paulj
DAFNE Graduate
Northumbria Healthcare Trust
36 posts
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having recently completed a DAFNE course in october and attended a follow up meeting last week with advice from DAFNE SPECIALIST NURSES i have come to the following coinclusions
i now only concern myself with my BG readings at breakfast,lunch,evening meal,and at bedtime.even if i do test inbetween these times and they are high i onlt take notice of them at the 4 times listed above. i have been told that if they are high inbetween these times that they have no effect on my long term health/complications.with being off work for 4 months i have had plenty of time to do numerous tests and i have learnt and am still learning how my body reracts to insulin doses. however i do believe that as i now go bacjk into the working enviroment i believe it is unrealistic and also not the DAFNE principle to test more frequently unless i am doing something different i.e exercise, alcohol,sickness etc.... so i say to myself why worry.one of the main DAFNE principles is MORE FREEDOM and thats what i am trying to work towards.me controlling my diabetes not the other way round.
if you have any thoughts on the above iwould love to hear from you as i find your thoughts,comments,and suggestions very helpful
cheers
paulj .
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novorapidboi26
DAFNE Graduate
NHS Lanarkshire
1,819 posts
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I do still test, occasionally, in between meals........more so between lunch and dinner, as I have the opportunity to do so at work, which is in an office currently........if I was to be in another job these testing opportunities may not be available.......
I had a good three months of blood sugars in the middle of last year, however my in between meal readings were quite high, mid teens high.......I expected a much lower HbA1c result but I never got it......this must of been down to my in between meal highs.....so although they may not stay high for long, I would say they do still effect you long term blood sugar reading, which has been connected to complications....
But overall, yeah, there is nothing you can actually do there and then with a mid meal test, maybe apart from adjusting your dose timing the next time you have a similar meal in order to match more closely that activity of your digestion to the activity of the insulin.......
My advice to you would be to not test if you feel its effecting your freedom and lifestyle, but dont totally dismiss the odd mid meal test....
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DianeW
DAFNE Graduate
South West Essex PCT
115 posts
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I would agree with what novorapidboi has said and not to beat yourself up about testing between meals. I think testing at mealtimes becomes second nature, and therefore should not impact on your lifestyle or sense of freedom. Inbetween meals I would say is optional, if you feel like it, if you are ill/changed routine etc etc. Just my opinion.
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