When to Initiate Self Monitoring of Blood Glucose

Self blood-glucose monitoring (SBGM) should be instituted as soon as possible after diagnosis. Studies using fetal ultrasound (56,57) have shown that accelerated growth begins early in the third trimester so, to avoid fetal consequences, glycemic control should be obtained as soon as possible. In order to attain targeted goals, home SBGM is necessary. Initial therapy, MNT, requires blood-glucose monitoring four times daily, while women treated with insulin typically need to monitor at least six times per day. Care should be taken to give appropriate goals of therapy, since some reflectance meters are calibrated to plasma glucose values, while others reflect whole blood-glucose values.

The importance of SBGM is supported by a study of 153 women with GDM. These women were treated with intensive diet therapy and SBGM, with insulin therapy added only if therapeutic goals were not obtained. There was no difference in the birth weight or incidence of macrosomia between groups, showing that intensive dietary therapy with monitoring and insulin as needed can reduce macrosomia (58).

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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