GLUCOMETER - An essential tool for diabetes control
Diabetes Mellitus is silent killer. It works continuously behind the patients eye. Sometimes the patient don’t know about the killer that is working inside him. Occasionally he went to a doctor for a different problem & during screening he was found to be diabetic. Patient becomes worried – all his favorite menus are going away from him. He going to lose the charms of life. Doctor has advised him to avoid sweets, fast foods, fatty foods. He need to take regular exercise. He is entering into a boring charmless life. But is that true? The truth is that you have to lose nothing but to be in a disciplined life. Whatever you do, you must keep your blood glucose under control. That is your ultimate responsibility for you, for all the organs to work optimally. Secondly you must have adequate knowledge regarding diabetes, its complications, complications of treatment & what to do when complication arises.Diabetes is a disease in which the body does not produce or properly use insulin as a result blood glucose level rises up which spills over in urine. Insulin is a hormone that is needed by the body to convert sugar and other starches into useful energy. Body fails to produce adequate amount of insulin causing type-1 DM & body cant properly use insulin in type-2 DM. Type -1 include only 5-10% 0f diabetic patients & most of the rest type-2. There are some other special types Diabetes Mellitus(DM) like gestation diabetes which affects the pregnant ladies.
DM may cause some problem silently & some other acutely. Uncontrolled diabetes gradually & slowly destroys your eyes(retinopathy), kidneys(nephropathy), nerve(neuropathy), heart(myocardial infarction), brain(stroke –cerebrovascular diseases). It causes hypertension, gastrointestinal problems, peripheral vascular diseases culminating into amputation of your limbs. Again it may cause some acute problem like diabetic ketoacidosis (in type-1) & hyperosmolar nonketotic coma(in type-2). Both this condition leads the patient to coma due to very high blood glucose level. Again as a result of treatment, patient may go into hypoglycemic coma due to very low blood glucose. It sometimes damages the patients brain permanently if blood glucose is very low like 1.5 mmol/l or less. DM decreases patients immunity keeping him susceptible to life threatening infections.
how to use glucometer
All of these problems may be controlled if the patient can control his blood glucose level within the acceptable range. And this is possible by regular monitoring of blood glucose. You can measure your blood glucose in your home regularly in an almost painless procedure using a glucometer. Glucometer is blood glucose monitoring device which uses glucose oxidase or glucose dehydrogenase as reagent measure glucose in a colorimetric method. This gives you information whether you have normal or low or a high glucose level. Glucose level very according to age & feeding status.Normal ranges for blood glucose levels:
• Infant (40 – 90 mg/dl)
• Child < 2 years (60 – 100 mg/dl)
• Child > 2 years to Adult (70 – 105 mg/dl)
• Adult (70 – 105 mg/dl)
• Elderly patients (50 years/more) often have a slightly elevated blood glucose level, but should not normally exceed 126 mg/dl.
In fasting state, in an adult 60 to 100 mg/dl is accepted normal. Below 60mg/dl is considered as hypoglycemia & above 140mg/dl is considered as hyperglycemia. Glucose level above 200mg/dl in 3 consecutive fasting blood glucose level is considered as diabetic. Blood glucose rises after meal. 2 hours after meal it ranges between 140 to 200 mg/dl. Any level above 260 mg/dl is considered diabetic. These levels vary slightly from study to study though the variations are negligible.
The patient can titrate his medication or food intake according to glucose level like when he feels hypoglycemic he may take oral glucose like a glass of juice or glucose gel to be applied in oral cavity or may use a glucagon injection which many diabetic patients carry with them. A hypoglycemic patient may present following symptoms Normal or rapid respirations, Pale, moist skin, sweating, Dizziness, headache, Rapid pulse, Normal or low BP, Altered mental status, Anxious or combative, Seizure or fainting, Coma, Weakness simulating CVA. Most of time the patients can feel themselves & take some food early get relieved. Some unlucky patients may become unconscious & may need hospitalization.
On the other hand most of the time hyperglycemia remain unnoticed unless it very high causing diabetic coma. This unnoticed hyperglycemia slowly poisons the patient.this can be prevented by regular checking using a glucometer.
how to use glucometer
learn more about diabetes & glucometer
- Diabetes Risks, Symptoms, Causes, Diagnosis, and Treatment Information on eMedicineHealth.com
Learn about diabetes - causes (low blood sugar, glucose, insulin levels), symptoms, risks, diagnosis, types (i.e. type 1, type 2) and treatment options such as medication, diet, exercise, and other lifestyle changes on eMedicineHealth.com.
- Diabetes Mellitus Symptoms and Treatment : Doctor-Reviewed Information at Healthline.com
Diabetes is a chronic(lifelong) disease marked by high levels of sugar in the blood.Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both.To understand di...
- Diabetes: MedlinePlus Medical Encyclopedia
- Diabetes mellitus - Wikipedia, the free encyclopedia
- Glucose meter - Wikipedia, the free encyclopedia
a detailed discussion on glucometer
- WHO | Diabetes
look into my other hubs
- what about anxiety disorder
Anxiety is a diffuse, vague apprehension associated with feelings on uncertainty and helplessness. This emotion has no specific object. It is subjectively experienced and communicated interpersonally. It is...
- Anal itching or pruritus ani
Intractable itching around the anus may occur at any age but commonly in adult, more in men than women and more common in summer than winter and is not in itself a specific clinical entity or disease. The...
- Anal Fissure
A fissure-in-ano is a painful linear ulcer situated in the anal canal. It is a very common condition that causes suffering out of proportion to the size of the lesion. In the acute phase, the lesion is often...
- ACNE: the nightmare of adolescence
A comprehensive article on causes, symptom, management & prevention of acne
- AUTISM & DEALING WITH AUTISTIC BABIES
autism is a disorder of brain development where the patients suffer from impaired social interaction & communication. Their behavior is restrictive & repitative. Parents usually notice signs in the first...
- PSYCHOLOGICAL DEVELOPMENT OF GIRLS DURING ADOLESCENCE
Adolescence is the most critical period of human life. It is the transition period between childhood & adulthood. This is further more critical for female as they have to pass through many drastic changes in...
- BLOOD IN URINE (HEMATURIA)
Gross hematuria (visible blood in the urine) can be one of the most frightening symptoms experienced by a patient. If encountered for the first time, a patient will notuncommonly consider it to represent an...
- HORMONE THERAPY FOR ACNE PATIENTS
an overview on hormonal therapy for acne patients.