Today's Tip: My blood glucose remains high long after meals. Why might this be?

Meals that are high in fat may contribute to prolonged elevations in blood glucose after eating.

Learn more about hyperglycemia here.

Yesterday's Tip: What is the best way to determine whether I have high blood glucose?

The best way to identify high blood glucose, or hyperglycemia, is to routinely monitor your blood glucose levels on a schedule determined by you and your health-care team and to get regular HbA1c tests, also on a schedule agreed on by you and your health-care team (usually two to four times a year).

Learn more about hyperglycemia here.

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July 20, 2018: How should I count fiber when determining how much insulin I need to cover a meal or snack?

Since fiber is not digested or absorbed, you should subtract the grams of fiber from the total carbohydrate on the label if there are more than 5 grams of fiber per serving. People who are very sensitive to insulin may wish to subtract all fiber, even if there are fewer than 5 grams per serving.

Learn more about counting fiber here.

July 19, 2018: Will going on a gluten-free diet affect my diabetes regimen?

For people with diabetes and celiac disease, starting a gluten-free diet requires learning the carbohydrate content of new, gluten-free foods, so they can be introduced into a meal plan or so that insulin doses can be adjusted accordingly.

Learn more about celiac disease here.

July 18, 2018: Can celiac disease affect a person’s blood glucose levels?

In people with Type 1 diabetes, malabsorption of nutrients from undiagnosed celiac disease can lead to frequent, unexplained low or high blood glucose readings. Wouldn’t malabsorption of nutrients have the same effect in people with Type 2 diabetes?

Learn more about celiac disease here.

July 17, 2018: My doctor thinks I have celiac disease. Should I stop eating gluten-containing foods?

If your physician suspects celiac disease, you should continue to eat gluten-containing foods until after the biopsy. If the biopsy confirms that you have the condition, the treatment is a lifelong, 100% gluten-free diet.

Learn more about celiac disease here.

July 16, 2018: A close relative was just diagnosed with celiac disease. Am I at risk as well?

Celiac disease is an inherited disease that occurs at a higher rate in people with Type 1 diabetes. All first-degree family members — parents, siblings, and children — of people with celiac disease should be screened for the condition.

Learn more about celiac disease here.

July 15, 2018: What factors should I consider when taking insulin to bring down a high blood glucose level?

Be careful when taking extra insulin to “cover” for high blood glucose. Take into account any insulin that is still active from your previous dose, as well as any variability in the effect of the “correction” insulin based on the time of day or other factors.

Learn more about insulin here.

July 14, 2018: Should I keep my blood glucose level on the high side to prevent episodes of low blood glucose?

If you are aiming for tight diabetes control with insulin or another medicine that creates the risk of hypoglycemia, accept that an occasional low will occur and have a plan for when it does. This is usually better for your long-term health than keeping blood glucose higher than recommended to avoid hypoglycemia.

Learn more about low blood glucose here.

July 13, 2018: My latest blood glucose reading was out of range. What could have caused this?

A variety factors can influence your blood glucose levels, including food, medicines, exercise, stress, infection, and normal hormonal variation in the body. A single high blood glucose level is of little concern, but a pattern of high blood glucose needs to be addressed.

Learn more about blood glucose monitoring here.