. I found Dave's reply interesting. Just for info, we had to advertise for three years to get a GP to work in our village. He and I have learnt to respect each other. Before that we drove 25km each way to the doctor. The haemo I sacked was 30km away. The one I choose to go to now is 120km away and requires an overnight stay in a Brisbane motel at my expense. The best CLL doctor in the world IMO is an Australian in Texas at MD Anderson. If I had no local alternatives, and it ever becomes necessary to use his services, I'd sell the house and fly there. We each make our own choices. Cheers, Alan, T2, Australia. d&e, metformin 2x500mg SignatureEverything in Moderation - Except Laughter. >>>>How many time, per day, should one check the BS. >>> >>>I had been testing 5-6 times per day, two months >>>ago my Doctor cut me back twice a day and last >>>month he cut be back to once a day. I'm a type >>>two with a 30 day average of 115. >>Does the doc limit how many strips you may >>use? > Yes by giving a prescription that's reads only > one per day My prescription is written "twice a day." With my previous doctor it as written "as described." The "as described" rule gave me some flexibility to do other kinds of tests, like 15 minute intervals for a given food. Even with testing other people ever so often, I have averaged about 2 "good" test a day for 5 years. What happens when you don't get a good test? I end up wasting a strip ever so often for different reasons. I don't usually trust a real low or high reading either. Sometimes you might get sugar on your hands if you aren't real meticulous about washing them before testing. Sometimes you might not get enough blood on the strip initially and a squeeze may get some other fluids beside blood on the strip. If I apply blood before the meter indicates, my meter will give me a "no strip" message. I have had other error messages on occasions. Sometimes it may be a bad test strip. The point is docs need to give a person some slack. Frank Roy >>>>> How many time, per day, should one check the BS. >>>> >>>> I had been testing 5-6 times per day, two months >>>> ago my Doctor cut me back twice a day and last >>>> month he cut be back to once a day. I'm a type >>>> two with a 30 day average of 115. Does your insurance force you to see this doctor? Can you change doctors? I paid for my own strips for a couple years, as my doctors (part of Kaiser) would not prescribe them and that was a closed system where the insurer and doctors were one organization so I had no choice. Then, fortunately, Kaiser went out of business in our region and I got new insurance and a new doctor who wrote me a prescription for testing 3x a day. When I started seeing an endo, I mentioned strips and she asked me how many I wanted. I told her and she wrote me the prescription for double what I'd been getting, no sweat. So far my insurance has been paying for them without complaint--though given what I pay every month for insurance they are still coming out way, way ahead on me. --Jenny http://www.phlaunt.com/diabetes Diabetes Info http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control \ > Does your insurance force you to see this doctor? Can you change doctors? There is a limited choice of doctors in the plan. I am not sure it was the doctor directly, but the staff wouldn't have known how the script was written previously. The prescription was setup for 5 refills and I will discuss the issue we I need a new script (500 strips). The "as described" script was with the same insurance company. I mentioned this to the diabetes educator and she said some insurance companies would not go for the "as described" script. Frank > \ >> Does your insurance force you to see this doctor? Can you change doctors? > There is a limited choice of doctors in the plan. I am not sure it was > the doctor directly, but the staff wouldn't have known how the script [quoted text clipped - 3 lines] > to the diabetes educator and she said some insurance companies would not > go for the "as described" script. I tested about a dozen times a day when I was starting out, and had no idea how my BGs reacted to my usual foods. It took about six months to settle down to a diet which seemed to work. Now I test once every few weeks, usually on a standard meal or snack I've tested a few times before, just to check that it's still behaving the same way. To begin with I was running out of strips and fingers, so would just do three tests perm meal, before, one hour, and two hours. Now I can afford to save up my strips and take a graph of readings every twenty minutes for three hours when I'm checking out a specific meal. SignatureChris Malcolm cam@infirmatics.ed.ac.uk +44 (0)131 651 3445 DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/] I test between 4 and 6 times per day and my doctor at the diabetic clinic (here in the UK, Gloucester Royal Hospital to be specific) told me that my long term glucose level was fine (6.3%) and that I should only test twice a WEEK. I thought "She means twice a day" but then she said twice a week AGAIN and then wrote it down. I was too stunned to say anything. She obviously doesn't realise that the reason that my long term level is so good is BECAUSE I test frequently and act accordingly. Imagine if I took her advice, had a hypo while driving and caused an accident. At best I would be suing her, at worst people could be dead. Needless to say I am completely ignoring her advice and continuing to test several times a day. I think I may phone the diabetic specialist nurse at the hospital to let her know what sort of "advice" the doctor is giving to people. > I was too stunned to say anything. She obviously doesn't realise that > the reason that my long term level is so good is BECAUSE I test > frequently and act accordingly. My doc doesn't get that either : ( I happily accept his 28-strips-a-month supplementation of my strips habit. Nicky. SignatureA1c 10.5/5.4/<6 T2 DX 05/2004 1g Metformin, 100ug Thyroxine 95/74/72Kg I don't know who's worse : This doctor at the hospital or my GP from 1997 who told me I was "just worrying" when I told him I was showing symptoms of diabetes (weight loss, excessive thirst and going to the toilet a lot). He told me I was a worrier just like my mother (that's what he said) despite the fact that my father and one of his brothers were already diabetics. The only reason I found out was because I got a yeast infection you-know-where and when I gave a urine sample at the hospital in the tests prior to my "Turtle Neck Removal" operation the test stick might have well exploded in the nurses hand. This was roughly SIX MONTHS after I tried to tell my GP. I guess he thought it was okay for me to lose over a stone in weight and constantly be tired. If that happened today, I would probably sue him. Jimmy. > I don't know who's worse : This doctor at the hospital or my GP from > 1997 who told me I was "just worrying" when I told him I was showing [quoted text clipped - 11 lines] > > If that happened today, I would probably sue him. Is it really too late? ;-) Priscilla I guess I would have to try and get a look at my medical files to see if he actually recorded what I'd told him. If he did then I suppose it's possible that there may be a case but if he didn't then it would just be my word against his (although thinking back I would have thought that he would have at least done an annual test just to be safe). Even so, I don't know if I would pursue it anyway. So much depends on your trust in your doctor and your trust in your own gut feelings and how you digest various news snippets and your motivation to feel on top of your own health issues. I surely belong to the group that says "you are only limited by your ability to accept the prickly pain and cost of the strips". When it comes to deciding how often you test. My doctor gave me a prescription for 2/3 times a day testing. As a result the local drug store gave me 100 strips with $15.00 co pay. First month I went through it within 15 days. Part of it was due to my newness of testing and part of it was I just had to know how I was doing. Yes like everyone else I was scared. (Hell I am still scared...But now I don't feel so bad accepting that I may die some day :-)). I was testing 6-8 times a day. I was also trying to see what diet worked for me. Being a vegetarian it was confusing to say the least. I also tried to change my doctor since I did not quite trust him anyways. I went to a friend of mine who also is a doctor but not too close to where I live. He refused to accept me. He felt he was too far from my house. So with lot of data in my hand and confronted my doctor. He was ready to put me on Satin as my HDL was 28 (LDL 115, Total 150). He would not give me more than 2/3 test strips a day. I said what harm will come to me is I use this method to find out what works for me. I also said I want to try very hard to stay away from any drugs at all. I could see he was clearly annoyed. I was asking him tough questions and he was not able to give rational answers. I told him I will show him the numbers, but he has to give me means to monitor myself. He finally broke down and gave me strips for 6/8 times a day testing. 6 months fast forward and I had all my numbers where they belong. HDL was 55, Trigs were 80, LDL 105. Weight was down to 168 lbs (ht 5'11"). So he had to accept I was on the right track and no I did not need more medication. I sure did not need Satin drugs. Was he interested in know how I did it? Nope! Most likely he was just happy to see me go away. My father was a diabetes. He was discovered to be so at 42. (52 in my case). His best friend also happend to be a great well known Dr who specialized in diabetes. We are talking 20 yrs ago now. All I can say is that if I knew what I know now I would have been of much better help for my father. I sure feel he would be alive now. I don't think it greatly helped him being close to a Dr. friend. And he was also curious and did all he could to stay on top of all the relevant research. But both on diet front and on exercise front he was way out of sych with what was need. I have taken these lessons to heart. When it comes to my health I am the CEO, I am the GoTo guy. All others are welcome to give advice but I take the ownership for this body! So Jim, you can start with one day but sooner or later you may see the value in grasping all the tentacles of this abnormality. The more you know, the earlier you know the more you are likely to undertake corrective actions. YMMV but is surely limited by you ability to take ownership of your driving habits. Anil |
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