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Self-checking of Blood Glucose Level at Home for Diabetes Patients

Written by
Dr. Ajit V
and medically reviewed by iCliniq medical review team.

Published on Nov 16, 2014 and last reviewed on Aug 18, 2021   -  5 min read

Abstract

This article discusses self-checking of glucose levels at home, which is helpful and recommended, but variations can occur. Once in three months, HbA1C level estimation is recommended. Please read the article to know more.

Contents
Self-checking of Blood Glucose Level at Home for Diabetes Patients

Introduction:

Any food or drink intake alters the metabolic milieu in the body. For example, insulin is released, digestion happens, and glucose levels rise in the blood. Therefore the blood glucose levels rise and fall with each episode of food intake.

Self-checking of blood glucose looks at the glucose level at that point of time - a snapshot. It is a reflection of the time, type, and quantity of food consumed earlier, with the type of physical activity involved. When there are non-specific symptoms like dizziness, sweating, a self-check helps to show the presence or absence of low-sugar level (hypoglycemia) in the blood. Regular testing can also help to avoid long-term health problems like:

The pitfall is that if the check is done in the morning, it does not reflect the glucose level changes that happen after lunch, after snacks, or after dinner. Also,

How Can We Test Blood Glucose Levels at Home?

1) Traditional Home Glucose Monitoring Device:

Follow these steps when you measure the blood glucose levels,

  1. Clean the area (tip of the finger) to be pricked with a disinfecting solution like Dettol.

  2. Prick the finger with the sharp needle called a lancet, which is given along with the glucose monitoring kit.

  3. Wipe the first drop of blood with cotton so that you will remove the tissue cells present along with the blood as it can give false readings.

  4. Then massage or squeeze the finger to get a blood drop.

  5. Put the second drop of the blood on the test strip.

  6. The test strip is attached with a meter that displays the blood sugar levels.

  7. Always record the test results because you can share the results with the doctor.

  8. Based on the results, the doctor will adjust the diet, exercise, and medication.

About the Device:

The meter box of home glucose monitoring devices varies in:

  1. Features.

  2. Portability.

  3. Speed.

  4. Size.

  5. Cost.

  6. Readability.

The home glucose monitoring devices deliver the results within 15 seconds, and they store the information for future use. Some devices also calculate the average blood sugar levels over a span of time. Some devices also have software kits that can take information from the meter (past test results) and display it as a graph and chart. These devices are easily available at the local pharmacy.

2) Devices That Test Other Parts of the Body:

Some devices test the other parts of the body, such as-

  1. Upper arm.

  2. Forearm.

  3. The base of the thumb.

  4. Thigh.

But the result of this device differs from the results of the blood sugar levels obtained from a fingertip stick. This is because the levels obtained from the fingertips show the changes more quickly when the sugar is changing fast (after a meal or exercise). When you have low blood sugar, do not always rely on test results from other parts of the body.

3) Continuous Glucose Monitoring System:

Some of the continuous glucose monitoring systems are combined with insulin pumps. But these devices are not accurate as of the results of finger-stick glucose. However, these devices help to find the patterns and trends in blood sugar levels. These devices are called interstitial glucose measuring devices by the doctors.

When this method is preferred, a tiny sensor is placed under the skin to check blood glucose levels every 5 minutes. They start to send the data by monitoring for a few days, and you will still need to check the blood glucose levels throughout the day. This provides the doctor with more information about trends as self-checking might not show.

When to Test for Blood Sugar Levels?

  1. Each person is different, and the doctor only can tell when and how often one should check for their blood glucose levels.

  2. When a person is on Insulin or Insulin pump more than once a day, checking the blood glucose levels at least three times a day is recommended.

  3. The ideal blood glucose level ranges from 80 to 120 mg/dL before having a meal and less than 180 mg/dL one to two hours after beginning a meal. It is for all adults except pregnant women.

The ideal range of blood glucose levels may be different from another person, and it can change throughout the day, and so check with the doctor for the targets.

Why Should Blood Glucose Levels Be Checked Regularly?

Regularly checking the blood glucose levels will,

What Are the Factors That Affect the Results of Blood Glucose Levels?

The factors that affect the results of blood glucose levels are,

  1. Results will not be accurate when the person has anemia or gout.

  2. When being in a hot, humid state or are at a high altitude can also interfere with the results.

  3. When you take vitamin C before the monitoring of glucose, it can affect the result.

  4. When you constantly see unexpected results, recalibrate the meter; also check the strips.

Conclusion:

One has to understand that, to prevent complications due to diabetes like kidney dysfunction (diabetic nephropathy), eye problem (diabetic retinopathy), and neuropathic problems (diabetic neuropathy) from occurring, the overall glucose control (i.e., 24 hour time period) is equally important.

To conclude, self-checking of blood glucose is useful and recommended,

HbA1C level is recommended to ascertain the overall correctness of diabetes management.

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Last reviewed at:
18 Aug 2021  -  5 min read

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