Ask the Diabetes Educator Archive

5/3/04

Q:
I thought that blood sugar test was 1.5 - 2 hours after eating. Recently I was directed by the nutritionist to test for blood sugar 1.5 - 2 hours after beginning the meal. This could mean that I test my blood sugar .5 - 1 hour after finishing the meal. Usually my result is outside of my target 160 when I test 1.5 - 2 hours after beginning the meal but if taken 1.5 - 2 hours after finishing the meal it is ok. Why should after meal testing be from the time the meal is started?

A:
It may be that your nutritionist is trying to "fine tune" you, particularly if you have been showing signs of ANY diabetes complications. Clearly, you see that you are going outside your range several times in a day, even if only for a moment. I tell people this is like pelting your nerve endings with little BB pellets throughout the day. Over a 10-15 year period, this can add to nerve wear and tear, showing up as complications. After one hour of eating, your meal has peaked if it includes carbs. This is a good opportunity for you to reevaluate your meal and perhaps get a new plan going with your nutritionist. Of all the many people that write in, very few seem to have true professional guidance in this area. Even one good visit to individualize an eating pattern can start a better course for most people trying to keep a lid on their chronic conditions. Some people do better with more protein; some with carbs of the right sort. Sounds to me like you have someone who "knows her stuff"; I suggest you follow her advice.



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