If your blood glucose is under good control, it’s still better to check it after meals rather than before breakfast, as I wrote here recently. But new research presented at the American Diabetes Association's 66th Scientific Sessions that I just attended in Washington indicates that it might ma...
New Time to Test Glucose Levels
6/22/06 10:38am
A recommendation to test 74 minutes after beginning a meal instead of two hours could lead many to overcorrect high postprandial blood glucose readings. For me the way to control the 74 minutte glucose is to push dosing of rapid acting insulin to an hour or more before a meal. In such a situation hypoglycemia before eating becomes a real possiblity. Waiting to bolus at mealtime will almost invariably lead to blood glucose above 180 unless there is significant endogenous insulin. As a person with type 1 diabetes for almost 48 years endogenous insulin is not usually present.
6/26/06 12:51pm
7/ 1/06 1:34pm
What about those on Byetta? I have noticed that my 3-4 hour numbers are higher than my 2 hour numbers due to the delayed stomach emptying. Wouldn't when you peak also be dependent upon how much fat was in the meal?
David's Response:
Those are great questions, Deb. My guess is that you are absolutely right. But I don't know of any studies proving it yet.
7/ 1/06 9:41pm
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