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<blockquote data-quote="kitedoc" data-source="post: 2025901" data-attributes="member: 468714"><p>As always [USER=499785]@ImSpiritus[/USER], it depends. </p><p>Answering from experience as a T1D, not as health professional advice or opinion:</p><p>And this is testing with a blood glucose meter not with Continuous Glucose Monitoring (CGM) - </p><p>I assuming that outside a hospital the best single BSL estimation is that performed on an accurate meter</p><p> (+/- 5 % error rate) with proper technique.</p><p>A bolus is assumed to mean a dose of short-acting insulin given before a meal</p><p>As always, interpretation from your health team is advised, the following are only suggestions from </p><p>my own observation on myself.</p><p></p><p>Single BSL testing time:.................................Advantages....................................................Disadvantages...............</p><p>early morning e.g. 3 am..........................detect DP *and manage it.....................................sleep disturbance.......... </p><p>...................................................................or part of basal testing.**......................................"...........".....................</p><p>episodic: every 2 hours for.........................basal testing**...................................................sleep disturbance...........</p><p>6 to 12 hours...........................................................................................................................& sore fingers !............</p><p>on waking........................................high result ? DP* ? insufficient.........................?.blood on work clothing!........</p><p>................................................insulin overnight? ? hypo overnight., ?other...............................worry.......................</p><p>.......................................low result? too much insulin overnight ? hypo? other..........................worry.......................</p><p>................................normal result ?no DP*, ?DP Mx OK, ?overnight insulin OK? other</p><p></p><p>before breakfast..........................higher =? DP,* effect or lower +? other....assumes accuracy of insulin: carb ratio#</p><p>...................................................... or to calculate insulin:carbs ratio#.............which can vary for many reasons.......</p><p></p><p>> 90 minutes to...................................measure effect of the carbs***vs .....................finding the optimal timing....</p><p>210 minutes after ............................insulin bolus and other effects on BSL . .................for meaningful results....... </p><p>bkfst, lunch and dinner........................normal = ?proper insulin:carb ratio plus......................................................... </p><p>.................................................................for other effects and factors.....................once established = less testing...</p><p>.................................................. .above or below range = ?incorrect.........but needed again if illness, change </p><p>......................................................insulin:carb ratio# +/- other effects/factors..........in diet , insulin and other.........</p><p></p><p>About 4 hours after.....................low BSL or high ? incorrect insulin:carb ratio.........more ouches !!.......................</p><p>a meal..........................................measure effect of low carb higher protein fat meal................................................</p><p>........................................................vs insulin and other effects/factors...................................................................... </p><p>.................................................+/- use of soluble insulin bolus vs other insulins.......................................................</p><p>.</p><p>1 hour before exercise.........guidelines suggest not exercising for BSL > 14 mmol/l..... bleeding during exercise!!</p><p>......................................................................or < 4 mmol/l (obtain individual advice)..............................................</p><p>During exercise.........................to gauge how well pre-exercise Mx is working.........inconvenience, bleeding etc</p><p>...................................................and warn of hypos or hypers...................................................................................</p><p>After exercise - immediate .....to gauge end result, about fitness to drive, warn of hypos.........as above !................</p><p>~ 6 hours after exercise......................to detect hypo and act accordingly.......................................sleep.............................</p><p>and overnight..............................................................................................................................................................</p><p></p><p>SO ... one day: DP test plus all before/after meals, 3 for the first 6 hours of basal testing </p><p>plus 3 for exercise = 14 test strips.</p><p>* Dawn phenomenon: see Home page: type it in question box upper right</p><p>** basal testing - also use Home page, question box</p><p>Mx = management</p><p>*** - some include a % of protein intake in their carb count</p><p># - insulin:carb ratio: many people work out for so many carbs in a meal what amount of insulin bolus </p><p>(short-acting insulin) they need to give to ensure acceptable BSL results after the meal </p><p>(too high BSLs = damage long-term, too low = hypo risk) </p><p>The ratio may differ from one meal to the next in the day.</p></blockquote><p></p>
[QUOTE="kitedoc, post: 2025901, member: 468714"] As always [USER=499785]@ImSpiritus[/USER], it depends. Answering from experience as a T1D, not as health professional advice or opinion: And this is testing with a blood glucose meter not with Continuous Glucose Monitoring (CGM) - I assuming that outside a hospital the best single BSL estimation is that performed on an accurate meter (+/- 5 % error rate) with proper technique. A bolus is assumed to mean a dose of short-acting insulin given before a meal As always, interpretation from your health team is advised, the following are only suggestions from my own observation on myself. Single BSL testing time:.................................Advantages....................................................Disadvantages............... early morning e.g. 3 am..........................detect DP *and manage it.....................................sleep disturbance.......... ...................................................................or part of basal testing.**......................................"..........."..................... episodic: every 2 hours for.........................basal testing**...................................................sleep disturbance........... 6 to 12 hours...........................................................................................................................& sore fingers !............ on waking........................................high result ? DP* ? insufficient.........................?.blood on work clothing!........ ................................................insulin overnight? ? hypo overnight., ?other...............................worry....................... .......................................low result? too much insulin overnight ? hypo? other..........................worry....................... ................................normal result ?no DP*, ?DP Mx OK, ?overnight insulin OK? other before breakfast..........................higher =? DP,* effect or lower +? other....assumes accuracy of insulin: carb ratio# ...................................................... or to calculate insulin:carbs ratio#.............which can vary for many reasons....... > 90 minutes to...................................measure effect of the carbs***vs .....................finding the optimal timing.... 210 minutes after ............................insulin bolus and other effects on BSL . .................for meaningful results....... bkfst, lunch and dinner........................normal = ?proper insulin:carb ratio plus......................................................... .................................................................for other effects and factors.....................once established = less testing... .................................................. .above or below range = ?incorrect.........but needed again if illness, change ......................................................insulin:carb ratio# +/- other effects/factors..........in diet , insulin and other......... About 4 hours after.....................low BSL or high ? incorrect insulin:carb ratio.........more ouches !!....................... a meal..........................................measure effect of low carb higher protein fat meal................................................ ........................................................vs insulin and other effects/factors...................................................................... .................................................+/- use of soluble insulin bolus vs other insulins....................................................... . 1 hour before exercise.........guidelines suggest not exercising for BSL > 14 mmol/l..... bleeding during exercise!! ......................................................................or < 4 mmol/l (obtain individual advice).............................................. During exercise.........................to gauge how well pre-exercise Mx is working.........inconvenience, bleeding etc ...................................................and warn of hypos or hypers................................................................................... After exercise - immediate .....to gauge end result, about fitness to drive, warn of hypos.........as above !................ ~ 6 hours after exercise......................to detect hypo and act accordingly.......................................sleep............................. and overnight.............................................................................................................................................................. SO ... one day: DP test plus all before/after meals, 3 for the first 6 hours of basal testing plus 3 for exercise = 14 test strips. * Dawn phenomenon: see Home page: type it in question box upper right ** basal testing - also use Home page, question box Mx = management *** - some include a % of protein intake in their carb count # - insulin:carb ratio: many people work out for so many carbs in a meal what amount of insulin bolus (short-acting insulin) they need to give to ensure acceptable BSL results after the meal (too high BSLs = damage long-term, too low = hypo risk) The ratio may differ from one meal to the next in the day. [/QUOTE]
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