What instrument should I buy to check my blood glucose levels at home? (Disease query of the day)

Wondering what instrument to buy to check your blood sugar levels at home? Here is an answer by our expert Dr Rajiv Kovil.

By: Pavitra Sampath | | Updated: June 12, 2014 2:44 pm

If you suffer from diabetes, you must have heard your doctor telling you about the importance of checking your blood glucose levels regularly. Although with the advances in medicine these days, a diabetic no more needs to go to the hospital to get his/her blood sugar levels tested, there are still people who wonder about what type of instrument they should buy. Here is a query by one of our readers on buying an instrument to check his blood glucose levels at home, answered by our expert Dr Rajiv Kovil.

What type of instrument should I buy to check my blood sugar levels at home and how often should I use it to check the levels?

You should ideally buy a glucometer – an instrument that checks for your blood glucose levels in the comforts of your own home. Checking your blood glucose levels at home is known as SMBG (Self Monitoring of Blood Glucose). A glucometer machine takes a small drop of blood, collected on glucometer strip (a strip of paper specially designed for the device) and checks it for the amount of glucose in the person’s body. Dr Kovil says, ‘SMBG (Self Monitoring of Blood Glucose) is tool to find out a patient’s glycaemic variability. It should be used to guide patient and his/her doctor.’

How often should one check their glucose level?

The frequency of the checks vary, depending on the type of diabetes one suffers from.

Type 2 diabetics

According to Dr Kovil, ‘A type 2 diabetic should measure his/her glucose levels once before a meal and once two hours after a meal. This should be done on different days at different times, also known as scattered checks’. These checks help your doctor know how well your body is responding to a particular medication, and if any changes in the dosages are required. It also gives him/her a fair idea about how your body is coping with the disease and if you are at any further risk from associated conditions like heart disease, eye disorders and vascular disorders. You can read more about why diabetes is not a blood sugar problem, it is a vascular disorder.

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Type 1 diabetics

In the case of type 1 diabetics, Dr Kovil says, ‘Such diabetics should have a 7 point check, before and after meals, along with a 3 am reading.’ A 7 point check is where the person checks their glucose levels over a varying period of time, and the doctor can plot a graph of how well the person is doing on their current insulin replacement therapy. It is also a good way to know how well their body is tolerating the earlier dose of insulin and how much they need as their next dose.

Read more about causes, symptoms, diagnosis and treatment of diabetes.

Gestational diabetics:

According to Dr Kovil, ‘In women suffering from gestational diabetes, SMBG must be done before meals and 1 hour after meals. Since this is when one’s blood sugar levels are likely to be the lowest and highest respectively.’ Therefore, monitoring one’s level is essential to the health of the mother and baby. Read more about gestational diabetes: Cause, prevention and treatment.

For those with unstable diabetes:

Dr Kovil says, ‘For those suffering from brittle diabetes (unstable diabetes) along with Type 1 diabetes, should use the CGMS (Continuous Glucose Monitoring System) of monitoring their blood glucose.’ ‘Unlike traditional meters that provide a one-time snapshot of one’s blood glucose levels, continuous glucose monitors (CGMSs) measure one’s glucose levels every few minutes. This system is essential for people suffering from this kind of diabetes since they need to keep a tab on their blood glucose levels at all times.’ Explains Dr Kovil.

Finally, don’t keep pricking your fingers whenever you deem fit. Instead, just follow instructions based on the type of diabetes you suffer from, and you should be on your way to well managed diabetes and not to mention less sore finger tips. Read more about five herbal remedies for diabetes.

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Published : March 28, 2014 10:55 am | Updated:June 12, 2014 2:44 pm

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