Diabetes mellitus is a life-long illness, at least, for NOW. As part of the total diabetes care, blood glucose control is very important. It has been shown that good blood glucose control over a long time goes a long way to minimizing or preventing the chronic complications of diabetes mellitus.
Someone living with diabetes should strive to achieve good blood glucose control. How will that person know that he or she is achieving a good blood glucose control?
There are 3 ways to know that:
- Presence or absence of symptoms of high blood glucose such as excessive urination, excessive feeling of thirst and general body weakness. Someone living with diabetes who has a good blood glucose control will not have those symptoms. This is what the person will observe before results of tests confirm it. However, absence of symptoms is not enough to show that one’s blood glucose is well controlled….as some people may have poor blood glucose control and still don’t have symptoms of high blood glucose.
Level of blood glucose and presence or absence of glucose in one’s urine. Blood glucose levels refer to the fasting values and the levels obtained 2 hours after the main meals. Therefore, blood glucose should, ideally, be checked (preferably by self) four times in a day; fasting and 2 hours after breakfast, lunch and dinner. Fasting blood glucose should be between 80 –
130mg/dl while the post meal values should not be more than 180mg/dl. However, these target blood glucose values depends on patient’s age, life expectancy, duration of diabetes, presence of other illnesses in the patient and patient’s preference.
Again absence of glucose in one’s urine sample suggest good control. Blood glucose checks are superior to checking glucose in urine.
- Check or measurements of one’s glycated haemoglobin (aka HBa1C). This should be checked at least, two times per year for all persons living with diabetes. For those persons who have had poor glucose control, HBa1C should be checked up to four times per year. It’s a good measure of blood glucose control in the prior 2 – 3 months and the level should not be more than 7%. Therefore, if your health care provider ask you to do your HBa1C, he is perfectly in order.
With what we know now, where do you or your loved one living with diabetes belong? Do you have a good blood glucose control? The choice is yours and the rip offs are there for you too.