Diabetes Monitoring & the Dietitian

Diabetes Monitoring & the Dietitian

November 7, 2019 0 By William Morgan


As a dietitian you will get many
questions regarding diabetes and
monitoring. You may think you’re only
supposed to teach about the nutrition,
but it is best if you have a basic
understanding about monitoring, the best
time to monitor, and even just a basic
monitoring kit. Your patients your
clients and those in the community
around you
will have questions about diabetes. Many
many people are developing it and very
few have an understanding of what to do
with their monitoring values and what’s
known as diabetes self monitoring. So
this is what we’re going to talk about.
In addition to your Lancet device and
Lancet needles and alcohol pads, you also
can see at the top of the picture on the
left a canister. Inside of the canister
are the strips. Always check the date to
ensure they are not expired. And lastly
the meter, as with any other electronic
device keeping it from extremes; extreme
hot and extreme cold will extend the
life of your meter. Every meter is a
little bit different, but they have the
same basic concepts. Once you become
familiar with one, you will understand
them all. So now that we know what a
basic monitoring kit looks like, the
question to ask is when to monitor. You
will get this question often. Your first
answer is going to be what did your
doctor tell you to do? Your second answer
will be what does your insurance cover?
Third answer is at least once a day
varying the times in which you take them
during the day. So for example on day one
you can take a fasting blood sugar, on
day two take it at a different time. The
reason behind monitoring is to identify
patterns and if your patient, client, or
friend is taking their blood sugar at
the same time every day because the
doctor instructed once a day; all they
really know is what their blood sugar is
doing at that time of the day. The
purpose of monitoring is again to
identify patterns, so take your blood
sugars at varying times through the day
and record them. Now let’s talk about
blood sugar values. There’s high and low
blood sugar or hyperglycemia and
hypoglycemia. There’s many reasons as to why you would have either one of these.
We will dive more into hyper and
hypoglycemia in the podcasts and
lecture videos, but for now this is a
great introduction into just basic
monitoring.