advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From Dallas, Texas, USA:

I was diagnosed with diabetes at age 42. Family history has two generations of diabetes diagnosed within the same time frame (between 40-50), with father and both of his parents dying of cardovascular complications within 10 years (five years in the case of father). Thus, I am aggressive in treatment, but see a Primary Care physician rather than a specialist.

I am his first pump patient. We are disagreeing about what is a reasonable amount of testing. I feel I should be testing in the morning, before meals, two hours after meals, before, sometimes during exercise, and after and before driving -- note that these time periods often overlap. Also, testing whenever I feel funny, or if I need to adjust things with the pump -- new set, etc. According to the meters I download I'm averaging just over eight times a day. He thinks I should be testing only four times a day. Who is right and why?

Also, what hA1c value should I be trying for? He seems a bit disappointed that I am consistently just under 7.0 (6.8-6.9). I would like to go lower, but I don't feel I can if I am trying to meet his testing expectations.

Answer:

I do not think that the number of blood sugars you are doing is excessive. This is especially true having started an insulin pump in the recent past. With time, I would anticipate that you would be able to predict what some of the values are and would not have to monitor so often. I would not criticize you for doing more than a usual amount, especially if it allows you to make good decisions regarding your management. The goal for control is an HbA1C < 7%. Hypoglycemia would be the limiting factor. A normal value would be great but not at the risk of recurrent lows. I would say you try to lower as much as possible toward normal until lows become a problem. Currently, your HbA1C levels are good. Trying to improve them will require some caution so as not to increase the frequency and the risk of low blood sugars.

JTL

DTQ-20040123163036
Original posting 12 Feb 2004
Posted to Blood Tests and Insulin Injections

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:54
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.