Stephen J. Schueler, M.D.

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Nephropathy Diabetic Self Monitoring

An important part of the successful management of diabetic nephropathy is close monitoring of blood sugar.

Blood Testing for Glucose

  • Monitor your blood glucose as directed.
  • Learn to use your glucose monitor correctly.
  • Daily home glucose monitoring is essential.
    • Try to keep your glucose level before meals between 70-110 mg/dl.
    • Two hours after meals, your glucose level should be less than 140 mg/dl.
  • Check your blood sugar before operating a motor vehicle. Raise your blood sugar level by eating, if it falls below 70 mg/dl.
  • Carefully monitor your blood sugars when you are ill. Blood glucose increases when you are ill or have an infection.

When to test your blood glucose:
  • Before meals
  • Before bedtime
  • 1-2 hours after meals
  • 2-3 A.M., at least one night per week

Other reasons to test:

Urine Testing for Ketones
In the past, urine testing was very useful and important. With the advent of rapid blood sugar testing, urine testing is rarely performed. The main reason to perform this test is to check for early ketoacidosis. Small or trace ketones may mean nothing, or represent the beginning of ketoacidosis. If you find this result, then perform the ketone test again in several hours. Notify your physician immediately if you have moderate to large ketones in your urine.

Continue to Nephropathy Diabetic Taking Control

Last Updated: Nov 6, 2008 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Nephropathy Diabetic References
  1. Olson DE, Norris SL. Diabetes in older adults. Overview of AGS guidelines for the treatment of diabetes mellitus in geriatric populations. Geriatrics. 2004 Apr;59(4):18-24. [15086070]
  2. Shlipak M. Diabetic nephropathy. Clin Evid. 2004 Dec;(12):814-33. [15865682]
  3. Thorp ML. Diabetic nephropathy: common questions. Am Fam Physician. 2005 Jul 1;72(1):96-9. [16035688]
  4. Wittmann I, Molnar GA, Degrell P, et al. Prevention and treatment of diabetic nephropathy. Diabetes Res Clin Pract. 2005 Jun;68 Suppl1:S36-42. [15955373]
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