Skip to main content

Blood Glucose Testing Regime?

Can anyone advise on where my logic falls down? It must do, but this has been playing on my mind for a while. The basic question is...why would someone on MDI need to test 5-8-10+ times a day? I can feel people's heckles being raised already, but keep reading.

I'm T1 on MDI, Levemir (split dose) and Novorapid (peak action 1-3 hours, tail of action 3-5 hours). Clearly, testing regimes must be very different if you're on a pump.

Have a look at the table below showing a typical 'Nick Day'. OK, I don't eat lunch, both because I like the nice flat line I get on my Libre (hence better A1C, I hope) and I've found I don't need it.

If you look at the table, I've only managed to find five times where I think it could be worthwhile to check levels - in time, I think one of the morning ones could go too, so in reality four. At all other times, it seems pointless to me as either nothing should have changed (perhaps the 'should' is the key here) and/or the insulin is still working, so you can't really know what's going to happen and adding more insulin could be a bad thing and cause levels to 'roller-coaster'.

It's ringing in my ears that an eminent diabetologist is saying that a good A1C without testing more than 4 times a day is very difficult indeed. I don't understand why.

Where else would people test where I don't? Is it just because I don't eat lunch, don't drive much and don't particularly keep fit (and am not female, as has been suggested) that my testing regime can be simpler?  I do exercise, but don't play sport or go to a gym.

I'm sure books will explain this further, but would like some views.

Comments

Popular posts from this blog

Abbott dX 2022 Barcelona - "Make it Count"

For the past four years I've been invited by Abbott to a conference bringing together people with diabetes from across Europe to discuss various topics.  The first year I was meant to attend, it was my 'man v horse' year (the horse won!), so was unable to attend and then the pandemic hit so two further dX's were held virtually.  I was fortunate to be asked to present at last year's session.  This year's event was back in-person and held in Barcelona, coinciding with the latter part of the ATTD conference.   At this point, I must make it very clear - Abbott invited me to the 2022 European Diabetes Exchange forum (dX), that took place in Barcelona.  I attended this two-day event to connect and interact with inspirational and influential people in the diabetes community.  Abbott paid for my ticket and accommodation. #InvitedbyAbbott.  This is formal and it needs to be - I have not been required to do anything by Abbott as a result of my attendance and I hope that m

4.0!

Took my levels this morning and they were at the magic 4.0mmol/l level (72 in US units)! Had a biscuit in celebration! Latest graph above. Seems less predictable than I thought, but at least I am now generally below 10 most of the time. I believe I am however in the 'Honeymoon Period'. This is the time when the body is still producing a little insulin and therefore your levels are easier to control. I don't think that it lasts long. A thick blanket of snow has fallen during the night. I was meant to be going to London today, but I think I'll give it a miss. My daughter (2) saw the snow and got very excited. She had not been out in snow before. We had an excellent half hour out the front of the house making tracks and getting cold! In my nice warm office now drinking a big mug of tea and looking at the snow continuing to fall. Won't be late home tonight.

Freestyle Liberating

So,what's all the fuss about? Today's graph with two Nutella-covered wraps - no Low Carb here! The Abbott Freestyle Libre is a paradigm-changing piece of medical equipment.  It has been warmly embraced by many of the diabetic community since its launch almost three years ago (its birthday is on 16th October).  So what's all the fuss about and is it justified? In my opinion, yes , but with some important caveats, especially with how you use it and interpret the results.  These are my tips for getting the most out of it: Use it for trends - stop thinking you need to compare it to other meters.  The only reason you should continue to test traditionally is to meet requirements of DVLA.  OK, if you are hypo-unaware, I can see logic in checking.  Yes, it can be 'inaccurate' but that's hard to quantify.  If you're far enough into your journey with diabetes, you should have a fair idea of what the scan is going to show.  If it doesn't match