Guest guest Posted January 16, 2012 Report Share Posted January 16, 2012 I was told 2 hours after you start eating. From: rd-usa [mailto:rd-usa ] On Behalf Of eatrite Sent: Monday, January 16, 2012 12:05 PM To: RD-USA (rd-usa ) Subject: SMBG When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, Mazarin, MS, RD, CNS Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 Depends upon what? SMBG > > > > > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > > > Mazarin, MS, RD, CNS > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 Depends upon what? SMBG > > > > > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > > > Mazarin, MS, RD, CNS > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 It has always been my understanding that it is from the first bite, but as you can see there are various responses. Do you have any citation? We could all use correct information. From: rd-usa [mailto:rd-usa ] On Behalf Of g_weale@... Sent: Monday, January 16, 2012 9:43 PM To: rd-usa Subject: Re: SMBG It's after the first bite! Ginny Weale MS,RD, LD, CDE Sent from my iPhone On Jan 16, 2012, at 6:30 PM, conniec coleman <caycc@...<mailto:caycc%40yahoo.com>> wrote: > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 It has always been my understanding that it is from the first bite, but as you can see there are various responses. Do you have any citation? We could all use correct information. From: rd-usa [mailto:rd-usa ] On Behalf Of g_weale@... Sent: Monday, January 16, 2012 9:43 PM To: rd-usa Subject: Re: SMBG It's after the first bite! Ginny Weale MS,RD, LD, CDE Sent from my iPhone On Jan 16, 2012, at 6:30 PM, conniec coleman <caycc@...<mailto:caycc%40yahoo.com>> wrote: > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 From the ADA Clinical Guidelines - look at the info under the graph.  It clearly states the BG should be taken after the first bite. http://care.diabetesjournals.org/content/34/Supplement_1/S11.full.pdf+html Ginny ________________________________ To: " rd-usa " <rd-usa > Cc: " rd-usa-unsubscribe " <rd-usa-unsubscribe > Sent: Tuesday, January 17, 2012 7:05 AM Subject: RE: SMBG  It has always been my understanding that it is from the first bite, but as you can see there are various responses. Do you have any citation? We could all use correct information. From: rd-usa [mailto:rd-usa ] On Behalf Of g_weale@... Sent: Monday, January 16, 2012 9:43 PM To: rd-usa Subject: Re: SMBG It's after the first bite! Ginny Weale MS,RD, LD, CDE Sent from my iPhone On Jan 16, 2012, at 6:30 PM, conniec coleman <caycc@...<mailto:caycc%40yahoo.com>> wrote: > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 From the ADA Clinical Guidelines - look at the info under the graph.  It clearly states the BG should be taken after the first bite. http://care.diabetesjournals.org/content/34/Supplement_1/S11.full.pdf+html Ginny ________________________________ To: " rd-usa " <rd-usa > Cc: " rd-usa-unsubscribe " <rd-usa-unsubscribe > Sent: Tuesday, January 17, 2012 7:05 AM Subject: RE: SMBG  It has always been my understanding that it is from the first bite, but as you can see there are various responses. Do you have any citation? We could all use correct information. From: rd-usa [mailto:rd-usa ] On Behalf Of g_weale@... Sent: Monday, January 16, 2012 9:43 PM To: rd-usa Subject: Re: SMBG It's after the first bite! Ginny Weale MS,RD, LD, CDE Sent from my iPhone On Jan 16, 2012, at 6:30 PM, conniec coleman <caycc@...<mailto:caycc%40yahoo.com>> wrote: > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 sorry - page S21 ________________________________ To: " rd-usa " <rd-usa > Sent: Tuesday, January 17, 2012 8:41 AM Subject: Re: SMBG  From the ADA Clinical Guidelines - look at the info under the graph.  It clearly states the BG should be taken after the first bite. http://care.diabetesjournals.org/content/34/Supplement_1/S11.full.pdf+html Ginny ________________________________ To: " rd-usa " <rd-usa > Cc: " rd-usa-unsubscribe " <rd-usa-unsubscribe > Sent: Tuesday, January 17, 2012 7:05 AM Subject: RE: SMBG  It has always been my understanding that it is from the first bite, but as you can see there are various responses. Do you have any citation? We could all use correct information. From: rd-usa [mailto:rd-usa ] On Behalf Of g_weale@... Sent: Monday, January 16, 2012 9:43 PM To: rd-usa Subject: Re: SMBG It's after the first bite! Ginny Weale MS,RD, LD, CDE Sent from my iPhone On Jan 16, 2012, at 6:30 PM, conniec coleman <caycc@...<mailto:caycc%40yahoo.com>> wrote: > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 sorry - page S21 ________________________________ To: " rd-usa " <rd-usa > Sent: Tuesday, January 17, 2012 8:41 AM Subject: Re: SMBG  From the ADA Clinical Guidelines - look at the info under the graph.  It clearly states the BG should be taken after the first bite. http://care.diabetesjournals.org/content/34/Supplement_1/S11.full.pdf+html Ginny ________________________________ To: " rd-usa " <rd-usa > Cc: " rd-usa-unsubscribe " <rd-usa-unsubscribe > Sent: Tuesday, January 17, 2012 7:05 AM Subject: RE: SMBG  It has always been my understanding that it is from the first bite, but as you can see there are various responses. Do you have any citation? We could all use correct information. From: rd-usa [mailto:rd-usa ] On Behalf Of g_weale@... Sent: Monday, January 16, 2012 9:43 PM To: rd-usa Subject: Re: SMBG It's after the first bite! Ginny Weale MS,RD, LD, CDE Sent from my iPhone On Jan 16, 2012, at 6:30 PM, conniec coleman <caycc@...<mailto:caycc%40yahoo.com>> wrote: > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 Thank you for the clarification and confirmation that I have been advising patients correctly. Mazarin From: rd-usa [mailto:rd-usa ] On Behalf Of gerry/ginny weale Sent: Tuesday, January 17, 2012 8:43 AM To: rd-usa Subject: Re: SMBG sorry - page S21 ________________________________ From: gerry/ginny weale <g_weale@...<mailto:g_weale%40yahoo.com>> To: " rd-usa <mailto:rd-usa%40yahoogroups.com> " <rd-usa <mailto:rd-usa%40yahoogroups.com>> Sent: Tuesday, January 17, 2012 8:41 AM Subject: Re: SMBG From the ADA Clinical Guidelines - look at the info under the graph. It clearly states the BG should be taken after the first bite. http://care.diabetesjournals.org/content/34/Supplement_1/S11.full.pdf+html Ginny ________________________________ From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com>> To: " rd-usa <mailto:rd-usa%40yahoogroups.com> " <rd-usa <mailto:rd-usa%40yahoogroups.com>> Cc: " rd-usa-unsubscribe <mailto:rd-usa-unsubscribe%40yahoogroups.com>\ " <rd-usa-unsubscribe <mailto:rd-usa-unsubscribe%40yahoogroups.com>\ > Sent: Tuesday, January 17, 2012 7:05 AM Subject: RE: SMBG It has always been my understanding that it is from the first bite, but as you can see there are various responses. Do you have any citation? We could all use correct information. From: rd-usa <mailto:rd-usa%40yahoogroups.com> [mailto:rd-usa <mailto:rd-usa%40yahoogroups.com>] On Behalf Of g_weale@...<mailto:g_weale%40yahoo.com> Sent: Monday, January 16, 2012 9:43 PM To: rd-usa <mailto:rd-usa%40yahoogroups.com> Subject: Re: SMBG It's after the first bite! Ginny Weale MS,RD, LD, CDE Sent from my iPhone On Jan 16, 2012, at 6:30 PM, conniec coleman <caycc@...<mailto:caycc%40yahoo.com><mailto:caycc%40yahoo.com>> wrote: > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com><mailto:eatrite%40mazarinr\ d.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com><mailto:rd-usa%40yahoogr\ oups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com><mailto:rd-usa%40yahoogr\ oups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 Thank you for the clarification and confirmation that I have been advising patients correctly. Mazarin From: rd-usa [mailto:rd-usa ] On Behalf Of gerry/ginny weale Sent: Tuesday, January 17, 2012 8:43 AM To: rd-usa Subject: Re: SMBG sorry - page S21 ________________________________ From: gerry/ginny weale <g_weale@...<mailto:g_weale%40yahoo.com>> To: " rd-usa <mailto:rd-usa%40yahoogroups.com> " <rd-usa <mailto:rd-usa%40yahoogroups.com>> Sent: Tuesday, January 17, 2012 8:41 AM Subject: Re: SMBG From the ADA Clinical Guidelines - look at the info under the graph. It clearly states the BG should be taken after the first bite. http://care.diabetesjournals.org/content/34/Supplement_1/S11.full.pdf+html Ginny ________________________________ From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com>> To: " rd-usa <mailto:rd-usa%40yahoogroups.com> " <rd-usa <mailto:rd-usa%40yahoogroups.com>> Cc: " rd-usa-unsubscribe <mailto:rd-usa-unsubscribe%40yahoogroups.com>\ " <rd-usa-unsubscribe <mailto:rd-usa-unsubscribe%40yahoogroups.com>\ > Sent: Tuesday, January 17, 2012 7:05 AM Subject: RE: SMBG It has always been my understanding that it is from the first bite, but as you can see there are various responses. Do you have any citation? We could all use correct information. From: rd-usa <mailto:rd-usa%40yahoogroups.com> [mailto:rd-usa <mailto:rd-usa%40yahoogroups.com>] On Behalf Of g_weale@...<mailto:g_weale%40yahoo.com> Sent: Monday, January 16, 2012 9:43 PM To: rd-usa <mailto:rd-usa%40yahoogroups.com> Subject: Re: SMBG It's after the first bite! Ginny Weale MS,RD, LD, CDE Sent from my iPhone On Jan 16, 2012, at 6:30 PM, conniec coleman <caycc@...<mailto:caycc%40yahoo.com><mailto:caycc%40yahoo.com>> wrote: > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com><mailto:eatrite%40mazarinr\ d.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com><mailto:rd-usa%40yahoogr\ oups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com><mailto:rd-usa%40yahoogr\ oups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 I am intrigued/confused by this discussion.  If you are wanting to see how one's meal is affecting blood sugars then check 1 and 2 hours after a meal, (postprandial).  Ideally, if a pt. is on insulin, he/she needs to check her BG level before a meal. Then the pt. can use their sliding scale to determine how much insulin is needed to cover the meal and any elevated pre-meal glucose.  I don't understand how a BG check 'after the first bite' helps. Bruce RD/LD Dallas, Tx.   > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 I am intrigued/confused by this discussion.  If you are wanting to see how one's meal is affecting blood sugars then check 1 and 2 hours after a meal, (postprandial).  Ideally, if a pt. is on insulin, he/she needs to check her BG level before a meal. Then the pt. can use their sliding scale to determine how much insulin is needed to cover the meal and any elevated pre-meal glucose.  I don't understand how a BG check 'after the first bite' helps. Bruce RD/LD Dallas, Tx.   > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 To Clarify – the question that was answered was when to start timing the 1 or 2 hours, from the first bite or the last. The answer and citation is provided in a previous email. From: rd-usa [mailto:rd-usa ] On Behalf Of Bruce Sent: Tuesday, January 17, 2012 10:57 AM To: rd-usa Subject: Re: SMBG I am intrigued/confused by this discussion. If you are wanting to see how one's meal is affecting blood sugars then check 1 and 2 hours after a meal, (postprandial). Ideally, if a pt. is on insulin, he/she needs to check her BG level before a meal. Then the pt. can use their sliding scale to determine how much insulin is needed to cover the meal and any elevated pre-meal glucose. I don't understand how a BG check 'after the first bite' helps. Bruce RD/LD Dallas, Tx. > I tell my patients it is 2 hours after they put their fork down! > Connie , R.D, L.D., CDE > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > ________________________________ > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com><mailto:eatrite%40mazarinr\ d.com>> > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com><mailto:rd-usa%40yahoogr\ oups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com><mailto:rd-usa%40yahoogr\ oups.com>> > Sent: Monday, January 16, 2012 11:05 AM > Subject: SMBG > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > Mazarin, MS, RD, CNS > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 If there was one answer to this that fit all situations, then why would we need highly educated healthcare professionals to facilitate diabetes management? Just give them a set of instructions and tell them to " do this, not that " in all situations and all settings. Timing of post meal checking should be based on the patient's lifestyle and past experience with response to foods. Before I'm misunderstood, I'm a huge proponent of guidelines and recommendations. Evidence-based practice is an incredibly important tool for all healthcare providers. But we must take the guidelines, carefully read them, and apply them to the patient, where the patient lives. The 2 hour check is based on known knowledge of the " typical " response to consuming a mixed diet. It assumes also that the person eats meals in a given time frame. So what if the person with type 1 is at a banquet that lasts for 2 hours? If there's a check at that moment, and there are still 2 courses left to go, what is the result? What if the person with type 1 typically consumes the protein portion of meals first? We have to be able to adjust accordingly, using the evidence to support our actions. The mark of a true expert is the ability to do that, not to merely parrot what is meant to be a guideline for overall management based on a given set of parameters. Regards, pam Pam Charney, PhD, RD Author, Consultant pcharney@... " If all you ever do is all you've ever done, than all you'll ever get is all you ever got " - Anonymous > To Clarify – the question that was answered was when to start timing the 1 or 2 hours, from the first bite or the last. The answer and citation is provided in a previous email. > > From: rd-usa [mailto:rd-usa ] On Behalf Of Bruce > Sent: Tuesday, January 17, 2012 10:57 AM > To: rd-usa > Subject: Re: SMBG > > > > I am intrigued/confused by this discussion. > > If you are wanting to see how one's meal is affecting blood sugars then check 1 and 2 hours after a meal, (postprandial). > > Ideally, if a pt. is on insulin, he/she needs to check her BG level before a meal. > Then the pt. can use their sliding scale to determine how much insulin is needed to cover the meal and any elevated pre-meal glucose. > > I don't understand how a BG check 'after the first bite' helps. > > Bruce RD/LD > Dallas, Tx. > > > > > > > I tell my patients it is 2 hours after they put their fork down! > > Connie , R.D, L.D., CDE > > > > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > > > ________________________________ > > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com><mailto:eatrite%40mazarinr\ d.com>> > > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com><mailto:rd-usa%40yahoogr\ oups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com><mailto:rd-usa%40yahoogr\ oups.com>> > > Sent: Monday, January 16, 2012 11:05 AM > > Subject: SMBG > > > > > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > > > Mazarin, MS, RD, CNS > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 If there was one answer to this that fit all situations, then why would we need highly educated healthcare professionals to facilitate diabetes management? Just give them a set of instructions and tell them to " do this, not that " in all situations and all settings. Timing of post meal checking should be based on the patient's lifestyle and past experience with response to foods. Before I'm misunderstood, I'm a huge proponent of guidelines and recommendations. Evidence-based practice is an incredibly important tool for all healthcare providers. But we must take the guidelines, carefully read them, and apply them to the patient, where the patient lives. The 2 hour check is based on known knowledge of the " typical " response to consuming a mixed diet. It assumes also that the person eats meals in a given time frame. So what if the person with type 1 is at a banquet that lasts for 2 hours? If there's a check at that moment, and there are still 2 courses left to go, what is the result? What if the person with type 1 typically consumes the protein portion of meals first? We have to be able to adjust accordingly, using the evidence to support our actions. The mark of a true expert is the ability to do that, not to merely parrot what is meant to be a guideline for overall management based on a given set of parameters. Regards, pam Pam Charney, PhD, RD Author, Consultant pcharney@... " If all you ever do is all you've ever done, than all you'll ever get is all you ever got " - Anonymous > To Clarify – the question that was answered was when to start timing the 1 or 2 hours, from the first bite or the last. The answer and citation is provided in a previous email. > > From: rd-usa [mailto:rd-usa ] On Behalf Of Bruce > Sent: Tuesday, January 17, 2012 10:57 AM > To: rd-usa > Subject: Re: SMBG > > > > I am intrigued/confused by this discussion. > > If you are wanting to see how one's meal is affecting blood sugars then check 1 and 2 hours after a meal, (postprandial). > > Ideally, if a pt. is on insulin, he/she needs to check her BG level before a meal. > Then the pt. can use their sliding scale to determine how much insulin is needed to cover the meal and any elevated pre-meal glucose. > > I don't understand how a BG check 'after the first bite' helps. > > Bruce RD/LD > Dallas, Tx. > > > > > > > I tell my patients it is 2 hours after they put their fork down! > > Connie , R.D, L.D., CDE > > > > > > May the Lord bless and keep you safe and provide you with a way to reach your dreams. > > > > ________________________________ > > From: eatrite <eatrite@...<mailto:eatrite%40mazarinrd.com><mailto:eatrite%40mazarinr\ d.com>> > > To: " RD-USA (rd-usa <mailto:rd-usa%40yahoogroups.com><mailto:rd-usa%40yahoogr\ oups.com>) " <rd-usa <mailto:rd-usa%40yahoogroups.com><mailto:rd-usa%40yahoogr\ oups.com>> > > Sent: Monday, January 16, 2012 11:05 AM > > Subject: SMBG > > > > > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > > > Mazarin, MS, RD, CNS > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 It appears that some have misunderstood a simple question. I was exclusively asking whether the time to count a post prandial reading is from the first bite or the last bite. As to when or how often or at what interval a patient should test their blood sugars, that is always individualized/tailored to the patient. My questions was answered with documentation - the first bite. Mazarin, MS, RD, CNS SMBG > > > > > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > > > Mazarin, MS, RD, CNS > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 It appears that some have misunderstood a simple question. I was exclusively asking whether the time to count a post prandial reading is from the first bite or the last bite. As to when or how often or at what interval a patient should test their blood sugars, that is always individualized/tailored to the patient. My questions was answered with documentation - the first bite. Mazarin, MS, RD, CNS SMBG > > > > > > > > When monitoring one's blood sugar, is it 1 or 2 hours after the patients starts eating (my understanding) or after the meal is finished? Thank you, > > > > Mazarin, MS, RD, CNS > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.