Hi Gill
gillyflower said:
IWhat is becoming clear to me is that I must test much more oftern and not follow docs instructions to test twice a day before meals.
Hope things go/went well for you at the docs
Just testing before meals will only tell you how low/ high your blood glucose (bg) levels are and probably scare the life out of you.
To use bg testing to control your diabetes you need to test before a meal and then two hours after that meal, at the two hour piont your bg should be returning to pre meal levels, if they are still much higher it means that you ate a too high level of carbohydrate in that meal, make a note of the test numbers and what you ate in a notebook then the next time you eat that same meal reduce the carb part of the meal by 50% ie half as much potato, bread, rice, pasta etc and test again before and at the two hour mark and you should see your levels are closer together, if they are still much higher then repeat the experience the next time you eat that meal and make a further reduction in crabs and keep repeating till you find a level of carbs that dont keep you high for too long.
The latest 2011 NICE guidelines for Bg levels for T2's are as follows:
Fasting (waking and before meals).......between 4 - 7 mmol/l
2 hrs after meals........................no more than 8.5 mmol/l
If you are able to keep the post meal numbers lower, so much the better.
By careful testing over a couple of months you will soon learn what you can and can't eat and how large a portion of each carby food you can eat. And as your post meal levels reduce you should also see a reduction in your fasting and pre meal levels, everything is governed by the carbs you eat and how active you are.
Intensive testing doesnt have to last forever for a T2, once you get to know what you can safely eat you will probably be able to restrict your testing to new foods or a couple of times a week just to keep in touch with your body and its changes.