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Medical Forum / Diseases and Disorders / Diabetes / August 2005

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Low 1-hr BG

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Christine - 05 Aug 2005 00:30 GMT
Hey everyone,
I've posted just once before and have since been lurking and soaking up
all the wisdom. ;) I was diagnosed as prediabetic (111 fasting/173 2-hr
PP, 105 and 102 fasting on subsequent lab tests) a few weeks ago, and
I've bought a Walgreen's-brand BG monitor made by Prestige. I really
haven't done that much with it (used up the 10 strips that were
included), but this evening I bought a new box of strips and tested
myself 60 and 90 minutes after I had my evening meal. I'm getting
readings of 80--the meal was low-carb but large, and I'm really
surprised I'm getting a reading that low. Any idea what that could be?
Is that low enough to qualify as hypo, given that I just ate? (I feel
just fine, except I'm having a bit of indigestion from some lactitol
chocolates I had for dessert)

This whole BG self-testing thing is unexpectedly confusing... not to
mention annoying/painful, as the instructions tout that this monitor
requires "as little as" 4 microliters ("little"?!), and not being the
best bleeder, I've gone through a lot of fingers this evening...

Christine
Jenny - 05 Aug 2005 00:59 GMT
> Hey everyone,
> I've posted just once before and have since been lurking and soaking up
[quoted text clipped - 16 lines]
>
> Christine

Christine,

Low on most meters for a person who is not on insulin is 70mg/dl or less
and trust me, if you're low, you'll know it.  You'll feel shaky or
sleepy or wacky or like you're going to pass out.

If you have decent blood sugar control (which you still do) you should
stay somewhere around 85 with a low carb meal. Meters vary, so that 5
mg/dl isn't anything to worry about.

I hope you are getting the blood from the side of your fingers, not the
tip.  The area on the side next to the your fingernail where it kind of
puffs out is the easiest to stick. Most people's pinky's are the most
productive.

Lacitol is EVIL. I'm much rather have a nice serving of Ex-lax. Much
easier on the system.
Susan - 05 Aug 2005 01:04 GMT
> Hey everyone,
> I've posted just once before and have since been lurking and soaking up
[quoted text clipped - 6 lines]
> readings of 80--the meal was low-carb but large, and I'm really
> surprised I'm getting a reading that low. Any idea what that could be?

It could be that you're not diabetic, and the meal was sufficiently low
carb not to spike you.  Or that you were low before you ate.  Or that
you're hyperinsulinemic and had a strong insulin response that dropped
your glucose low.

You might try testing right before your first bite, then maybe half an
hour after, then one and two hours to see if you get a spike then a big
drop.

Or you could just eat low GL from now on and get on with it.  :-)

> Is that low enough to qualify as hypo, given that I just ate?

Nope.

(I feel
> just fine, except I'm having a bit of indigestion from some lactitol
> chocolates I had for dessert)

If you feel fine, you're not hypo.  You may be hyperinsulinemic, or not.

> This whole BG self-testing thing is unexpectedly confusing... not to
> mention annoying/painful, as the instructions tout that this monitor
> requires "as little as" 4 microliters ("little"?!), and not being the
> best bleeder, I've gone through a lot of fingers this evening...

If you take Alan's wise advice and wash your hands or just run warm
water over the fingers and rub them dry first, you'll find it really
easy to get the blood you need with no discomfort or extra effort.

HTH,

Susan
rleone@hotmail.com - 05 Aug 2005 02:10 GMT
SNIP

HI! I just want to ask if you remembered to change the "Code" in the
meter to match the new batch of test strips you'd bought?

And yeah, this IS confusing. If diabetes were more straightforward it'd
be the "disease of the week" on the medical dramas a LOT more often.

Robert Leone rleone@hotmail.com
Alan S - 05 Aug 2005 02:32 GMT
>Hey everyone,
>I've posted just once before and have since been lurking and soaking up
[quoted text clipped - 16 lines]
>
>Christine

Hi Christine

I've read Jenny's and Susan's replies - they're right and
said it better than I would have anyway.

I've copied my standard advice on painless testing below -
maybe it can help:

Wash your hands in warm water first, and shake them to get
the circulation going. Check your lancet - it should be
adjustable. Mine is Soft-clix, made by Roche and is usually
painless. I get an occasional tiny sting, and it lets me
know if it's getting blunt sometimes, but I've tested close
to 4000 times in the past 3 years without any trauma. That's
from a guy who was, and is, needle-phobic.

Start with the second lowest setting (1 or 1.5), hold it
firmly against your skin on the side of a finger near the
tip. Don't flinch when you release the button. The button
releases a spring-loaded tiny needle which makes a tiny hole
in your skin and instantly retracts. Incidentally, using the
sides has two advantages - there are less nerve-ends than on
the pads, and it doubles the number of test-points so you
can rotate through the positions.

Massage gently (milking a cow) until a drop of blood forms
sufficient to put on the test strip. If this setting doesn't
provide an adequate quantity, move the lancet setting up one
notch for the next one. If you got a large sample and it
hurt a little, go to the lower setting.

And that's all there is to it. Sometimes it helps to shake
your hands a little more, or warm them up if it's cold. The
manufacturers advise changing the lancet needle every time;
I change mine when I remember or if it gets a bit blunt -
that's about once a month or every 150 tests :-) You do what
you are comfortable with.

Cheers Alan, T2, Australia.
Signature

Diet and not enough exercise.
I have no medical qualifications beyond my own experience.
Choose your advisers carefully, because experience can be
an expensive teacher.

Everything in Moderation - Except Laughter.

oldal4865 - 05 Aug 2005 03:07 GMT
Christine wrote in message
<1123198251.137448.262350@f14g2000cwb.googlegroups.com>...
>Hey everyone,
>I've posted just once before and have since been lurking and soaking up
[quoted text clipped - 16 lines]
>
>Christine

  The normal blood sugar of a non-diabetic tends to oscillate between 80
and 90 mg/dL.

In a non-diabetic,  the beta cells start releasing insulin at 90 mg/dL,
the liver starts releasing glucose at 80 mg/dL.    A normal person can get
as low at 70 mg/dL following that cycle and not be considered "low".

"Pre-diabetic" means that your glucose metabolism is a lot closer to
"non-diabetic" than most of ours.    Your ability to stay in the
non-diabetic range after a low carb meal isn't too surprising

FWIW,  there is an opinion among some of the specialists that "below 70"  is
low but you aren't really hypo until you drop below 55.    Some perfectly
normal folks drop as low as 60 after a fast.

    Pre-diabetic almost always means that you are in the Standard Type 2
Diabetic Progression and will become full-blown diabetic sooner or later.
"Later" is better than "sooner".     You've figured out one way to
accomplish "later" ,  i.e.  ". . . .the meal was low-carb . . ."    Another
is daily exercise.  A third is "lose abdominal fat".

Sounds like you have the right ideas so far.

Regards
 Old Al
Chris J. - 05 Aug 2005 03:16 GMT
>Hey everyone,
>I've posted just once before and have since been lurking and soaking up
[quoted text clipped - 6 lines]
>readings of 80--the meal was low-carb but large, and I'm really
>surprised I'm getting a reading that low. Any idea what that could be?

Christine, I've been experimenting with a Walgreens meter and though
my results may be an anomaly, it looks to me like the meter is
inconsistent. Have you tried a control solution test?
Christine - 05 Aug 2005 04:04 GMT
Yep, code set right, control solution worked fine. With the first ten
strips that came with the meter, I was getting inconsistent results,
too, but I've tested 5 times tonight and every time it's been 78/80 (2
pairs of tests, each within minutes of each other), except for one
reading of 64 that I think happened because there was insufficient
blood on the strip - it took over 60 seconds to register. I also think
my meter's results have gotten better because I've become better at
testing myself, getting enough blood, whereas before I was kinda
clueless, heh. I dunno, I was leery of it at first, but I'm hopeful
that it does all right--they wouldn't keep selling them if they didn't,
right? By the way, there are two Walgreen's meters, Prestige and
Relion; are we using the same one?

Thanks for the finger-testing suggestions, everyone! (especially your
detailed advice, Alan) I'm sure I'll get used to it quite soon.
Chris J. - 05 Aug 2005 04:37 GMT
>Yep, code set right, control solution worked fine. With the first ten
>strips that came with the meter, I was getting inconsistent results,
[quoted text clipped - 7 lines]
>that it does all right--they wouldn't keep selling them if they didn't,
>right?

Much to my surprise, I've found out here and confirmed it that the
actual accuracy required by law is low, around 15% variance.

>By the way, there are two Walgreen's meters, Prestige and
>Relion; are we using the same one?

I thought Relion was by Walmart?
My Walgreens one is a "truetrack".

>Thanks for the finger-testing suggestions, everyone! (especially your
>detailed advice, Alan) I'm sure I'll get used to it quite soon.

Best of luck!
Christine - 05 Aug 2005 05:10 GMT
Oh, whoops, you're right about the Relion being Wal-Mart! But there are
two from Walgreen's; I don't see the word "truetrack" on mine's box
anywhere, so you must have the  other one.
Chris J. - 05 Aug 2005 07:47 GMT
>Oh, whoops, you're right about the Relion being Wal-Mart!

Heh, I always get the names Walmart and Walgreens mixed up!
Very easy to do.

>But there are
>two from Walgreen's; I don't see the word "truetrack" on mine's box
>anywhere, so you must have the  other one.

One thing I've found with the strips this one uses: The drop size and
thus intake rate seems to affect the reading. A small drop goes in a
bit slower and results in a lower reading. This is with the control
solution, so it seems application technique is important. I have no
idea if this would apply to your or not.
palm - 05 Aug 2005 07:48 GMT
I would like to warn you against blindly taking advice from this group.

This group is not moderated, which means, that  anybody can post here.
The main thing is: do not change your blood sugar testing regimen or
any  medications on
advice from people, you don't know! Ask your doctor,  or your diabetic
educator, first!
Here you will run into spammers (commercial advertisements, disguised
like advice from friendly "experienced diabetic") and  "trolls" (one
person, using different handles, to make his point) and such.
I posted about some of most dangerous things that ignoratnt people will
try to lure you into

(like increasing number of blood sugar tests or amount of medications
by 4-8 times) without

consulting with your doctor.
http://tinyurl.com/8wc59
and
http://tinyurl.com/7lx8u
Also, I would recommend another message board, which is endorsed by
American Diabetes Association and moderated by health  professionals,
so they weed out ads for snake oils and other crap
http://tinyurl.com/7vtuy
Good luck
oldal4865 - 05 Aug 2005 13:19 GMT
palm wrote in message
<1123224530.473512.239660@g43g2000cwa.googlegroups.com>...
>I would like to warn you against blindly taking advice from this group.
>. . .(snip). . .
>
>(like increasing number of blood sugar tests or amount of medications
>by 4-8 times) without

From   Parker,  Robert B.   "Perish Twice"

"Elizabeth's scorn for anything she didn't understand was profound.  There
was a lot she didn't get,  and if she accepted that,  she might be forced to
conclude that she was stupid"

Mr... Palm:   Your remarks would be acceptable if we were discussing Ford
Carburetors.   However,  you are advocating obsolete therapies for a deadly
disease.

You are trying to convince new,  unskilled diabetics to follow Rene's path.

http://www.ifip.com/pempals.htm

". . .I am 43 years old, married now for 12 years, no children, and diabetic
type 1 for 27 years. . . . Today, I have almost all complications related
with diabetes; Kidney transplant since 1990, I have vision impairment, I can
see with only one eye about 30%, high blood pressure, neuropathy, heart
operation, also I have a kind of osteophaty in my left foot. I am an
Oceanographer, now retired because of diabetes.
. . .
. . . I simply follow the advice of my doctor, but the main reason for my
good control [ ! ! ! ! ! ] is that I always accepted my diabetes. No blame
for anybody, I just accept it. . . ."

  Failed kidneys,  nearly blind,  high blood pressure,  severe artery
damage,  (no kids. . .  E.D. ??). . .all because he followed obsolete
advice.

Regards
 Old Al
Hi_Therre - 05 Aug 2005 11:32 GMT
>Oh, whoops, you're right about the Relion being Wal-Mart! But there are
>two from Walgreen's; I don't see the word "truetrack" on mine's box
>anywhere, so you must have the  other one.

You will find huge swings between different meters.  Since we live in
a world of numbers where we strive for our BG's to be between 80 and
120, these swings send us for a loop.  One meter says your BG is 110,
and another meter says 140.  Which is right?  Are you in control, or
are your numbers high and need to be corrected?  The FDA regs allows
the meters to be made very inaccurate.  We take the meter readings at
face value and act accordingly.  The FDA definitely needs to tighten
up on the meters from 15% to about 5% variance.  My Accu chek
Advantage meter consistently reads 20 - 30 points higher than any
other meter I use.  

When you use different meters, you can see patterns of rise and falls
in the graphing of BG's.  Shouldn't be that way, but is.

_____________________________________________
http://wave.prohosting.com/ugleeeee/
Health Diabetic Software - Free
None Given - 05 Aug 2005 18:10 GMT
> I thought Relion was by Walmart?

I thought so, too.

> My Walgreens one is a "truetrack".

There's a truetrack and a prestige, the prestige needs a bigger sample and
you wait for the blood to soak into the spot and then stick the end with the
spot into the meter.

Signature

No Husband Has Ever Been Shot While Doing The Dishes

Loretta Eisenberg - 05 Aug 2005 14:12 GMT
80 is not technically low,  But if you have had numbers in the high 100s
the drop to 80 would be a low for you.

If you had any fat with your meal, there could be a delay to a rise at
the two hour mark.  If not, and you really had very low carb.  It could
be,  I hope you tested at two hours just in case you went low and needed
to cover it.

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.
 
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