Checking blood sugar is a habit that must be formed

If you don’t know there is a problem how can you fix it?  Checking blood sugar for a diabetic is mandatory.  This applies to both Type I and II diabetics.  I check my blood sugar at least 8 times per day. I do this to allow me to closely monitor my blood sugar level.  As a disciplined diabetic, I run the risk of low blood sugar episodes more frequently that a normal diabetic.  By checking myself this often, I am constantly able to calculate the level of insulin and food intake needed for the upcoming events of my day.  Stress from work or life as an adult diabetic causes my blood sugar to drop.  However, low blood sugar is only a short-term hazard of diabetes.  The real culprit of diabetes and blood sugar is elevated blood sugar for extended periods of time.  Elevated blood sugar is the root cause of many of the more severe side effects people associated with diabetes.  Just a few of which are cataracts, retinopathy, kidney disease, nerve damage in fingers and toes, heart and blood vessel diseases and periodontal (gum) disease.

The first reasons diabetics have always given when attempting to justify why they do not check themselves regularly is that the testing is painful.  I agree pricking your skin to squeeze blood is nobody’s ideal scenario.  However, I have found that my fingers have formed calluses that reduce the pain and I choose to see the benefits that constant monitoring provide.  I live my life as I choose.  I know that by doing so and making the appropriate decisions on a minute-by-minute basis that this is the least amount of pain I will have to endure when compared to the opposite reaction ensured by not checking consistently.  Kidney dialysis, heart attacks and loss of fingers, toes and eyesight are just the first in a painful list that comes to mind.

The discipline of checking blood sugar requires can be challenging for the typical diabetic.  An additional reason for not checking blood sugar is the cost.  Testing blood sugar a minimum of 3 times per day can cost on average $3, or $1 per test strip without insurance.  Many diabetics use this excuse or the fact that they do not have insurance to help cover the cost of diabetic supplies like test strips.

In this life you need air, food water and test strips.  A diabetic that wants to lead a normal life and partake in their share of love, children, work, money and good times has to accept the fact that this disease will kill you, if unmanaged.  All the pain or expense you think you are avoiding by not checking your blood sugar regularly is simply delayed and compounded until the disease simply overtakes your body.  In many cases leaving loved ones with the financial burden your mistreatment of your disease created.

My life it is simple prioritization of options presented.  I choose to pay the cost of test strips and forego nicer clothes, car or home so that I can leverage time and my abilities.  I have learned that by managing my disease and not giving in to the constant upgrades or life supper-size opportunities that I ultimately achieve what other people expect and demand right now. Diabetics can’t afford to be spoiled when it comes to managing the disease.  In short, regardless of your financial situation, diabetes has to take priority over anything other than air and food.  The first is free so quit making excuses.

Checking blood sugar is a habit that must be formed.

Trey Stephens is a diabetes advocate who blogs at Outlaw Diabetic.

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  • Susan Czarnecki

    I, too, am a very disciplined diabetic. My neuroendocrine cancer and treatments have a profound effect on my diabetes. I was testing 8x/day and keeping my A1C @6.2-6.9. Then I turned 65 ! Medicare, effective Jan2011, began demanding a monthly log be sent to CVS every 6 months. Not impossible, I thought and complied. In the middle of recovering from my 80% liver resection with major complications, I ordered a refill of diabetic supplies. I was told my insurance was canceled, no explanations. MUCH panic, after 5 days my husband recalled that 3 mos previously we had submitted the log to CVS, and had no proof they received it. I called, sure enough, CVS claimed they did not receive the log and  therefore canceled my insurance ! Actually, calm down she said, it is “just your prescription coverage” we canceled.  I fell apart into tears. Sobbed harder when she went through their fax history and found my logs ! Oops, sorry, your coverage is reinstated ! This was a girl in her 20′s working from her home making this decision. Not a pharmacist or even a pharmacy tech ! She had no concept of the consequences of just canceling someone’s drug coverage. She just followed her flow sheet. I talked with my endocrinologist and found testing 3x/day did not require reporting to CVS. This is only required in insulin dependent diabetics, Avandia, Actos, do what you want. So I have bought one box of test strips($ 334.00/box) to go with the 3 strips/day Medicare allows me and when I am unstable, I pay my own way. But this scenario plays out in all aspects of care and quickly becomes overwhelming and unmanageable. Hard enough when you are responsible only for your care, but can quickly become a nightmare when it involves others. Self discipline is extremely important,yes, but many,many, other factors come into play.

  • Daniel Rosenberg

    Home glucose monitoring is likely essential in type 1 diabetes and for type 2 diabetics using insulin, but the evidence suggests there’s little point in most type 2 diabetics doing home glucose monitoring. See Simon J et al. Cost effectiveness of self monitoring of blood glucose in
    patients with non-insulin treated type 2 diabetes: Economic evaluation
    of data from the DiGEM trial. BMJ 2008 Apr 17; [e-pub ahead of print]. (http://dx.doi.org/10.1136/bmj.39526.674873.BE), as well as
    Is Self-Monitoring of Blood Glucose Appropriate for All Type 2 Diabetic Patients?

    The Fremantle Diabetes Study (http://care.diabetesjournals.org/content/29/8/1764.full?linkType=FULL&resid=29/8/1764&journalCode=diacare).

  • http://www.outlawdiabetic.com Trey Stephens

    Inaction is truly the culprit I am speaking out against.  Yes, the research you provided suggests that Type II diabetics monitoring their blood glucose do not benefit.  I would suggest that this research doesn’t convince me that Type II diabetics couldn’t benefit.  Correct me, but Type II diabetics became diabetic in most cases as a result of diet and less exercise.  All the research you referenced confirms is that Type II’s that do check themselves are not taking appropriate response to what the blood sugar test is telling them. 

  • http://www.facebook.com/people/Natalie-A-Sera/743004321 Natalie A. Sera

    Right on, Trey! Although for a family or individual that is having trouble paying the rent (shelter is ALSO a necessity) the $3 a day, which amounts to $90 or $93 a month may well be unaffordable. I really feel that at least BG strips should be made free to diabetics, because they ARE so important. Medicare takes care of disabled people of all ages; why shouldn’t they make the effort to PREVENT those disabilities for people who have no other coverage? Why isn’t prevention of diabetes complications for the already diagnosed as important as preventing diabetes in our national health consciousness?

    • http://www.outlawdiabetic.com Trey Stephens

      Natalie, at $4,500 annually per diabetic in direct medical expense you would think preventing diabetes complications would be a higher priority for roughly 25 Million US diabetics and insurance companies.  This amounts to over $150 Billion annually spent on treating already diagnosed diabetics. In an a health care system struggling to keep up you would believe somebody would pay attention to $1 out of every $8 health care dollars going towards diabetes.  

      On a lighter note, I know that the the largest retailer in the world has a private label brand of test strips that I have used with good result that costs approximately $0.33 per test strip. You might look into these. Reli-On is the brand name.