When I first started using the glucose monitor, I tested a lot! I was a serial tester! I tested when I got up, before I had my coffee, after I ate, midmorning, all throughout the day and before bed. I tested an hour after eating, 2 hours, 3 and 4. At random. I wanted to know my blood sugar all day long - I'm not kidding. I kept a log (which I made up myself and printed - I have 18 pages, two-sided, with 4 days' worth of information on each side) so I would know what and how food, activity, drink, snack, exercise, no food, you-name-it affected my blood sugar. I highlighted really good readings and noted what I'd eaten and done beforehand, as well as high ones. That's how I figured out what to eat. I don't do that now but I defend my obsessiveness at that time. The idea of blood sugar rising and falling was new to me, I was ignorant, I needed to know what affected it. It was how I learned what I could and couldn't do to control it. I also needed more strips in the beginning, so the doctor re-wrote the prescription for more during the month. There were days I tested 10x. I did that for months, kept detailed logs as I said, until I was comfortable knowing what food to eat. The testing was only for me. My doctor has never looked at my meter but does blood work every 6 months now (fasting and A1c and cholesterol). In the meantime, because of the no-carb diet and strength training, I've lost weight and built muscle - all of which brings down blood sugar. But my head is not totally in the sand, I'm still diabetic and if I were to take the glucose tolerance test tomorrow, it would show that I can't process carbs normally. Others have different experience, I'm sure, but this is mine. Also, as we've mentioned here, one of the best books to read on this is Diabetes Solution by Richard Bernstein, MD. Thanks to Ferusc for telling us about him.
After 18 months, I still test 5 times a day. In the morning before I eat or drink (except water), before I go to bed at night, and 1 meal per day (pre, 2 hrs after, 3 hours after). For new meals, I always test at pre, 2, 3, and 4 hours after and then before my next meal. I do this because I find that if the meal is heavy in fats and or proteins, my post meal peak is delayed by at least 1 hour and sometimes even more. So at 2 hours, I may look just fine but at 3 or 4 hours- I'm higher. I also find that the peak is delayed if I linger over a meal (such as when I'm out at parties or at a restaurant). I keep all my data in a small Access database that I created. Over time, I have determined where and what I can eat while doing the least damage to myself. I was surprised to find that I can actually have a slice of pizza from my favorite local place, but Pizza Hut or Donato's kills me- because of my testing regime.
I always test foods as I consume them- for instance fruit and yogurt- not fruit or yogurt alone, because for me the results are always different and I prefer to eat my yogurt with berries.
I record what I eat at each meal also- in terms of total carbs, fiber, protein, total fat, and calories and keep tallies of the percentages of carbs/protein/fat- this has helped me determine my minimum carb and protein requirements, and keep my numbers where I want them.
It's so routine that this point that it only takes a couple of minutes. I eat a lot of the same meals- so I don't have to do many recalculations, and I make notes in my cookbooks as I adopt and adapt. It is so cool to see how you can make a difference in the outcome of your health (within genetic limits).
good luck learning more about yourself!
Post Edited (LanieG) : 1/12/2008 8:39:53 PM (GMT-7)