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SMBG (Self Monitoring of Blood Glucose)

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For Diabetes patient and Educators

Published in: Health & Medicine
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SMBG (Self Monitoring of Blood Glucose)

  1. 1. SELF MONITORING OF BLOOD GLUCOSE (SMBG) For Diabetes Educator Dr J Rangwala drjoozer@gmail.com
  2. 2. Important information for Diabetes Educators: Globally Diabetes self – management education and support (DSME / DSMS) has shown to improve diabetes health outcomes A Diabetes Educator plays an integral role to explain the patients the importance of DSME and DSMS Monitoring is an important component of DSME Using this educational tool, a diabetes educator can help patients to understand the importance of SMBG, interpret their results and maintain a logbook so as to have a improved overall diabetes care.
  3. 3. This tool helps clarifying following FAQ's: How should I use my glucometer and its components? How often should I test my blood glucose levels? Should it pain while pricking my finger?, How should i prick in the best possible manner? Are the glucose meter reading accurate? Why should I record results in logbook after each reading? What should be the normal level of my blood glucose? What should I do when my blood glucose levels are too high or too low?
  4. 4. SMBG : You will learn..... How to use? When to check? What it means? What sugar level means? How to record?
  5. 5. Why do you need to check blood sugar at home? We need to know what is effect on sugars when we: Take food : ..... there is rise in sugars. Take medicine (OHA/Insulin) : ... there is reduction in sugar. Do exercise : ... there is reduction in sugar. Stress :.. there is rise of sugar
  6. 6. What do you require for measuring blood sugar level? Glucometer Glucose strips Pricking device Lancets Log book Drop of patient blood!
  7. 7. Important steps : Coding Machine: Wash clean and dry your hands Insert strip Match code of strips with glucometer Prick at the tip of finger and draw blood Apply to test area and wait See the result Record the result
  8. 8. Important steps : No Coding Machine Wash clean and dry your hands Insert strip Apply to test area and wait Prick at the tip of finger and draw blood See the result Record the result
  9. 9. Correct way to prick: Warm up your hands Prick on the side of your finger Switch fingers regularly Use a fresh lancet everytime.
  10. 10. Know your numbers: (Your test time will decide your values) Fasting : Test Taken after 8 Hours of fasting 80 – 130 mg % Post prandial : Test taken after two hours of meals < 180 mg % Random Blood Sugar : 24/7 hours of the day Test done at any time of the day 140 – 199 mg %
  11. 11. What to do if your numbers are too low : Do you have these symptoms? Shaky, nauseated Nervous, irritable Hungry Sweaty, headache Weak, drowsy You possibly have HYPOGLYCEMIA: What you need to do..... 15 gm glucose in the form of glucose tablets 15 cc (1 tablespoon) or 3 packets of table sugardissolved in water 175 cc (3/4 cup) of juice or regular soft drinks Record such episode and inform doctor about same.
  12. 12. Do you have any of these symptoms: Feeling thirsty more often Feeling tired Frequent urination You can possibly have HYPERGLYCEMIA: What you need to do .....? Reduce your food intake Start exercising If > 240 mg %, check urine for ketone, ... if ketones are present ... Dont exercise Record and inform your doctor What to do if your numbers are too high :
  13. 13. Keeping record: Note down all records in log book Show logbook to Dr. everytime What to record? Blood sugar recorded Food Exercise Medicine Stress And strick history etc
  14. 14. Why reports could be different from tab? Glucometer : Capillary Blood Laboratory : Venous Blood (Expect 11 – 15 % difference!, It's OK) You can compare FASTING reading ..... to see the real difference.
  15. 15. Important Tips: Store properly Expiry date Use a bif enough drop of blood Keep meter clean Dont reuse / share needles, syringes or lancets.

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