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Blood glucose
 
If you have been diagnosed with diabetes, it is important that you regularly monitor the level of glucose (sugar) in your blood as high blood glucose is indicative of insulin deficiency and the body's inability to 'control' glucose. Regular monitoring of the changes in your blood glucose levels can help you, with input from your doctor or a specialist, best manage your diabetes. 
 
If you have not been diagnosed with diabetes, but are experiencing any of the following symptoms – tiredness, constant thirst and the frequent need to urinate – you should speak with your doctor who will advise you whether you need your blood glucose levels checked. 
 
Your blood glucose level (sometimes known as your serum glucose level) is measured in millimoles per litre (mmol/l). Your blood glucose level goes up and down throughout the day, based on the food you eat. Normally, before meals the level of glucose usually stays within 4 to 7 mmol/l; this rises up to 10 mmol/l an hour or two after meals. It's important to note though that if you have diabetes which hasn't been diagnosed and treated, your blood glucose level could rise well above 10 mmol/l. 
 
Knowing your numbers 
Diabetes UK currently recommends the following ideal values: 
 
  • 4 to 7mmol/l before meals 
  • less than or equal to 10mmol/l two hours after meals
 
If you have diabetes, your blood glucose level will sometimes move outside these limits, which is why you have to make sure you keep an eye on your levels. 
 
Measuring your own blood glucose 
Your doctor or specialist will advise you on how often you need to measure your blood glucose level, which will depend on the type of diabetes you have, and any treatment you have been prescribed. It is likely, however, that this will be at least once a day, usually either before breakfast or at bedtime. Sometimes it may also be necessary to measure your blood glucose level before meals. 
 
There are many types of blood glucose level testing kits available. These usually consist of a test strip and a measuring device. Your pharmacist or a diabetes clinic nurse will be able to advise you on the best device for your needs.


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