Diabetes Management at Home: Get It Right

Mr. Bagrecha was attending a family wedding and amidst the wedding chaos he skipped his meal. During the sangeet function he started to perspire profusely along with a feeling of heavy head and mild dizziness. He had his glucometer handy. His wife got it and checked his sugar, it was around 65mg/dl. Immediately, he popped in a sugar candy and was taken to a nearby hospital. Mr. Bagrecha is a diabetic for the last decade apart from being my doting patient. He has been living a quality life despite his health challenges.

Whether you have type 1 or type 2 diabetes, at-home blood-sugar monitoring devices called glucometers can give you valuable information about whether your blood sugar is too low, too high, or in a good range for you. These portable electronic devices provide you with instant feedback and let you know immediately what your blood sugar is. Glucometer is a small, easy to use and affordable device. It is always safe to have a glucometer at home.

Glucometers, also known as glucose meters, are highly sophisticated, requiring only a single drop of blood, and are conveniently sized and portable. They are small enough to take with you on-the-go, and based on your comfort level, can be used anywhere at any time.

Myth#1- Glucometer is complicated to use

The glucometer is not at all complicated. You just have to prick the side of your finger with a lancet and simply put the blood sample on the strip when it’s in the meter. The glucometer will display the reading in a matter of 4-5 seconds.

Myth#2- Pricking finger is painful.

When glucometers are used in the right way and pricked at the correct site. It is not really that painful process. In my course I have guided in the exact way to execute the blood sugar test. Join my course to know more.

Myth#3- Glucometer causes infection

By practising proper hygiene and instructions, there is a very slim chance of contracting an infection because of glucometers

Myth#4- The readings of a glucometer are not accurate

Blood glucose meter test results are not exact measures, but they’re designed to give you accurate readings for daily treatment decisions when you’re not at a doctor’s office. If your glucometer shows readings within 15-20% of your lab readings then your glucometer is accurate.

Regular monitoring is a particularly helpful way to manage your diabetes and help control your blood sugar, so it’s important to know how to properly use the device. Efficient management of blood sugar keeps you at bay from health complications related to diabetes. To start with follow the 7-point SMBG chart to monitor your spikes or crash in blood sugar. Seven Points includes:

  1. Fasting or before breakfast reading
  2. 2 hrs after breakfast
  3. Before lunch
  4. 2 hrs after lunch
  5. Before dinner
  6. 2 hrs after dinner or bedtime
  7. At mid night 3.00 AM

Since pricking 7 times a day can be painful and tedious at times, I have designed the chart so that it covers seven times in the seven days of a week. So, it will be a single prick on a single day. This 7-point SMBG charting approximately covers entire day glucose fluctuations to some extent.

Do you know pricking which fingers cause less pain? With the help of a glucometer, you can easily check how well your blood sugar is controlled. It will help you to understand pattern of your blood sugar that is when you are more likely to have a spike or crash in your blood glucose. Do you know what is reactive hypoglycemia or rebound hyperglycemia? It is important to diagnose these issues to prevent unwanted accidents. Are you aware that glucose levels fluctuate after exercise and at times of stress? Glucometer helps to assess how efficiently you are managing diabetes and monitor the effects of the diabetic medications and other therapies.

Get an answer to all these questions and how to correctly use a glucometer in my course. Review on the course is presented below by one of my patients. Book you spot today.

Published by Dr.Pratim Sengupta

Dr. Pratim Sengupta thinks of himself as conscious, living, soulful being with an inner urge to break the inertia of life. He feels that life is nothing but a material expression of the Supreme Almighty Consciousness. His conscious existence empowered him to see, to hear, to talk, to interact, to feel, to dream, to ask questions, and to seek solutions to every problem. In the flow of life, as he grew up, he understood that knowledge of life is the only way to understand the scientific basis of conscious existence. Hence Dr. Sengupta felt the urge to study the science of life – i.e. Medicine. After he completed his higher secondary education from the Ramakrishna Mission Vidyamandira in Belurmath, he joined the MBBS (Bachelor of Medicine, Bachelor of Surgery) course at RG Kar Medical College, Kolkata. The professional packaging of knowledge in terms of a time-bound, goal-oriented syllabus frustrated him a bit, but nevertheless ignited the urge within him to study further. He thus went on to his post-graduation (MD) in Medicine from IPGMER and SSKM Hospital, Kolkata. During his MD training, he got a glimpse of the vastness of knowledge, and the quest to learn precisely the facts of life narrowed down his area of interest to the functioning of the kidneys and the specialisation of Nephrology – a discipline that is complex, yet relatively new and still evolving in terms of complete understanding of renal physiology and pathology. So, Dr. Sengupta decided to study and train for the DM (Doctorate of Medicine) degree in Nephrology. Right from the start of his career, Dr. Sengupta was passionate about Research. During the MD programme he worked on Cirrhotic Cardiomyopathy, Autonomic Neuropathy of Lupus, and Insulin resistance in Diabetics. All these research studies were published in national journals. During his postdoctoral study in Nephrology, he worked on Hemodialysis efficiency, and suggested an angular placement of the Dialyser in order to increase efficiency. This innovative concept was accepted for presentation at the World Congress of Nephrology, Milan, in 2009, and also published in Hemodialysis International. Dr. Sengupta also worked on Plasmapheresis – a blood filtering technique by which toxic and pathogenic immunoglobulins can be removed from the body. He studied the role of Prethymectomy Plasmapheresis in Myasthenia Gravis patients, and his findings were published in the journal Interactive Cardiovascular and Thoracic Surgery. The patient-empowered nutritional model for nutritional care of kidney patients is another interesting and innovative area in which Dr. Sengupta has worked for quite a long time. Dr.Pratim Sengupta won the Bharat Jyoti award for his excellency in the field of medicine. He is also the president of our non-governmental organization, The Kidney Care Society. His tireless contribution to provide quality living for his patients is worth mentioning. He introduced Mukti, blending ancient Indian yoga with modern medicine for well being of every patient. He has also introduced an unique online course "Art of Living with diabetes" which is a complete solution to diabetes management. He has authored many books, blogs, for the patients. Searching and researching for solutions to problems in the field of Nephrology remains the passion and dream of Dr. Pratim Sengupta, and he intends to persist on this journey as long as he is conscious. Meanwhile, even as he pursues his dreams, Dr. Sengupta diligently puts into practice all he has learned about Nephrology over the years, at the Belle Vue Clinic in Kolkata and ILS hospital,Dumdum where he is available for his patient

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