Here is an excerpt from the course at http://www.dsolve.com that answers your question:
When do I test my blood sugars?
In order to find out how well your body is dealing with your diet and any medication you are taking blood sugars need to be taken:
On waking
Immediately before breakfast
Before each meal
Two hours after each meal
At bedtime
How do I use these blood sugar measurements to best effect?
"Eat to meter" is a shortened way to say that you eat to ensure that YOUR BLOOD SUGARS STAY WITHIN YOUR TARGET RANGE.
Many diabetologists genuinely believe that diabetics cannot realistically achieve normal blood sugars. They hope that the best they can do is to monitor the inevitable decline in health that high blood sugars produce long term and sort out the worst of the complications with drugs, lasers and surgery.
There is no doubt that achieving normal blood sugars most of the time requires a lot of personal education, self experimentation, time and effort. Whether this is worth it or not is a decision that you must make. It is after all your eyes, kidneys, feet and heart that are at risk.
Unfortunately the NHS and many other international health care systems do not currently provide an available, affordable and appropriate educational package to help you achieve normal blood sugars. Helping you get the degree of control you want is the purpose of this booklet. It is essential that you become an expert in your own type of diabetes and its management. For further help go to http://www.dsolve.com.
In order to achieve normal blood sugars most people with type two diabetes will have to go on a pretty strict low carb diet. As well as this you will need to understand about how other physiological events and exercise affect your blood sugars. Remember that you are making long term decisions about your health every time you eat. Very tight control may not be for everyone. Have a look at the next section which is applicable to type ones as well to decide what you are aiming for.
Extremely tight control
For those who seek the blood sugar levels equivalent to a healthy person who does not have diabetes. Most appropriate for adult women diabetics who are planning a pregnancy and experienced adult low carbers who are already doing well with very few hypos who and wish to minimise or reverse complications.
Hbaic 4.2-5.0%
Premeal target range 3.5- 5.5
One hour post meal range under 7.8
Two hour post meal range under 6.5
Tight Control
Experienced Low carbers. You will find it easier than most to achieve this. Most type twos at the strict end of the low carb eating scale can hit this in 2-6 months.
hbaic is 5-6%
premeal target range 3.3-7.8
one hour post meal range less than 8.9
specific premeal target 5.6
Typical Control
Ideal for drivers who wish to avoid hypoglycaemia.
Most adults.
hbaic range 6-7%
premeal target range 3.9-8.9
one hour post meal target less than 10
specific premeal target 6.7
These blood levels would have most diabetologists and endocrinologists cartwheeling down their hospital corridors with glee. These levels are great to get to when you have been struggling so hard with a high carb/low fat diet. Please be aware however that you will be delaying rather than preventing complications at these levels. I don't want to take the wind out of anyone's sails but when you have been low carbing for a while it does get progressively easier to hit these targets. If this is you do you think you could go a little lower?
Looser control:
Older diabetics and particularly those who live alone. Because diabetic complications develop slowly over several to many years you may be able to be more relaxed.
hbaic range 7-8%
premeal target 4.4-10
post one hour target 11
specific premeal target 7.8
hanadr said:The GI diet is a pretty good place to start, especially if you keep to the low numbers. You're right 6.9 isn't a very high number, but it's just below 7, which is where damage to the micro blood vessels starts,( non-diabetics keep around 5)so ideally you need to get that down. If you keep to low GI and do some exercise, You might well succeed. good luck. Your doctor gave you much more than many newly diagnosed folks get.
sugarless sue said:Welcome to the forum ,Cameraman.Believe me we were all like you when first diagnosed!It's all a learning process to understand and then get control of your diabetes,and it is yourDiabetes.We are all different so no one size fits all advice suits everyone.Try the GI diet and see if it helps you lose weight and helps your blood sugar (BS) levels go down.Do you have a test meter to start with? This is an essential piece of equipment for any diabetic.With the meter you can test your BS first thing in the morning,before and 2 hours after meals and start to build up a picture of which foods raise your BS and which don't.This is the start of taking control of your diabetes.If you read the forum you will find many and varied views on diet etc.Make up your own mind,try out the ideas see which you feel most comfortable with,which help you achieve better control etc.Courtesy of Katherine ,one of our expert members here is a synopsis of FAQ we often get asked.
Here is an excerpt from the course at http://www.dsolve.com that answers your question:
When do I test my blood sugars?
In order to find out how well your body is dealing with your diet and any medication you are taking blood sugars need to be taken:
On waking
Immediately before breakfast
Before each meal
Two hours after each meal
At bedtime
How do I use these blood sugar measurements to best effect?
"Eat to meter" is a shortened way to say that you eat to ensure that YOUR BLOOD SUGARS STAY WITHIN YOUR TARGET RANGE.
Many diabetologists genuinely believe that diabetics cannot realistically achieve normal blood sugars. They hope that the best they can do is to monitor the inevitable decline in health that high blood sugars produce long term and sort out the worst of the complications with drugs, lasers and surgery.
There is no doubt that achieving normal blood sugars most of the time requires a lot of personal education, self experimentation, time and effort. Whether this is worth it or not is a decision that you must make. It is after all your eyes, kidneys, feet and heart that are at risk.
Unfortunately the NHS and many other international health care systems do not currently provide an available, affordable and appropriate educational package to help you achieve normal blood sugars. Helping you get the degree of control you want is the purpose of this booklet. It is essential that you become an expert in your own type of diabetes and its management. For further help go to http://www.dsolve.com.
In order to achieve normal blood sugars most people with type two diabetes will have to go on a pretty strict low carb diet. As well as this you will need to understand about how other physiological events and exercise affect your blood sugars. Remember that you are making long term decisions about your health every time you eat. Very tight control may not be for everyone. Have a look at the next section which is applicable to type ones as well to decide what you are aiming for.
Extremely tight control
For those who seek the blood sugar levels equivalent to a healthy person who does not have diabetes. Most appropriate for adult women diabetics who are planning a pregnancy and experienced adult low carbers who are already doing well with very few hypos who and wish to minimise or reverse complications.
Hbaic 4.2-5.0%
Premeal target range 3.5- 5.5
One hour post meal range under 7.8
Two hour post meal range under 6.5
Tight Control
Experienced Low carbers. You will find it easier than most to achieve this. Most type twos at the strict end of the low carb eating scale can hit this in 2-6 months.
hbaic is 5-6%
premeal target range 3.3-7.8
one hour post meal range less than 8.9
specific premeal target 5.6
Typical Control
Ideal for drivers who wish to avoid hypoglycaemia.
Most adults.
hbaic range 6-7%
premeal target range 3.9-8.9
one hour post meal target less than 10
specific premeal target 6.7
These blood levels would have most diabetologists and endocrinologists cartwheeling down their hospital corridors with glee. These levels are great to get to when you have been struggling so hard with a high carb/low fat diet. Please be aware however that you will be delaying rather than preventing complications at these levels. I don't want to take the wind out of anyone's sails but when you have been low carbing for a while it does get progressively easier to hit these targets. If this is you do you think you could go a little lower?
Looser control:
Older diabetics and particularly those who live alone. Because diabetic complications develop slowly over several to many years you may be able to be more relaxed.
hbaic range 7-8%
premeal target 4.4-10
post one hour target 11
specific premeal target 7.8
sugarless sue said:These are whole blood levels as you will get from readings on your meter.
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