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

The CCG Project!

In order to find out the situation around the country for Libre prescribing now that the national policy has been published, I have made the decision to contact many of them to find out their plans.  I have arbitrarily chosen to contact all English CCGs that in December 2018 prescribed Libre via Primary Care to less than 5% of their population (and one specific request from a group member).  I had hoped this would be a small list, but there are 135 CCGs on the list.  I may have bitten off more than I can chew, but I'm committed to doing this and feeding back.  It worked before and hopefully this level of scrutiny will bring similar results. Below is a screenshot of the base document I am sending to each of the CCGs - it has some fields that are merge fields, so don't worry about the brackets and codes in the document (I found a typo, which has now been corrected too) .  The major piece of work with respect to this is finding the right person to contact.  However, I have s

Shut the stable door before....oops

One of my get well cards! On Tuesday 23rd April I was leading my wife's horse from the field. My daughter was behind with her horse (we're honestly not that posh.. We do all the work ourselves and do it cost effectively.). A third horse decided it didn't want to be left in the field, so pushed past and frightened the horse I was leading. It bolted and ran straight into me, fracturing my tibial plateau. (the part of the tibia bone just below the knee). The next day, I was operated on under GA to permanently pin/plate the knee area back together. See x-rays below for what they did. Continued below, but in case you don't want to keep reading, here is the current situation as of 1st June I'm still at least four weeks off being able to bend my leg, but am basically OK.  Claire has all-but had her diagnosis of early-onset rheumatoid arthritis.  Not great, but hopefully treatment will start soon. And...as of 5th June, I'm now able to bend the leg and put f

August Libre Update - Data, data and more data!

This month's update will be dealt with in two parts, both focusing on data; the first part summarising some data about the prescribing policies across England, the second my usual update on prescriptions fulfilled across the UK. Libre Prescribing Policies and Implementation in England There didn't seem to be an easy way to compile this.  I used the Diabetes UK Map  to link to the policies and then I cross-checked this with a Google search to see whether there was any more information.  I had to do this line by line for each of the 195 CCGs in England - quite a lengthy and tedious process.  However, I am pleased with the information arising from the data. Firstly, the headline figures - how many CCGs were funding Libre, how many had denied funding and who were still undecided?  There are differences of opinion about these figures as some CCGs have not been clear (Staffordshire CCGs), and some have agreed to fund, but are yet to actually fund due to implementation difficulti