Diabetes Self-Management Articles

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Strike the Spike
Controlling After-Meal Blood Glucose Highs

by Gary Scheiner, MS, CDE

Does earlier bolusing make a difference? Check out the results of my own CGMS reports. The first was taken six months ago, when I was bolusing just as I would sit down to eat. Notice the after-meal spikes. The second was taken more recently, with boluses taken 15 minutes before each of my meals and snacks. Notice the lack of after-meal peaks!

Mull, measure, and manage
Postprandial blood glucose spikes are a force to be reckoned with. The acute and chronic problems caused by after-meal highs can be significant. Start by looking at your after-meal blood glucose levels from time to time, and determine whether a problem exists. If it does, take the necessary steps to achieve better after-meal control. Get some activity after eating. Make wiser food choices. And make sure your oral medicine or insulin program is working in your favor.

With better after-meal control, perhaps your next HbA1c will be right where you want, expect, and deserve it to be!

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