July 13, 2019: 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.

July 12, 2019: My blood glucose level just keeps going up no matter what I do. What action should I take?

If your blood glucose levels are rising despite your best efforts to control them, speak to your physician about adding, increasing, or changing your dose of diabetes medicines.

Learn more about blood glucose levels here.

July 11, 2019: Should I skip insulin injections on days I don’t feel well?

Unless otherwise directed, don’t skip insulin or oral medicines when you’re sick, even if you’re eating less than usual. The stress of an illness may actually increase your insulin needs temporarily.

Learn more about handling sick days here.

July 10, 2019: Should I alter my medicine regimen on stressful days?

If a difficult situation can be anticipated (for example, a funeral or an exam), and you know how your body typically responds to stress, you may be able to prepare for it by changing your basal insulin or oral medicine dose, or by altering some other aspect of your diabetes regimen.

Learn more about dealing with stress here.

July 9, 2019: How should I treat low blood glucose?

To treat low blood glucose, or hypoglycemia, eat or drink 15 grams of carbohydrate, wait 15 minutes for the carbohydrate to be absorbed, and check your blood glucose level again. If it has not increased in 15 minutes, eat or drink another 15 grams of carbohydrate and check again in 15 minutes. Using preportioned glucose tablets or gel to treat hypoglycemia instead of food or juice may help you control the amount of carbohydrate you consume.

Learn more about low blood glucose here.

July 8, 2019: How long can I use an open vial of insulin?

Never use an open vial for more than a month, and always check the expiration date on your insulin before using it.

Learn more about insulin here.

July 7, 2019: What types of information should I include in a blood glucose logbook?

A good set of records should include blood glucose values, insulin and/or oral medicine doses, the amount of carbohydrate eaten at meals and snacks (with notes about high-fat or extra-large meals), and physical activities.

Learn more about blood glucose patterns here.

July 6, 2019: What’s the best way to determine when to take a mealtime dose of insulin?

Both your premeal blood glucose level and the glycemic index of the foods you are planning to eat should be taken into consideration when deciding when to take a mealtime insulin dose.

Learn more about insulin here.

July 5, 2019: How can I reduce after-meal spikes in blood glucose?

Substituting foods with a lower glycemic index for foods with a higher glycemic index in your diet may help to reduce your after-meal blood glucose spikes.

Learn more about the glycemic index here.

July 4, 2019: My blood glucose is spiking after meals. What steps should I take?

Keep a food diary for several days, noting the foods and amounts you eat. Also write down the amount of insulin or other diabetes drugs you take and when you take them relative to your meals. Look for patterns in your records to guide you in making changes to your mealtime routines.

Learn more about blood glucose monitoring here.