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Practice makes near perfect at bedtime

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The Question
Thu Mar 06 19:41:55 UTC 2014

Recently in the hospital for back surgery, the staff took bg but at times that to me did not make sense. When should it have been taken?
Asked By: sandcastles136  

Background Info Hide
type 2 good control Glimepiride 1mg daily late evening bg was 158, they gave me 1 unit of insulin and then a dish of peaches, not sugar free
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Expert Answers (1)
2014-05-08 11:40:25.0

Hi, sandcastles136. After having worked in a hospital for many years, I, too, noticed that timing of many activities regarding diabetes monitoring aren't always done at the time I would have recommended to my patients. I think that is just a symptom of trying to standardize nursing activities. Every pill can't be given at the same time...every blood pressure can't be done at the same time. Usually there is an oversight committee who makes policy regarding when meds are administered, etc. Unless you are finding that the difference in times is effecting your glucose control, I would let it go and get back on your regimen when you go home.
Answered By: Janice Fisher
Accreditations: RD, LD, PHD, CDE, BC-ADM
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Community Answers (2)
2014-07-18 21:10:06.0

I was diagnosed as a T-2 by a Doctor who was himself a diabetic. One of the things he impressed on me many times was not to trust any hospital staff with my diabetes. That in the hospital either my wife, my primary Dr. for my diabetes or I handled everything to do with the diabetes. I told this to my cousin but they did not listen. She was a T-2 on Metformin not taking insulin. In the evening they found her to have a blood sugar of 127 and gave her insulin. She was in a comma for a little less than 24 hours. It is your condition, your life and your choice. Choose carefully who treats your diabetes.
Answered By: dunigan

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2014-07-18 12:53:29.0

AS a person with type 1 (30+ years) I strongly recommend having your own testing equipment with you. If they try to take it away, put your foot down. I test 10-15x a day (as well as wear a CGM). I have found that their 4x testing in hospital is inadequate and for me results in bg's in the mid-200's at a minimum. Being in charge of my bg testing (and I wish dosing) I can keep things where they should be and warn them of a pending hypo - since that seems to be the big fear in hospital. I want to heal fast, and the acceptable high bg's don't encourage that (in my mind). MAIN POINT - bring your meter. or have it smuggled in by a family member.
Answered By: pugmommy

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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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