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  #1 (permalink)  
Old 06-26-2009, 07:49 PM
Junior Member
I am a: Type 2
 
Join Date: Jun 2009
Location: Texas
Posts: 37
Question BG testing

I have seen people say on here to test test test so that you know what foods make your sugar go and down, however after talking to my dietition this week (First time since dx'd almost two weeks ago) she said thats ridiculous to do that and its a waste of strips. Well I can see the point in that, I am allowed 100 strips a month and if I test 3, 4 or 5 times a day, sometimes more depending on what im testing, then i will run out of strips before the next month comes along so this makes sense to me to test to test foods out but on the other hand seems crazy to use so many strips. does this make sense?
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Type 2, diagnosed 6/2009
A1C
June 09--9%
Sept 09-- 5%

1000mg Metformin daily
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Old 06-26-2009, 08:12 PM
Mothernature's Avatar
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I am a: Type 1
 
Join Date: Jun 2009
Location: Boston, MA
Posts: 227
A dietitian is not a doctor. A dietitian should not dispense advice on testing.

Such testing makes a lot of sense. There is a lot be told what number occurs at the one hour postprandial. If a reading hits over 160, it means your body can not handle the food at that serving. It means the food must be reportioned or eliminated from the diet.

The other reason is >140 damages the body. It is time to move and burn off the sugar so the 2 hr postprandial is <140.

It's been stated here frequently, great control means

Fasting <100
1 hr <140
2 hr <120

The goal is to mimic the blood sugar of a non-diabetic as close as possible to reduce/avoid complications.

As far as your test strip quantity, call your insurer. Many allow you to fill at 200-300 strips a month at the same cost of 100. You will need a new prescription though.
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Old 06-26-2009, 08:16 PM
Senior Member
I am a: Type 1.5
 
Join Date: Feb 2009
Location: KCMO
Posts: 5,100
My first reaction was, then find another dietitian!

If you test at one and two hours after trying each commonly-consumed food, you WILL reach a point where it is no longer that often, because you will be repeating many meals. My goodness, an ounce of prevention is, in the case of D, worth a TON of cure. That dietitian needs more experience ... like visiting inpatients with severe, end-of-life complications.
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Linda

Initial A1c Feb 6 09: 12%
Aug 24 A1c (MD office) 5.5%
Jul ... C-pep 1.3, GAD-65 > 30

metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8



According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA.
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Old 06-29-2009, 07:28 PM
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I am a: Type 2
 
Join Date: Mar 2008
Location: Gold Country (CA)
Posts: 1,674
Yes, it does take a lot more strips & cost you more money if you have to pay for them out of pocket. However, it costs a lot less in the long run if you learn how your body tolerates things now. After all, prosthetic limbs & wheelchairs are very expensive. So is laser eye surgery. And dialysis. Funerals are expensive too. Unless your dietician plans on paying for those things for you, I wouldn't listen to her advice on this matter.
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Old 06-29-2009, 07:56 PM
Mothernature's Avatar
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I am a: Type 1
 
Join Date: Jun 2009
Location: Boston, MA
Posts: 227
Quote:
Originally Posted by genie86333 View Post
Yes, it does take a lot more strips & cost you more money if you have to pay for them out of pocket. However, it costs a lot less in the long run if you learn how your body tolerates things now. After all, prosthetic limbs & wheelchairs are very expensive. So is laser eye surgery. And dialysis. Funerals are expensive too. Unless your dietician plans on paying for those things for you, I wouldn't listen to her advice on this matter.
You forgot the 220% higher risk for breast cancer or 1.4x risk for colon cancer.
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Old 06-29-2009, 08:02 PM
poodlebone's Avatar
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I am a: Type 1
 
Join Date: Apr 2006
Location: NYC
Posts: 2,296
A dietitian should be well aware that different foods can have a drastically different effect on your BG and the only way to know is by testing!
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Liz
Type 1 dx 4/1987
Minimed Paradigm 722 6/2008 + CGMS
13mm Silhouettes + Sure-T infusion sets
Lifescan UltraSmart & UltraMini
Last A1c: 7/15/09: 5.8
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Old 06-30-2009, 07:32 AM
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I am a: Type 1
 
Join Date: Jan 2006
Location: Rhode Island
Posts: 6,334
Jennifer.........do you have insurance? If so, ask your doctor to up your strips from 100 a month to 200.

Testing often is the only way you're going to know how the foods you're eating are effecting your blood sugar.

If you prefer not to test so often, then come up with some sort of schedule where today you test when you wake and then again before & after breakfast.......tomorrow, before & after lunch and prior to bedtime.......the next day, before & after dinner, and so on.

Karen
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Old 06-30-2009, 08:14 AM
SteveFromIowa's Avatar
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I am a: Type 2
 
Join Date: Jun 2009
Location: Iowa, USA
Posts: 92
Different result for me from my dietician...

I met with my dietician yesterday for the second time since starting insulin. She encouraged me to continue to test often. For all the same reasons the posters on this thread have stated. She was thrilled that I was being pro-active with my disease and spending the time to learn from my fellow diabetics here in this forum.
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Steve

DX Oct-97
Oral Meds 98 to 09
Started insulin May 09 Lantus/Humolog (pens) plus Metformin 500mg 2x
Reduced carb intake mid July '09. 90-110g a day
Testing 6-7 times daily & BG's averaging less than 110 since mid July.
Walk 60 min DAILY on treadmill plus push-ups & set-ups. Lost 13lbs, 12 to go!
Blood Work-May 09. HbA1C: 10.5, Cholesterol: 159, Tryglycerides 336, HDL: 37, LDL: 55
Blood Work-Aug 09. HbA1C: 5.8, Cholesterol: 119, Tryglycerides 68 ! HDL: 44, LDL: 61
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