This is from our November 2009 Article
Should I Have a Blood Sugar Monitor?
Have you ever sat in the doctor’s office listening to him tell you
that your diabetes is not in control? “But doctor,” you say, “How
could that be? I test my blood sugar and my readings are never over
159.”
Well, controlling your blood glucose is like juggling
several balls in the air. Everything has to be in perfect harmony:
the food you eat, the amount of activity you get, the medications
you take, the stress you are experiencing and don’t forget any
illness or infection you may pick up along the way. If any one of
these factors changes, your diabetes suffers.
A blood sugar
monitor is a great tool to help you keep your diabetes under
control. But, how often should you test? That depends on several
things including what you hope to gain from testing, how much time
and effort you want to put into monitoring, what you are going to do
with the information you obtain from the blood glucose readings, and
if there are insurance and/or financial factors to consider.
A glucose monitor helps you know what your blood sugar reading is at
a given time. The result you get lets you know how much sugar is
floating around in your blood at that moment only. But did you know
that blood sugar levels fluctuate just like your blood pressure
does? Think of that lone glucose number as one piece of a puzzle. To
put the puzzle together and see the big picture, you need multiple
pieces
Does this mean you have to test more? No, it doesn’t –
unless you want to. You can still test one time a day, but vary the
times that you test. The best times to test are either before you
eat, two hours after you eat and at bedtime. See examples below.
|
Day |
Before Breakfast |
2 Hours After |
Lunch |
2 Hours After |
Dinner |
2 Hours After |
Before Bedtime |
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Sun. |
X |
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Mon. |
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X |
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Tues. |
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X |
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Wed. |
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X |
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Thurs |
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X |
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Fri. |
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X |
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Sat. |
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X |
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Day |
Before Breakfast |
2 Hours After |
Lunch |
2 Hours After |
Dinner |
2 Hours After |
Before Bedtime |
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Sun. |
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X |
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Mon. |
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X |
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Tues. |
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X |
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Wed. |
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X |
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Thurs |
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X |
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Fri. |
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X |
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Sat. |
X |
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Continue this schedule as shown, switching the times as
illustrated until you can detect a pattern.
By using this
type of monitoring schedule, you are better able to see what your
blood glucose levels are throughout the days. If you notice that on
Fridays after lunch your number is always high, and you always treat
yourself to a buffet lunch that day, you can assume that you have
eaten too much (considering all other factors stay the same).
By using your blood glucose readings in this way, and by giving
a written copy to your doctor and diabetes educator, you are all
informed on how well your diabetes treatment plan is working to
control your diabetes. Are you asking “Why write it down? Can’t I
just hand him my monitor? Isn’t that why the meter has a memory?”
No. When you put your results in a logbook your doctor or diabetes
educator can then detect a pattern (as discussed). Handing them a
monitor is like asking them to see the picture on that puzzle before
it’s put together.
Autumn Appetites-
Satisfy With Fruits & Vegetables
By Kathy Wool, RD, LDN
As the seasons begin to change and we turn on the heat to keep us
warm, we think back to that fresh produce which was so plentiful and
enjoyed all summer long. When the winter rolls in, those juicy vine
ripe tomatoes and crisp fresh melons are just a memory. But you
don’t have to give up your commitment to eating five or more fruit
and vegetable servings a day. Try to include them in every meal and
before you know it the five is accomplished. With that chill in
the air, the temptation is to serve our favorite comfort foods. But
it is important to watch out for the high fat content in many
traditional winter casseroles. Those all important nutrients in
fruits and vegetables become surrounded by less healthy ingredients.
Since your choices are a little more limited in the winter, be more
creative and try new vegetable and new recipes. Winter gives us many
root vegetables like turnips, parsnips, rutabagas, sweet potatoes
and pumpkin. And don’t forget those Brussels sprouts, broccoli,
cabbage, greens like kale and collards, beets, etc. And winter
fruits can be juicy and delicious- clementines, cranberries, kiwi,
pomegranates, tangerines, persimmons, etc. The assortment is
considerable, and now is the time to include some of these healthy
options in your meal and snack planning. To buy the best produce
pick fruits and vegetables with good color, proper firmness and no
bruising, soft spots or shriveled areas. Store properly either in
your refrigerator or a cool dry spot. Ask your local grocery store
if you are not sure how best to keep these fruits and vegetables. If
you need additional help to selecting fruits and vegetables, even
items you haven’t tried before, go to www.aboutproduce.com. This Web
site has an “A to Z” guide to produce that includes useful
information on selecting, purchasing, and nutrition information.
This site also provides many recipes to help you put an interesting
item on your table at each meal.
Here are a couple of recipes that are sure to warm you up
this winter!
Pesto Minestrone Soup
(serves 8)
This full-flavored soup is also full of healthy vegetables. • 2
cups cauliflower (2 small heads), coarsely chopped • 1 ½ cups
zucchini (1-2 medium), chopped • 3 cans (14.5 ounces) chicken
broth, reduced sodium • 1 16-ounce can tomatoes, diced, drained
• 1 cup elbow macaroni or small pasta shells • 3 cups kidney
beans or black-eyed peas, drained and rinsed (1 cup dry makes 3 cups
cooked) or 2 cans (15 ounces each) • 1 cup carrot (1 medium),
sliced • 1 cup onion (1 medium), chopped • 2 tablespoons
olive oil) • 2 garlic cloves) • 1 cup basil leaves, fresh,
loosely packed OR 1 cup Italian parsley plus 1 teaspoon dried basil
leaves • 1 tablespoon water Directions: In a 5 to 6 quart
saucepan bring to boil ½ cup water, tomatoes, cauliflower, onion and
carrots; reduce heat and simmer covered 10 minutes or until
vegetables are tender. Add zucchini, beans, broth and pasta. Return
to a boil, reduce heat and simmer uncovered 10 minutes. Meanwhile
put all pesto ingredients in food processor or blender and process
until very finely chopped. Just before serving, remove soup from
heat and stir in pesto. Makes 8 servings.
Nutrition Information Calories: 218 Calories from fat: 36 Fat:
4 gms. Cholesterol: 0 Fiber: 7 grams Sodium: 270 mg.
Winter Beef Stew
6 Servings
Ingredients • 1 tablespoon oil, canola • 1 cup onions • 3
cloves garlic, minced • 2 carrots, cut into 1” slices • 1 ½
pounds beef stew meat, fat trimmed, cut into 1” cubes • 3 cups
low fat, low sodium beef broth • 1 teaspoon paprika • ¾ cup
apples, unpeeled chopped into 1: pieces • ¾ cup pears, unpeeled
chopped into 1” pieces Preparation 1. Heat the oil in a large
stockpot over medium-high heat. Add the onion and garlic and sauté
for 5 minutes. Add the carrots and sauté for another 5 minutes. Add
the meat and brown. Drain off any accumulated fat. Add the broth,
paprika, pepper, and salt. 2. Bring to a boil over high heat.
Reduce the heat and simmer, uncovered, for 1 ¼ hours. Add the apples
and pears and cover. Cook over low heat for 15 to 20 minutes until
the apples and pears are soft, but not mushy.
Nutrition Information Calories: 223 Total Fat: 8 grams
Saturated Fat: 2g, Calories from Fat: 72 Sodium: 156mg,
Dietary Fiber: 3g, Carbs: 14g,
For more recipes click below
Eating Well & Recipes
To help find a diabetes educator in your area,
contact 1-800-Teamup4 or the American Association of
Diabetes Educators website which is
www.diabeteseducator.org
.

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November 14th
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