Diabetes Cure
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DIABETES diabetes management

Guidelines for Glucose Monitoring During Pregnancy

Recommendations

1. Check blood sugars before meals and at bedtime (4 times per day).

2. The doctor may also want you to check 2 hours after eating and/or 3:30 a.m.

Checking throughout the day will help to make sure that if the blood sugar level is too high or too low, it can be corrected quickly.

GUIDELINES FOR KETONE TESTING

Recommendations

1. Test for ketones first thing in the morning (fasting). Call your doctor or health care provider if you have MODERATE TO LARGE KETONES.

If your blood sugar is normal and you have moderate to large ketones, you may need more food or calories before bedtime. Be sure your doctor or health care provider is notified.

2. Test for ketones when your blood sugar is > 140 (some doctors prefer > 200) or when you are ill. Call your doctor or health care provider if you have MODERATE TO LARGE KETONES.

If your blood sugar is high and you have moderate to large ketones, this may indicate that you need more insulin or may need to be placed on insulin.

CALL YOUR DOCTOR

If your results are frequently above your target range or If blood sugars are always greater than 140 mg/dl and/orYou have moderate to large ketones or You have signs and symptoms of hypoglycemia more than twice in one week.

Treating Hypoglycemia During Pregnancy

Signs and Symptoms of Hypoglycemia - Low Blood Sugar

Shaky Cold sweat

Headache Dizziness

Irritability Drowsiness

Difficulty talking Blurred vision

If possible, check blood sugar and treat immediately!

If you are feeling really bad and are sweating a lot, you may take your treatment first, and then check your blood sugar.

If you become hypoglycemic (have a low blood sugar) you must begin treatment immediately.

If your blood sugar is 50-70 mg/dl

1. Drink one 8 oz. glass of low fat milk or take 2-3 glucose tablets.

2. Wait 15 minutes and test blood sugar again.

3. If your blood sugar is still < 70 mg/dl, drink a second glass of milk, or take more glucose tablets to reach your desired goals.

(Note: one glucose tablet will increase your blood sugar by about 20 points.)

4. Wait 15 minutes and test blood sugar again.

5. If your blood sugar is still < 70 mg/dl, eat a slice of bread and drink a third glass of milk, or take more glucose tablets. (Repeat the treatment.)

If your blood sugar is < 50 mg/dl

1. Drink 1/2 cup of orange or apple juice or 1/3 cup of grape juice or take 2-3 glucose tablets.

2. Wait 15 minutes and test blood sugar again.

3. If blood sugar has not risen by 20 points, repeat the treatment.

4. Continue to take a simple glucose, such as juice or glucose tablets until your blood sugar is above 70 mg/dl.

5. If it is going to be more than 1 hour before your next meal, eat

a. a complex carbohydrate, such as a piece of bread or 6 saltine crackers PLUS

b. a protein, such as 2-3 oz. of cheese, sliced ham or chicken, or 2 tbsp. of peanut butter.

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