How Do You Monitor Type 2 Diabetes?

How Do You Monitor Type 2 Diabetes
Why test blood sugar levels? – If you take certain medication, like insulin or sulphonylureas, checking your blood sugars is a vital part of living with diabetes. It can help you work out when you need to take more medication, when you need to eat something or for when you want to get up and move around more.

  • Routine checks can help you know when you might be starting to go too low (called a hypo ) or too high (called a hyper ).
  • It’s a way of getting to know your body and how it works.
  • It can help you and your healthcare team spot patterns too.
  • Do you write your results down? You might find that helpful.
  • But importantly, it will help you stay healthy and prevent serious diabetes complications now and in the future.

By complications, we mean serious problems in places like your feet and your eyes. This happens because too much sugar in the blood damages your blood vessels, making it harder for blood to flow around your body. This can lead to very serious problems like sight loss and needing an amputation.

How are type two diabetes monitored?

Regular blood tests with your doctor – In addition to daily monitoring, you should be having a blood test every three months to check your Hb A1c, Hb A1c is a measure of your average blood glucose level over three months. Hb A1c test is a good indicator for how well your diabetes treatment plans have been going overall.

What should you monitor a patient with type 2 diabetes?

Regular blood sugar monitoring is the most important thing you can do to manage type 1 or type 2 diabetes. You’ll be able to see what makes your numbers go up or down, such as eating different foods, taking your medicine, or being physically active. With this information, you can work with your health care team to make decisions about your best diabetes care plan.

  1. These decisions can help delay or prevent diabetes complications such as heart attack, stroke, kidney disease, blindness, and amputation.
  2. Your doctor will tell you when and how often to check your blood sugar levels.
  3. Most blood sugar meters allow you to save your results and you can use an app on your cell phone to track your levels.

If you don’t have a smart phone, keep a written daily record like the one in the photo. You should bring your meter, phone, or paper record with you each time you visit your health care provider. Sometimes having high blood sugar can feel like a test you didn’t pass.

How can I monitor my type 2 diabetes at home?

Home blood sugar monitoring for type 2 diabetes – People with diabetes are often advised to check their blood sugar levels at home by pricking a finger and testing the blood with a glucose meter. They can review the results with their doctors over the phone, online, or at the next office appointment.

no self-monitoring of blood sugar once daily self-monitoring of blood sugar once-daily self-monitoring of blood sugar with “enhanced feedback” from their blood glucose meters with messages intended to educate and motivate the study volunteers.

After one year these researchers found that, compared with those not self-monitoring blood sugar, those who self-monitored had no improvement in the control of their blood sugar, and had no improvement in measures of quality of life.

How do you monitor diabetes?

You can use a device called a continuous glucose monitor (CGM). Or you can test your blood sugar at home with a portable electronic device called a blood sugar meter using a small drop of your blood.

Do you have to monitor blood sugar with type 2 diabetes?

People with type 2 diabetes should take a blood sugar reading at least once a day.

How often should Type 2 diabetics check their blood sugar?

Treatment – At first, the goal of treatment is to lower your high blood glucose level. Long-term goals are to prevent complications. These are health problems that can result from having diabetes. The most important way to treat and manage type 2 diabetes is by being active and eating healthy foods.

  • Everyone with diabetes should receive proper education and support about the best ways to manage their diabetes.
  • Ask your provider about seeing a certified diabetes care and education specialist and a dietitian.
  • LEARN THESE SKILLS Learning diabetes management skills will help you live well with diabetes.

These skills help prevent health problems and the need for medical care. Skills include:

How to test and record your blood glucoseWhat, when, and how much to eatHow to safely increase your activity and control your weightHow to take medicines, if neededHow to recognize and treat low and high blood sugarHow to handle sick daysWhere to buy diabetes supplies and how to store them

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It may take several months to learn these skills. Keep learning about diabetes, its complications, and how to control and live well with the disease. Stay up-to-date on new research and treatments. Make sure you are getting information from trustworthy sources, such as your provider and diabetes educator.

MANAGING YOUR BLOOD SUGAR Checking your blood sugar level yourself and writing down the results tells you how well you are managing your diabetes. Talk to your provider and diabetes educator about how often to check. To check your blood sugar level, you use a device called a glucose meter. Usually, you prick your finger with a small needle, called a lancet.

This gives you a tiny drop of blood. You place the blood on a test strip and put the strip into the meter. The meter gives you a reading that tells you the level of your blood sugar. Your provider or diabetes educator will help set up a testing schedule for you.

Most people with type 2 diabetes only need to check their blood sugar once or twice a day.If your blood sugar level is under control, you may only need to check it a few times a week.You may test yourself when you wake up, before meals, and at bedtime.You may need to test more often when you are sick or under stress.You may need to test more often if you are having more frequent low blood sugar symptoms.

Keep a record of your blood sugar for yourself and your provider. Based on your numbers, you may need to make changes to your meals, activity, or medicines to keep your blood sugar level in the right range. Always bring your blood glucose meter to medical appointments so the data can be downloaded and discussed.

You are using insulin injections many times a dayYou have had an episode of severe low blood sugarYour blood sugar level varies a lot

The CGM has a sensor that is inserted just under the skin to measure glucose in your tissue fluid every 5 minutes. HEALTHY EATING AND WEIGHT CONTROL Work closely with your health care providers to learn how much fat, protein, and carbohydrates you need in your diet.

Your meal plans should fit your lifestyle and habits and should include foods that you like. Managing your weight and having a well-balanced diet are important. Some people with type 2 diabetes can stop taking medicines after losing weight. This does not mean that their diabetes is cured. They still have diabetes.

Obese people whose diabetes is not well managed with diet and medicine may consider weight loss (bariatric) surgery. REGULAR PHYSICAL ACTIVITY Regular activity is important for everyone. It is even more important when you have diabetes. Exercise is good for your health because it:

Lowers your blood sugar level without medicineBurns extra calories and fat to help manage your weightImproves blood flow and blood pressureIncreases your energy levelImproves your ability to handle stress

Talk to your provider before starting any exercise program. People with type 2 diabetes may need to take special steps before, during, and after physical activity or exercise, including adjusting doses of insulin if needed. How Do You Monitor Type 2 Diabetes MEDICINES TO TREAT DIABETES If diet and exercise do not help keep your blood sugar at normal or near-normal levels, your provider may prescribe medicine. Since these drugs help lower your blood sugar level in different ways, your provider may have you take more than one drug. Some of the most common types of medicines are listed below. They are taken by mouth or injection.

Alpha-glucosidase inhibitorsBiguanidesBile acid sequestrantsDPP-4 inhibitorsInjectable medicines (GLP-1 analogs)MeglitinidesSGLT2 inhibitorsSulfonylureasThiazolidinediones

You may need to take insulin if your blood sugar cannot be controlled with some of the above medicines. Most commonly, insulin is injected under the skin using a syringe, insulin pen, or pump. Another form of insulin is the inhaled type. Insulin cannot be taken by mouth because the acid in the stomach destroys the insulin.

Eye diseaseKidney diseaseHeart disease and stroke

FOOT CARE People with diabetes are more likely than those without diabetes to have foot problems. Diabetes damages the nerves. This can make your feet less able to feel pressure, pain, heat, or cold. You may not notice a foot injury until you have severe damage to the skin and tissue below, or you get a severe infection.

Stop smoking if you smoke.Improve control of your blood sugar.Get a foot exam by your provider at least twice a year to learn if you have nerve damage.Ask your provider to check your feet for problems such as calluses, bunions or hammertoes. These need to be treated to prevent skin breakdown and ulcers.Check and care for your feet every day. This is very important when you already have nerve or blood vessel damage or foot problems.Treat minor infections, such as athlete’s foot, right away.Use moisturizing lotion on dry skin.Make sure you wear the right kind of shoes. Ask your provider what type of shoe is right for you.

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How Do You Monitor Type 2 Diabetes EMOTIONAL HEALTH Living with diabetes can be stressful. You may feel overwhelmed by everything you need to do to manage your diabetes. But taking care of your emotional health is just as important as your physical health. Ways to relieve stress include:

Listening to relaxing musicMeditating to take your mind off your worriesDeep breathing to help relieve physical tensionDoing yoga, tai chi, or progressive relaxation

Feeling sad or down (depressed) or anxious sometimes is normal. But if you have these feelings often and they’re getting in the way of managing your diabetes, talk with your health care team. They can find ways to help you feel better. People with diabetes should make sure to keep up on their vaccination schedule.

How do you monitor diabetes daily?

If you have diabetes, it’s important to monitor your blood sugar at different times of the day and throughout the year. There are 3 tools that can help you do this and, therefore, manage your diabetes: A blood test done every three months, blood tests taken every day, and a system that constantly monitors your blood glucose.

The 3-month blood test is called an A1C test, This test reflects your blood sugar (or blood glucose) control over the past 2-3 months. Testing your A1C level every 3 months is the best way for you and your doctor to understand how well your blood sugar levels are controlled. Your doctor will likely be the one who orders an A1C test.

However, you can also purchase over-the-counter A1C testing kits that you can use at home. Your A1C goal will be determined by your doctor. However, the goal is generally less than 7% or 8%, depending on your age. The daily blood test is done with a blood glucose monitor (BGM).

This is also called a home blood sugar meter, a glucometer, or a glucose meter. This type of testing is often referred to as self-monitoring of blood glucose. Your doctor may prescribe a BGM, especially if your blood sugar fluctuates. They will show you how to use it. A BGM measures the amount of glucose in a drop of blood at that particular time.

This tried-and-true test is performed by getting a sample of your blood, usually from your finger. This process is called a fingerstick. The blood from your finger is put onto a test strip and read by the monitor. Fingersticks need to be done several times a day, and sometimes at night, to get an accurate look at your glucose levels.

Regular testing through the day can help you improve control of your blood sugar levels. The results you get from fingersticks show if your blood glucose is within the range set by your doctor. You can use these results to make appropriate adjustments to your diet, activity, insulin, or the dosages of other medicines.

In many cases, the results from BGMs can be uploaded to a computer to generate reports. The third type of monitoring is with a continuous glucose monitoring system (CGM). This product allows people with diabetes to measure their blood glucose around the clock, updating the glucose level every 1 to 15 minutes, depending on the CGM brand.

  • It also tells you which direction your glucose is headed, unlike a BGM.
  • CGMs involve an easy-to-insert, small sensor you wear for up to 14 days, depending on the brand The sensor has an adhesive that helps it stick to your skin.
  • The CGM also includes a transmitter.
  • This can be a separate device or it may be built into the sensor.

Some CGMs last longer than 14 days but they must be placed under your skin by your doctor. CGMs can eliminate the need for fingersticks. A CGM also comes with a receiver or reader. This allows your computer or smartphone to receive the data from the transmitter.

The data provides detailed insights and trends on your blood glucose throughout the day. Based on that, it can predict dangerous highs and lows before they happen. This can help you make quick, day-to-day adjustments to stay in your targeted area. Some adjustments include changes to your eating habits and exercise level,

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Additionally, this data can help you and your doctor make decisions about your diabetes management. If you choose, the data can be shared with someone you trust.

How often should you check someone with type 2 diabetes?

Blood sugar checks (HbA1C test) – Checks your average blood sugar levels and how close they are to normal. You have these checks every 3 months when newly diagnosed, then every 6 months once you’re stable. This can be done by your GP or diabetes nurse.

Is there a quick test for type 2 diabetes?

Random blood glucose test – If you have severe symptoms of diabetes, you may have a random blood test at any time of the day. This is a quick test, through a finger-prick or a vein in your arm. If you have a finger-prick test, you’ll get the results straight away.

What do you self monitor if you have diabetes?

Introduction – Self-monitoring of blood glucose (SMBG) can be a useful tool in the management of diabetes mellitus. Patients with diabetes often measure their blood glucose to detect hypoglycemia and to adjust insulin dose as needed. Others utilize SMBG to help establish a profile of blood glucose levels and response to nutrition and pharmacotherapy.

The American Diabetes Association (ADA) initially established guidelines for SMBG in 1987, and current recommendations suggest regular SMBG in persons with diabetes based on each patient’s needs.1, 2 Records of SMBG can also be used during consultation with diabetes health care providers to titrate blood glucose-lowering agents and to guide physical activity and food intake.

One objective of Healthy People 2010 is to increase the number of adults with any type of diabetes who perform SMBG at least once daily.3 Data from the Behavioral Risk Factor Surveillance System, representing 25 of 38 states in the United States, reported this to be 63.4% among all adults with diabetes and 86.7% among those treated with insulin.4 For patients with type 1 diabetes mellitus, it is recommended that patients measure their blood glucose at least three times daily.2 The effectiveness of SMBG has been established for insulin-treated patients.

There is debate over optimal frequency and timing of SMBG for those with type 2 diabetes mellitus (T2DM) not taking insulin. Some health practitioners are skeptical about the effectiveness of SMBG as a self-management tool. However, lack of regular SMBG predicts hospitalization for diabetes-related complications.5 Self-monitoring of blood glucose has also been shown to significantly decrease hemoglobin A1c (A1C).6, 7 The ADA recommends using SMBG as a guide to successful therapy and to achieve postprandial glucose targets.2 Self-monitoring of blood glucose by persons with diabetes is an integral part of intensive glycemic treatment and is widely believed to improve the control of blood glucose levels and health outcomes.

The results of the Diabetes Control and Complications Trial (DCCT) among persons with type 1 diabetes mellitus showed that intensive glycemic control significantly slowed the progression of diabetes complications.8 The DCCT protocol required SMBG at least four times each day and multiple injections of insulin.

What is the best test to monitor diabetes?

Glucose Tolerance Test – This measures your blood sugar before and after you drink a liquid that contains glucose. You’ll fast (not eat) overnight before the test and have your blood drawn to determine your fasting blood sugar level. Then you’ll drink the liquid and have your blood sugar level checked 1 hour, 2 hours, and possibly 3 hours afterward.

How do type 2 diabetics control blood sugar?

Overview – Type 2 diabetes is an impairment in the way the body regulates and uses sugar (glucose) as a fuel. This long-term (chronic) condition results in too much sugar circulating in the bloodstream. Eventually, high blood sugar levels can lead to disorders of the circulatory, nervous and immune systems.

  1. In type 2 diabetes, there are primarily two interrelated problems at work.
  2. Your pancreas does not produce enough insulin — a hormone that regulates the movement of sugar into your cells — and cells respond poorly to insulin and take in less sugar.
  3. Type 2 diabetes used to be known as adult-onset diabetes, but both type 1 and type 2 diabetes can begin during childhood and adulthood.

Type 2 is more common in older adults, but the increase in the number of children with obesity has led to more cases of type 2 diabetes in younger people. There’s no cure for type 2 diabetes, but losing weight, eating well and exercising can help you manage the disease.

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