Our April meeting on April 11 turned
out to be more relaxed than I thought it would be. Jason had
received the materials from Brenda and was ready to have the
presentation. First, Tim had Brenda's daughter give us an update on
Brenda's progress and recovery. Brenda has returned home, but has a
full-time nurse and other people coming in during the weekdays for
physical therapy and speech therapy. Then Tim introduced the new
person, Joyce and asked for a vote for membership. The voice vote
was unanimous and Jason was given the floor.
Learning how to interpret blood glucose
readings is the topic and Jason felt with what he and Brenda had
prepared before the heart problem, we should understand more about
our food intake or reducing foods or eliminating some foods from our
menu. Jason continued that by using the health logs to adjust
medications if the doctor allowed or recommended this for certain
illnesses, it should be possible if we understand our blood glucose
readings.
Tim brought up the first slide which
explained the necessity of testing before a meal and testing at
various times after the meal. The before meal test (preprandial
test) should be determined by the type of medication being taken.
Oral medications can vary on how quickly the medication takes effect
and the same applies to insulin.
The after meal test is more variable
and depends on the medication, the individual, and the food consumed.
Only testing will help you decide the best time to test
postprandial. Jason said his best time is about 2 hours after last
bite and I know that several of you test about 90 minutes after first
bite and a few test at 90 minutes after last bite. Others test a one
hour after first or last bite. All times are fine and only you can
determine this from tests. The one warning Jason stated is being
consistent with first or last bite.
Jason then said that he tested every 15
minutes after last bite to determine when he had the highest blood
glucose reading and stopped when he had the reading start down.
Jason said to do this with several different meals and many different
food combinations. Most were all near 2 hours when his blood glucose
levels peaked.
Jason said that without the twin tests,
preprandial and postprandial, one reading is worthless as it does not
tell you what the increase in blood glucose levels are and you
will not know what foods or food combinations may be causing the
spike in blood glucose levels.
Then Jason asked if we wanted him to
cover hypoglycemia and hyperglycemia since Bob has written about
both? Only one person said he would still want it talked about. Tim
asked if the resources I had used were part of what Brenda and Jason
had prepared. Jason answered that I have been part of the discussion
and much of what I had written was from the same sources.
Jason said several of what they had
came from my blogs and they had borrowed the book that I used. Gale
asked to speak and said she would like to work with the person that
wanted Jason to cover the topics as she felt that if she could get
their notes and use my blogs, she could explain it to her. The
person said she would accept that, as she was the only one that felt
there was something she missed and at the same time did not want to
hold the group back.
Tim asked Jason and me if we would
supply information and answer questions Gale had that would help.
Both of us said we were available by email or telephone to assist if
needed. Our newest member, Joyce, who had joined that evening, asked
if she could participate since she was not aware of what had been
covered in my blogs. She admitted that she did not understand the
terms other that she was guessing that one was about having lows and
the other about having highs from something the doctor had talked
about when she was still in shock from her diagnosis.
Gale agreed and thanked her for
speaking up. Tim asked if anyone else would want to do this. No one
spoke up and Tim asked Stan, who had joined the previous meeting, if
he was having any problems. Stan said that my blogs were what he
needed and had read many of them. He continued that the blogs on the
complications were what he needed and he was asking me questions that
he had, and I was helping him gain confidence in researching
different topics.
With that, Tim ended the meeting.
Several people gathered around Gale and Tim decided to let that
happen. I was ready to leave and several of us headed home.
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