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Sir, I'm very fit person, but I need more time for my partner on the bed, and that's not happening, I fall out soon, please suggest me and please give all information about this, for it. I'm very thankful to you sir,
Hiii I am 25 years old. My weight is increasing and reduced even after exercise for 2 hours in morning and 2 hours in the evening. Can you please recommend the diet.
Self-monitoring of blood glucose (smbg) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in an entire day.
It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good smbg record is maintained by the patient.
Normally we check fasting and 2 hr post prandial blood sugar levels in the lab for routine follow-up. There is a bright chance of sugar excursions in the other post meal readings which get unnoticed. Even in case of hba1c or glycated hemoglobin test we get an average result of blood glucose of last 3 months.
In practice, I have seen several patients who had to fast and post prandial blood glucose lab tests in the normal range but hba1c levels below 7 is not achieved because they might have high blood sugars in other post meals which have got unnoticed.
To achieve the best blood glycemic control it is important to control blood sugar levels within normal limits during the entire day and not just fasting or post breakfast levels.
Interpretation of smbg chart:
In the above image of smbg chart, I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.
Seven points includes:
Fasting or before breakfast reading
2 hrs after breakfast
2 hrs after lunch
2 hrs after dinner or bedtime
At mid night 3.00 am
This seven point smbg charting approximately covers entire day glucose fluctuations to some extent (of course not as accurate as cgms).
I have also mentioned a comment column in the above smbg chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mention that.
You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.
More uncontrolled blood sugars require more frequent smbg glucometer monitoring.
Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and smbg charting of glucometer readings helps a lot to the patient.
I hope this article will help you to control your blood sugar levels more efficiently.
If you find that some of the post-meal or pre-meal readings are high or low, please consult your diabetologist with smbg chart to adjust your medication or insulin dosage.
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I had sex with my boyfriend on 20 may n my menstruation date is also 20. But this time I dnt hv my periods till now. What should I do?
I am 25years old and I am suffering from cold and severe headache since last couple of days. Did not have anything cold neither got wet in rain. Nose blocked, throat pain and continuous sneezing. Please suggest some medication. Had taken crocin advanced yesterday i. E 5th August, 2015 night after dinner.
Lybrate | Dr Shyam Sangoram speaks on IMPORTANCE OF TREATING ACNE EARLY
While I urinate sometimes my urine flow is weak other time it is absolutely normal. Specially when I wake up in the morning. And sometimes when I terminate my urination few drops dribble downwards. Nor always but sometimes. I don't wake up in the night to urinate. Do I have any prostate problems? I am just 22 years old. I have done urine test. It's normal.
Hello doctors I have cough for about 3 weeks and i'm making lot of mucus in my sputum and color of sputum is yellowish and greenish.
I heard that lasik surgery is very dangerous and it might completely destroy the eye sight and there are many side effects?
I want to know information about conjunctivitis because i am suffering form this disease since 2 days and I also want to know information about its cure and precautions. And also some medicines advice. Please contact me as soon as possible sir because i am suffering alot from this disease. Thank you.
I am suffering from chronic depression from my child hood. Is there any cure for this? Medicines having side affects like impotency, gastric problem.
Children who were addicted to gadgets get children to play outdoors for an hour. Research studies in Singapore and in China found that children who played outdoors for an hour a day had fewer incidence of myopia compared to children who spent their time indoors with gadgets