Resources
Alan S's advice to newbies on using the lancet:
Wash your hands in warm water first, and shake them to get the circulation going. Check your lancet - it should be adjustable. Mine is Soft-clix, made by Roche and is usually painless. I get an occasional tiny sting, and it lets me know if it's getting blunt sometimes, but I've tested close to 3500 times in the past 2 1/2 years without any trauma. That's from a guy who was, and is, needle-phobic.
Start with the second lowest setting (1 or 1.5), hold it firmly against your skin on the side of a finger near the tip. Don't flinch when you release the button. The button releases a spring-loaded tiny needle which makes a tiny hole in your skin and instantly retracts. Incidentally, using the sides has two advantages - there are less nerve-ends than on the pads, and it doubles the number of test-points so you can rotate through the positions.
Massage gently (milking a cow) until a drop of blood forms sufficient to put on the test strip. If this setting doesn't provide an adequate quantity, move the lancet setting up one notch for the next one. If you got a large sample and it hurt a little, go to the lower setting.
And that's all there is to it. Sometimes it helps to shake your hands a little more, or warm them up if it's cold. The manufacturers advise changing the lancet needle every time; I change mine when I remember or if it gets a bit blunt – that's about once a month or every 150 tests
🙂 You do what you are comfortable with.
Cheers, Alan, T2, Australia.
Glossary
BG level – a measure of the amount of glucose in your blood stream at any given time; measured as mg/dL [milligrams per deciliter] in the USA, and as mmol/L [millimoles per liter] in the rest of the world.
BG test meter – a small computerised machine for measuring the amount of glucose in your bloodstream at the moment the sample is taken.
BG test strip – the bit to which you apply a drop of blood that the BG test meter then analyzes to give you your current blood glucose level. These are expensive, and many surgeries are reluctant to prescribe them in appropriate quantities.
FBG – Fasting Blood Glucose: name applied to the first BG reading of the day, ideally taken immediately after getting up.
Glycaemic Index [GI] – a ranking of carbohydrates based on their immediate effect on blood glucose (blood sugar) levels. It compares foods gram for gram of carbohydrate.
Glycaemic Load [GL] – provides a measure of the impact on blood glucose of a given amount of a food. For example, if a food has a Glycaemic Load of 6, it will give the same blood glucose response as 6 grams of glucose.
HbA1c – the Glycosolated Haemoglobin A1c blood test measures the number of glucose molecules attached to haemoglobin, giving an average blood glucose level over the previous three to four months
Hypo – (a) a drop in blood glucose level below 4 mmol/l; (b) a large drop in blood glucose level in a short period of time
Spike – a sudden rise in blood glucose level, so called because it looks like a spike when plotted on a graph
Urine test strip – diagnostic stick that is dipped into a urine sample, and the colour change is compared to a colour chart on the container. It tells you what your approximate blood sugar level was several hours ago, and therefore is of little use in managing your BG levels; however, these may have some use in testing unknown foods [such as a restaurant meal], according to Dr Bernstein [see Resources]
Resources for the new diabetic (most of the links still work, but not all)
The various resources listed below are only a few of those available, but they are the ones I found most helpful in the early days. All opinions are my own, based on my experience.
Books:
Becker, G: The First Year: Type 2 Diabetes
Berstein, RK: Dr Bernstein's Diabetes Solution
Rubin, AL: Diabetes for Dummies
I think the Becker book should be required reading for all T2 diabetics. The other two deal with both type 1 and type 2 diabetes. Bernstein gives excellent explanations of diabetes, but is a bit of a hard read. The Rubin book is more readable and has a lot of useful information, but recommends the high-carbohydrate diet that is recommended by the NHS, rather than one tailored for individual needs.
Internet resources:
This is the fastest, easiest way to get the info you need. If you do not own a computer, it would be well worth using an internet cafe to access these resources. Many local libraries have computers that you can use for free or at low cost, but you may need to book to use them. If your son/daughter is the computer geek in your family, get that person to show you how to navigate your way around the net.
Two words of warning: There are a lot of snake-oil salesmen out there, trying to sell you miracle cures for everything, including diabetes. Some of them are very good at looking good. Take your time, think about what's being said, compare what one site says to others, ask in the support group [see below] if anyone has any experience/knowledge/opinion about particular sites; before too long, you'll be sniffing out these conmen with the best of them. There are also a lot of nutcases out there; these are usually fairly obvious.
My favourite Usenet support group
alt.support.diabetes.uk, also known as ASDUK. This has been the single best source of information and support I've come across. If you can't [or don't know how] to get into Usenet groups, they're also accessible through Google Groups: go to
www.google.com, click on Groups, type alt.support.diabetes.uk into the box, then click on the Google search box.
Diabetes information websites
David Mendosa's diabetes web pages:
http://www.mendosa.com/index.html
[American site, uses the American system of measurements]
For a review of blood glucose meters:
http://www.mendosa.com/meters.htm
For information on the Glycaemic Index:
http://diabetes.about.com/library/mendosagi/nmendosagi.htm
Joslin Diabetes Centre website
http://www.joslin.harvard.edu/main.shtml
[American site, uses the American system of measurements]
Medscape's diabetes & endocrinology home page:
http://www.medscape.com/diabetes-endocrinologyhome
aimed at medical professionals
The Flying Rat Online Emporium
http://www.flyingrat.net/
for Health Diabetes Software
To work out how many calories you need daily to maintain your current weight:
http://www.wxrx.net/Calculators/CalRequire.html
To work out how much protein you need:
http://www.geocities.com/jenny_the_bean/proteincalc.htm
For another approach to dealing with obesity and diabetes:
http://www.tucana.demon.co.uk/diet.htm
To find out what all the various lab tests are about:
http://www.labtestsonline.org.uk/