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Monitoring


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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Reactive Hypoglycemia

I am hypoglycemic and am looking for information about this problem. Different physicians have done tests and all have come out the same, but I have received very little advice on how to handle the problem. Can you suggest reference materials for me?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Rotating Lancing Sites and Bruising

A friend of mine told me that I need to rotate my blood glucose testing sites. Was I wrong in thinking that only insulin injection sites had to be rotated? I do not use insulin. I commonly use the FreeStyle Flash® meter on my thigh to test because I get some bruising, but I don't want to go back to finger sticks.

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Sick Days

I had been given a pre-printed page with sick day guidelines on it shortly after I was diagnosed with type 2 diabetes. The guidelines seem to be more geared to type 1, so I have several questions:"I've read that even a type 2 needs to test for ketones if they are sick and their blood sugar is high (over 250). Is this correct? I've read that if a person with type 1 vomits more than once they need to call their doctor. What about type 2? Are there any guidelines for a type 2 ...

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Skin Preparation

My father is diabetic. Can you please explain why he needs to thoroughly wash his hands before doing his blood glucose test? Do you have any examples of the way in which different substances on the fingers can influence the blood glucose readings? Should he use an alcohol swab to clean his testing site?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Surgery Can Raise Blood Glucose

I have been a very well controlled insulin dependent diabetic for over 25 years. I recently had surgery. Since then, my diabetes is very hard to control. I am taking twice the amount of insulin yet my sugar levels are not as they were before the surgery. I now have an appointment to see an endocrinologist. Are you aware of any metabolic change that would impact insulin effectiveness as a result of going through surgery?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Tips for Getting a Blood Sample

I'm having difficulty obtaining a blood sample using my FreeStyle brand meter on my forearm. Can you give me some tips?

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By: Janine Freeman, RD, LD, CDE
Posted: 04.01.2009
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Weight Loss and Hypoglycemia

I have type 1 diabetes and take insulin at least 3 times a day. I’m having a problem losing weight because every time I start an exercise program and try to eat less, my blood sugar drops too low and I end up eating extra snacks to prevent or treat the lows. Do you have any suggestions for me?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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When to Test

I am a new Type 2 diabetic. When are the best times to test my blood glucose with the FreeStyle System? My 14-day average is 140. I am only controlling my blood sugar with diet and exercise. Is it ok to test once a day?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Whole Blood vs. Plasma

What is the difference between whole blood and plasma? Which does the FreeStyle® meter read?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Why test if not on diabetes medication?

I have Type 2 diabetes and am getting high numbers when I test. A person with type 1 diabetes can take insulin if their glucose readings are high. What can I do to lower my number? Almost seems senseless to test if I cannot take action to remedy the results.

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