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Cutting back on BG testing?

Emma_369

Well-Known Member
Messages
874
Type of diabetes
Treatment type
Diet only
Hi All. So I’ve completed my first week, been testing BG when I wake up and then before and after every meal to make sure low carb is working and what foods affect me. I’ve had no reading higher than 6.0 since Sunday. I’m scared to not test as often as so paranoid about making sure my readings are under control but at same time test strips at this rate might bankrupt me! As long as I maintain similar meals is it sensible for me to maybe cut down to fasting bloods and then only test after meals if I’m trying something new?
 
Hi All. So I’ve completed my first week, been testing BG when I wake up and then before and after every meal to make sure low carb is working and what foods affect me. I’ve had no reading higher than 6.0 since Sunday. I’m scared to not test as often as so paranoid about making sure my readings are under control but at same time test strips at this rate might bankrupt me! As long as I maintain similar meals is it sensible for me to maybe cut down to fasting bloods and then only test after meals if I’m trying something new?
Which meter are you using? Some have much dearer strips than others, though they all work out expensive if one is testing frequently. Lots of us in the UK use the Codefree, which has the cheapest strips, especially if you buy in bulk with the discount codes available. As far as I know the following is still valid:

STRIPS
You need to complete the order (check the boxes to confirm that you are diabetic and that you want 10 packs) and that will show £76.90. Then click on view basket and on the left hand side of the window you will see two boxes .. Coupon Code and Apply Code. Enter the discount code for 10 packs in the first box and then click the Apply Coupon box. This applies the discount and adjusts the price to £58.98 .. finally, you then proceed to checkout
5 packs x 50 use code: 264086 .. cost is £29.49
10 packs x 50 use code: 975833 .. cost is £58.98
 
Hi All. So I’ve completed my first week, been testing BG when I wake up and then before and after every meal to make sure low carb is working and what foods affect me. I’ve had no reading higher than 6.0 since Sunday. I’m scared to not test as often as so paranoid about making sure my readings are under control but at same time test strips at this rate might bankrupt me! As long as I maintain similar meals is it sensible for me to maybe cut down to fasting bloods and then only test after meals if I’m trying something new?

Hi. In the end it’s an individual decision, but I’ve found it helpful to keep testing - keeps me on the straight and narrow!

Which meter/strips are you using? There are wide variations in prices, especially with the strips.
 
As long as I maintain similar meals is it sensible for me to maybe cut down to fasting bloods and then only test after meals if I’m trying something new?
I'm sorry to say, at the beginning you do really need to test MORE than you do now!!! The expense is worrying, but it is temporary. At first you really need to test repeatedly after a meal: at one, two and even three hours or more. What you are trying to catch is the highest your bg goes after a meal and then how soon and how far it goes down again. If you only test eg after 2 hours and see a 6, you don't know if your bg was on its way up or down at that moment. However if you see a 6 at one hour and then a 5 at two hours, you know things are going in the right direction. On the other hand, you could see a 6 at one hour and then an 8 at two hours, in which case you'd want to go on testing until your bg went down again.

Also, since meters and testing strips are not very accurate, I would not want to give a meal the OK until I had seen it not raise me too much several times. You also need to consider that because we are all more insulin resistant at breakfast time, a meal that was OK for you at lunch might raise you too much for breakfast. I also find that I can tolerate less carbs in the evening, and some other people experience the same thing, but by no means everyone. More to find out about your own particular case.
 
Thank you @Goonergal & @Alexandra100
I may look into the codefree strips and change my monitor in the near future - I know there are cheaper options online. I was in a blind panic at diagnosis and went straight for one I could get off the shelf (accuchek performa) and not have to wait for as couldn’t handle not knowing for a few days whilst things were delivered.
Really had no idea about doing my bloods more - all the sites say what your reading should be 2 hrs after food so never occurred to me to check at 1 or 3. Do I presume that i should expect the reading to be higher at 1 hour - do you know to any ‘acceptable readings’ if checking after 1 hour? Sorry for all the questions - was given zero advice by my GP so relaying on what I can google basically :(
 
Thank you @Goonergal & @Alexandra100
I may look into the codefree strips and change my monitor in the near future - I know there are cheaper options online. I was in a blind panic at diagnosis and went straight for one I could get off the shelf (accuchek performa) and not have to wait for as couldn’t handle not knowing for a few days whilst things were delivered.
Really had no idea about doing my bloods more - all the sites say what your reading should be 2 hrs after food so never occurred to me to check at 1 or 3. Do I presume that i should expect the reading to be higher at 1 hour - do you know to any ‘acceptable readings’ if checking after 1 hour? Sorry for all the questions - was given zero advice by my GP so relaying on what I can google basically :(

I’m usually higher after 2 hours than one, but that’s because I eat very low carb and have a lot of fat. It’ll depend on what you eat - with regular testing you get to understand what’s usual for you and identify patterns. Personally I wouldn’t want any post meal spike of more than 2mmols, whether that’s at 1, 2 or 3 hours. Since you’re newly diagnosed, your readings will likely be more erratic until you settle on an eating pattern that works for you.
 
I’m usually higher after 2 hours than one, but that’s because I eat very low carb and have a lot of fat. It’ll depend on what you eat - with regular testing you get to understand what’s usual for you and identify patterns. Personally I wouldn’t want any post meal spike of more than 2mmols, whether that’s at 1, 2 or 3 hours. Since you’re newly diagnosed, your readings will likely be more erratic until you settle on an eating pattern that works for you.
Ok thanks. In that case I’ll up my readings to 1 hr and 2hr. If going down then I’ll leave, if going up I’ll test again at 3. So much more to it than I realised! Thank you for the advice!
 
Occurs to me, a week is not a long time in which to see any form of pattern emerging.
Give it a month, or so, possibly until your next HBA1C, and it will become evident if and where you need to concentrate.

Personally, I (now) mostly check before and after dinner at night. Before, because that is generally the lowest reading for the day (mid 5's) and after, because provided the reading is over 7, the morning figure will be no higher than 6.5. If it is lower, then my 6AM morning result will be over 8 (I have no idea why). Oter tests are done if something interesting happens.
 
Occurs to me, a week is not a long time in which to see any form of pattern emerging.
Give it a month, or so, possibly until your next HBA1C, and it will become evident if and where you need to concentrate.

Personally, I (now) mostly check before and after dinner at night. Before, because that is generally the lowest reading for the day (mid 5's) and after, because provided the reading is over 7, the morning figure will be no higher than 6.5. If it is lower, then my 6AM morning result will be over 8 (I have no idea why). Oter tests are done if something interesting happens.
I guess it’s the naive side of me hoping that what I’m doing is right because The idea of the next HBA1C reading not being an improvement literally keeps me awake at night! I thought I was being over cautious with 6 tests a day. So a little disheartened to realise I should be doing more. All a giant learning curve I guess
 
I guess it’s the naive side of me hoping that what I’m doing is right because The idea of the next HBA1C reading not being an improvement literally keeps me awake at night! I thought I was being over cautious with 6 tests a day. So a little disheartened to realise I should be doing more. All a giant learning curve I guess
Please, don't be disheartened!
It's really about confidence.
When you have the confidence to realise that most of your day/week/month pretty much looks after itself, then it is a much easier to deal with errant part!
 
The idea of the next HBA1C reading not being an improvement literally keeps me awake at night!
I'm absolutely sure that what you are doing is going in the right direction, which is all any of us can do. But please do bear in mind that A1c tests are as subject to inaccuracy as home testing. I saw huge improvements on my meter which were not reflected in my next A1c test. I was bitterly disappointed, but I then found out that this happens to lots of people. Some people always get A1cs that seem to be too low, others too high. @Bluetit1802 has had lots of bad experiences with this. You might like to read this old thread about the A1c test:
https://www.diabetes.co.uk/forum/threads/test-strip-results-and-hba1c-results.33170/
 
Thank you @Goonergal & @Alexandra100
I may look into the codefree strips and change my monitor in the near future - I know there are cheaper options online. I was in a blind panic at diagnosis and went straight for one I could get off the shelf (accuchek performa) and not have to wait for as couldn’t handle not knowing for a few days whilst things were delivered.
Really had no idea about doing my bloods more - all the sites say what your reading should be 2 hrs after food so never occurred to me to check at 1 or 3. Do I presume that i should expect the reading to be higher at 1 hour - do you know to any ‘acceptable readings’ if checking after 1 hour? Sorry for all the questions - was given zero advice by my GP so relaying on what I can google basically :(
I get the accu-check performa nano strips off eBay from a guy from India
He delivers on time and has really good feedback.
His prices make him cheaper than any I can buy form the UK main companies. It works out at 100 strips for £13.50 (which is £6.75 for 50) it used to be £12.50 for 100 until the GBP took a downward dive these last few months. Its even much cheaper if you buy 400 strips. My only beef with the Performa nano meter is that I get very low test readings, compared to the Glucomen lx2 or Freestyle Optium. I would rather get inaccurate high readings than inaccurate low readings IKWM:rolleyes:


This is me and I am by no means advocating that anybody do what I did.
When I was first diagnosed I did not test the first 2yrs
I googled the condition and read where folks were advocating that Dr Richard Bernstein's Diabetes solution book was essential reading.
I bought the book, absorbed the information contained there in, and followed it to the letter, still without testing.
I bought a digital kitchen scale, and found me the most accurate site, with information regarding the nutrient values especially the carbohydrate values in the foods. I therefore knew what was off limits and what was not.
I kept my meals spartan.
I resolved to be well controlled from day one.
I ate meat and Veg (green leafy and or cruciferous) and nothing else with everything weighed and measured, including garlic, onions and all seasonings. I knew exactly how much carbohydrate was in everything that passed my lips.

At my first HbA1c result 3mths later, I was told my blood sugar reading was significantly low enough to be in the pre-diabetes range, I bought a meter, and did not get round to using it for another 18mths.

6mths later I had another test, the HbA1c test at that time, confirmed that my blood glucose levels were in the "non diabetic" range. After another year and more tests confirming that I am still in the normal range, I began testing. Seeing how I am practically obsessed with keeping my readings tightly controlled, I'm glad I did not test initially. It would have done me in.
 
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I guess it’s the naive side of me hoping that what I’m doing is right because The idea of the next HBA1C reading not being an improvement literally keeps me awake at night! I thought I was being over cautious with 6 tests a day. So a little disheartened to realise I should be doing more. All a giant learning curve I guess
Many people here do just test before and two hours after a meal they say after one hour is to soon
 
Many people here do just test before and two hours after a meal they say after one hour is to soon
Testing at 1 hour is appropriate at the beginning, when we don't know how soon our bg is going to go up. By experimenting we can discover our own individual patterns and reduce testing accordingly. In theory, the completely normal non-diabetic person would see their bg rise to a peak at 1 hour and be back down to a normal level at 2. The rise can be delayed by eating a meal heavy in fat / protein, or for a person suffering from delayed stomach emptying (gastroparesis). Because I suffer from gastroparesis, for a long time I gave up on testing at 1 hour, as it was too soon for me, but sometimes saw a rise at 1hr30m. However, I can quite often have to wait 3 or more hours for my peak bg. Like other diabetic complications, gastroparesis can be slowly reversed by maintaining low bgs. I am now sometimes seeing a rise at 1 hour, which for me is a great improvement, but of course leads to an awful lot of testing, as it is not predictable.
 
I get the accu-check performa nano strips off eBay from a guy from India
He delivers on time and has really good feedback.
His prices make him cheaper than any I can buy form the UK main companies. It works out at 100 strips for £13.50 (which is £6.75 for 50) it used to be £12.50 for 100 until the GBP took a downward dive these last few months. Its even much cheaper if you buy 400 strips.

I bought a digital kitchen scale, and found me the most accurate site, with information regarding the nutrient values especially the carbohydrate values in the foods. I therefore knew what was off limits and what was not.
I kept my meals spartan.
I resolved to be well controlled from day one.
I ate meat and Veg (green leafy and or cruciferous) and nothing else with everything weighed and measured, including garlic, onions and all seasonings. I knew exactly how much carbohydrate was in everything that passed my lips.

6mths later I had another test, the HbA1c test at that time, confirmed that my blood glucose levels were in the "non diabetic" range. After another year and more tests confirming that I am still in the normal range, I began testing. Seeing how I am practically obsessed with keeping my readings tightly controlled, I'm glad I did not test initially. It would have done me in.

Thanks for the eBay tip - although now concerned to hear the meter tests low. You would think something doing such an important job would be relatively accurate. I too am weighing everything that passes my lips. Logging every detail on the low carb program site so can see full breakdown although like you, it’s basically meat + veg with a little cheese occasionally. My first morning I stupidly tried 1 piece of toast and got a 9.2 reading 2 hrs later which hit home majorly carbs had to go!
 
I was in a blind panic at diagnosis and went straight for one I could get off the shelf (accuchek performa) and not have to wait for as couldn’t handle not knowing for a few days whilst things were delivered.
I do so empathise. And believe me we are not the only people here to react with panic. Probably the people who discovered their bg problems and bounced back straight away with cheery optimism are a tiny proportion of us so small as to be statistically insignificant! In the beginning I threw away the opportunity to evaluate my bg after "normal" meals, and then see what difference eating lower carb made, because I was so horrified, I just wanted to eat perfectly and have totally normal bgs instantly. And of course, I couldn't. I didn't know enough, I made all sorts of mistakes, and even now that I eat ultra low carb I haven't attained the low bg levels I want. It's like trying to learn how to reverse the Titanic without having previously studied engineering! But how fascinating the learning is (as well as painful, let's not pretend).
 
If you are eating low carb, you are sure to have a lower HbA1c. You sound as though you are doing great. Don't stress too much as that can raise blood glucose! The more you test initially the more you will understand what different foods do to you. Testing at an hour often shows your peak but as others have said, combinations of foods can delay that significantly.
 
little cheese occasionally
All cheese is not created equal. If you look at the packets, some hard full-fat cheeses claim nil carbs, some only 0.1 or 0.2 g carbs per 100g, some <0.5g carbs. I find there is a lot of variation even within one type and brand of cheese eg Cheddar or feta or Wensleydale. For me cheese is a life-saver, because it is portable.
 
I don't understand the reasoning behind the advice to test more frequently - if you are getting readings under 6 at two hours you could not really get much better.
Stick to the diet and test two hours after having a meal with a food you have not yet tested for being 'safe' and you should be fine.
 
I don't understand the reasoning behind the advice to test more frequently - if you are getting readings under 6 at two hours you could not really get much better.
Stick to the diet and test two hours after having a meal with a food you have not yet tested for being 'safe' and you should be fine.
It depends on one's goals regarding BG levels.
If I ate anything and got a 6 at any point, that food is a no no for me.
I strongly believe that, I was born Insulin resistant, plus I don't know how long I have been merrily skipping about my daily biz, with elevated BG levels.
I therefore believe that to ward off or halt any damage that may have already occurred, I should stay at non diabetic BG levels.

My biggest headache most days is to figure out which of my meters to believe.
Oh well its a journey I suppose.
 
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