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BLOOD GLUCOSE MONITORING. Center For Diabetes Education at Tulsa Regional Medical Center. Target Blood Sugar Ranges. Fasting: 90-130 mg/dl Before meals: 90-130 mg/dl Two hours after meals: Less than 180 mg/dl Bed time: Less than 150 mg/dl. Target Ranges.
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BLOOD GLUCOSE MONITORING Center For Diabetes Education at Tulsa Regional Medical Center
Target Blood Sugar Ranges • Fasting: 90-130 mg/dl • Before meals: 90-130 mg/dl • Two hours after meals: Less than 180 mg/dl • Bed time: Less than 150 mg/dl
Target Ranges Keeping your blood sugar in range will lower your risk of complications • Blindness • Heart disease • Kidney problems • Sexual dysfunction • Nerve damage
Prevention of Complications • Glucose control • Blood pressure control • Blood lipid control • Preventive care practices for eyes, kidneys and feet • Smoking cessation
Why Check Your Blood Sugar? Checking your blood sugar every day can help you learn • how well your medication is working • how different foods affect your blood sugar • how exercise affects you blood sugar • why you are having highs and lows
Frequency and Timing of Monitoring Pills • 1 or 2 times a day • Variety of times Fasting Before meals 2 hours after meals Bedtime
Frequency and Timing of Monitoring Insulin • 3 or more times a day • Fasting • Before meals • 2 hours after meals • Bedtime
Remember….. Check blood sugar when you suspect a low!
Hypoglycemia • Blood sugar less than 70 • Symptoms include • shaking • sweating • nervousness • feeling irritable • blurry vision or headache • feeling tired • no symptoms
Treatment of Hypoglycemia • Have one portion of fast-acting sugar • 4 oz fruit juice • 3 glucose tablets or 1 tube glucose gel • 1 tablespoon honey or sugar • Wait 15 minutes. Recheck blood sugar. • If blood sugar is still less than 70 repeat. • If blood sugar is above 70 eat a snack or meal within 1 hour.
What Makes Blood Sugars Go Up? • Food • Not enough diabetes pills/insulin • Certain medicines • Infection/sickness • Surgery • Stress • Menstrual period
What Makes Blood Sugars Go Down? • Diabetes pills • Insulin • Exercise
What Can You Do to Control Your Blood Sugar? • Check your blood sugar regularly and write the numbers down! • Walk every day for at least 30 minutes. • Eat smaller portions of everything, except vegetables! (Not potatoes, corn, peas, beans). Eat at least 3 meals per day. • Show your logbook to your doctor and discuss any patterns or problems.