Living With Diabetes

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Living With Diabetes

SELF MANAGEMENT


Management of Type 2 Diabetes

Besides medication and insulin therapy where needed, the management of diabetes depends on -

 

  • Good control of blood sugar levels.
  • Regular glucose monitoring and insulin dosage (if on insulin therapy) and maintaining a chart of readings.
  • Following a healthy diet and regular exercise program, especially if the patient is overweight. Maintaining a consistent and healthy diet combined with moderate exercise is the key to a healthy lifestyle.

Frequency of Check-ups with Doctor

  • A visit to the doctor is desirable every 3 months.
  • Regular blood sugar monitoring.
  • HbA1c (glycosylated haemoglobin) test must be repeated every 3 months.  A level less than 7% must be maintained.
  • Lipid profile test, urinary albumin test, and eye examination must be carried out annually.
  • Thorough foot examination along with clinical test, test for nerves, blood circulation and foot pressure must be done at least once a year, as these tests can also identify if the patient is developing any complications of diabetes.

SELF MONITORING BLOOD GLUCOSE (SMBG)

Blood glucose monitoring system is intended to be used for the quantitative measurement of glucose (blood sugar). The blood sugar levels are monitored with help of blood sugar monitoring machine also known as “glucometer”.

How to use a glucometer

To efficiently monitor your blood sugar collect all the items required for monitoring your blood sugar at one place .i.e.

  • Glucometer
  • Test strips
  • Pricking needles/Lancet/Pricking pen (loaded with lancet)
  • Alcohol swab/ antiseptic solution & cotton
  • Blood sugar monitoring diary

How to proceed

  • Wash your hands thoroughly to prevent infection. Wipe them off.
  • Decide which finger you are going to obtain the blood from.
  • Gently rub your hands first to make the blood flow easier or you can gently massage your finger from which you have to obtain blood sample.
  • Turn on the glucometer and place a test strip in the machine when the machine is ready.
  • Check the code which appears on screen, it should match with the code on strip box.(some strips do not have any code system)
  • Watch the indicator for placing the blood to the strip (it usually appears as sign of drop on the screen).
  • Wipe the finger you have selected with an alcohol swab or antiseptic cotton swab and wait until it dries.
  • Pierce the finger tip to obtain a drop of blood.
  • Place the drop of blood on the area allotted on the strip.
  • The glucometer will take a few seconds to calculate the blood sugar reading. Use alcohol swab or an antiseptic cotton swab to blot the site where you drew the blood if it is still bleeding.

Things to remember

  • If after pricking the quantity of blood is very less, do not press your finger further to draw more blood from the same prick, this can give error in reading.
  • In the Test strip, the area for placing blood drop should be adequately filled with blood, otherwise the glucometer will not give accurate reading.
  • Do not prick on wet finger.
  • Do not use same lancet for different people.
  • Keep your glucometer and test strips in a clean, dry place.
  • Keep a check on the expiry date of your strips (do not use expired strips).
  • Dispose of your lancets carefully to prevent needle-prick accidents.
  • If getting very high or low readings get a laboratory test done for the same.
  • Discuss with your doctor how often and at what times of the day you should be testing.
  • Record your readings in your blood sugar monitoring diary regularly.

 
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