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Self Monitoring of Blood Glucose (SMBG)
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WHAT IS THE IMPORTANCE?
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SMBG tells immediate situation: Clarifies symptoms of high and low
SMBG helps you to decide about your insulin dose. SMBG will let you know the impact of diet on your BG SMBG tells you if the exercise helped you to reduce BG SMBG shows patterns of glycemia: Which time of day is not under control
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Hypoglycemia/Low blood sugar
Blood sugar levels <70mg/dl.
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Testing Tips Wash hands in warm water Use all 10 fingers
Use the side of the finger rather than the tip Keep test strips covered, dry and in packaging Use sharps container for disposal Don’t let test strips freeze or overheat
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Components
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IS IT THAT PAINFUL ????
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STEPS Blood drop to the strip Attach a strip Reading in few seconds
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Alternative Site Testing
Sites include forearm, thigh and palm Less painful due to less nerve supply No difference in blood glucose between fingerstick and alternative sites If hypoglycemia suspected, use fingerstick for testing
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HOW MANY TIMES ????
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At least 3 or more times per day in type 1 DM and pregnant patients on insulin.
SMBG in type 2DM on insulin at least once daily. Special Occasions Feasts Illness Exercise
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RECORD KEEPING IMPORTANT
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EXAMPLES
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Urine Ketones Increase Insulin dose Immediate Referral
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Glucose Ingestion Reduce insulin dose
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