Fasting blood when on shift work?

Peachbelle

Member
Messages
6
Type of diabetes
Type 2
This is my first week checking my fasting bg, for the first few days I checked at 10am because I was working 12-9 and my results we 5.8 and 5.3. Today though I am working 8-5 so I checked my blood at 6am and they were 6.5. I'm now realising that I had my dinner at 10.30 last night so could they be high because I wasn't fasting for 8 hours in between?
This is a regular shift pattern so will I always see a higher result on changeover day?
 

bigjim19

Well-Known Member
Messages
1,960
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
a lot of food im supposed to eat yuk
I work weird and wonderful shifts as well not as bad as yours though pretty steady all week till Friday into Saturday but even after about 4-5 hours sleep my readings are much the same the variable readings you have are not drastic for that type of shift in routine maybe try eating healthier on that changeover meal
 
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ickihun

Master
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13,698
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Type 2
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This is my first week checking my fasting bg, for the first few days I checked at 10am because I was working 12-9 and my results we 5.8 and 5.3. Today though I am working 8-5 so I checked my blood at 6am and they were 6.5. I'm now realising that I had my dinner at 10.30 last night so could they be high because I wasn't fasting for 8 hours in between?
This is a regular shift pattern so will I always see a higher result on changeover day?
In your case it sounds like your digestion has slowed down hense the difference in your body processing your food. Unless identical food and at eating time would I normally say a liver dump but no this case I feel digestion definitely has something to do with it. Can you bring your evening meal to have sooner and if hungry later just a cheese or nut nibble?
 
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Deleted member 308541

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This is a regular shift pattern so will I always see a higher result on changeover day?
Do your fasting test when you wake up after your sleep period.

When I did night shift work years ago this would have at been 10:00pm before I went to work. Then test two hours later after a meal which you have before you go to work.

Workout something similar for afternoon shift.

Day shift stays the same.
 
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Peachbelle

Member
Messages
6
Type of diabetes
Type 2
Thanks guys for all your help.....I'm still so new to all of this I haven't got a clue!! My doctor just gave me a monitor and told me to test only my fasting blood and if it goes over 11 to give her a call.
I was just told to cut out sugar and change to brown carbs, to eat as much fruit as I'd like and she'll see me in 3 months and I'll hopefully have a dietitian appointment after that.
Today I was feeling really shaky and weak while out shopping so I had a bit of diabetic chocolate and when I got home my blood sugar was 4.2, 2 hours after eating it was 9.2 I have no idea if this is bad or good, I know I shouldn't have tested but I'm trying to learn how my blood sugar corresponds to how I'm feeling
 

Energize

Well-Known Member
Messages
810
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi Peachbelle
Welcome to the forum. You'll get a lot of very good advice here so just ask your questions ;)

Regarding testing, in spite of what you've been told by your Diabetes Nurse, test as often as you feel necessary. Generally, many/most will test immediately before you begin eating your meal and then again after 2 hrs. This is to show you if you have returned to your pre-meal reading, or maybe just a bit up from that. The understanding is that they don't usually give Type 2's a meter and test strips unless for a particular reason, so you have a meter and, presumably, min of one pot of test strips a month. Make good use of them.

Also, as per normal, the advice given re diet for a diabetic is not the best, to be honest. Brown carbs, ie lower GI, are definitely better than white but carbs are quickly converted into glucose in your body which, obviously pushes up your blood glucose levels. So, watching / controlling / reducing etc all carbs is usually to your advantage.

It's useful to understand how different foods affect you and your diabetes. Everyone is different, of course, so you have to find what is best for yourself. I'll tag @daisy1 who will provide you will some invaluable information, all of which should help your understanding, and therefore your control of your diabetes.

Your meter will help you understand what foods your body can tolerate, or not.

Good luck, and just take this a day at a time :)
 
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ickihun

Master
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13,698
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Type 2
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Insulin
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Bullies
Thanks guys for all your help.....I'm still so new to all of this I haven't got a clue!! My doctor just gave me a monitor and told me to test only my fasting blood and if it goes over 11 to give her a call.
I was just told to cut out sugar and change to brown carbs, to eat as much fruit as I'd like and she'll see me in 3 months and I'll hopefully have a dietitian appointment after that.
Today I was feeling really shaky and weak while out shopping so I had a bit of diabetic chocolate and when I got home my blood sugar was 4.2, 2 hours after eating it was 9.2 I have no idea if this is bad or good, I know I shouldn't have tested but I'm trying to learn how my blood sugar corresponds to how I'm feeling
Test as much as you can to give yourself the knowledge. The knowledge of how YOUR body reacts to certain foods. Bin that diabetic chocolate and buy 90% coco chocholate if you miss it so much. Its lovely melted with double cream as a sauce. ;)
 
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daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@Peachbelle

Hello and welcome to the forum :) Here, as mentioned above, is the basic information we give to new members and I hope you will find it helpful. Ask as many questions as you like and someone will be able to help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 220,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.