I just thought I'd share a few tips as I recently changed the care of my diabetes management.
I'm type 1, and on the basal bolus method so my tips may not work for everyone but I think some of them would be good for both types.
I've been finding my blood sugar readings have been very high recently for a number of reasons, but after yet another trip to the hospital I felt really encouraged. So that's my first tip - get as much help and advice as you can.
Secondly, although I keep a monitor diary for my blood glucose readings I've never kept a log of the food I eat (even though I kept meaning to!) so I started one this week. I was surprised at how much I actually eat to be honest, but that's not the main point of it. I've kept a note of EVERYTHING that I've eaten, no matter how small or insignificant it might seem. When I compare it to my blood glucose diary I can then say exactly what has caused the highs and lows (of course, there can be other factors but if I look at the same food a couple of times on different days and compare to sugar level readings I can work out the average). This can then be used for me to work out a food diary which tells me how different foods affect me and what insulin dose I should work out for myself. I mean to keep a diary that I can just keep adding to, so as time goes by I should have a huge variety of foods noted to refer to.
My last tip for now is that if you do a blood test before your meal and then two hours after the meal you will know you've had the right dose of insulin if the 2nd reading is within 2 points of the first (so if your reading was 7 originally the 2nd reading should be between 5 and 9 - sorry, not sure what the American numbers would be).
Basically, I wanted to share this with anyone who needs it as I've been quite confused about what to do to sort out my readings and started to let despair creep in a little! Now I feel that it's me in control of the whole thing and that I have the means of getting things back on track.
Please note, I'm obviously not a doctor so check with your hospital/doctor first!