Blood Glucose Monitoring

Advances in Blood Glucose Monitoring

Blood glucose monitoring is a way of testing the concentration of glucose in the blood (glycemia). You can determine if you have low blood sugar (hypoglycemia) by using a blood glucose meter or a newer method called flash glucose monitoring. Hypoglycemia is defined as blood sugar below 70 milligrams per deciliter (mg/dL), or 3.9 millimoles per liter (mmol/L).

How to Monitor Your Blood Glucose

Traditionally, you prick your finger, put a drop of blood on a test strip, and insert it into a blood glucose meter. The glucose in your blood reacts with the chemicals in the strip. There have been new advances in continuous glucose monitoring.

Some people use a sensor inserted under the skin, called a continuous glucose monitor (CGM), to check blood sugar levels. It tests your blood sugar about every five minutes for 24 hours, and you can typically wear it for four to six days.

Others use flash glucose monitoring. Flash glucose monitoring technology allows patients to get a blood glucose reading without sticking their finger. It consists of a touchscreen reader device that displays data and trend info and a sensor patch that you wear on the upper arm.

How Does Flash Glucose Monitoring Work?

Flash glucose monitoring works by measuring the amount of glucose in the fluid that surrounds your cells (interstitial fluid) through the sensor patch. It records your blood sugar levels throughout the day, and stores the data (your ambulatory glucose profile) to help you and your diabetes healthcare team make decisions on treatments.

Advantages of flash glucose monitoring include fewer finger-prick checks and the ability to see trends, like when your sugar levels are starting to rise or drop. Disadvantages include not being able to set an alarm for low or high sugar levels, making it harder to recognize hypoglycemia. Some patients dislike wearing the sensor or get overwhelmed by the data.

In addition to monitoring your blood glucose levels, it’s important to remember that nutrition plays a large role in glucose control. Carbohydrates are what cause blood sugars to rise, whereas proteins and fats do not. Protein can help to anchor carbohydrates in a meal, preventing a large blood sugar increase.

When planning a meal, the best thing to do is centre your meal around a protein source. Next, think about filling half your plate full of brightly-coloured fruits and vegetables. If you do choose a grain product or a starchy vegetable, try to keep the portion to a fist-sized volume or less.

Talk to an endocrinologist to learn more about your options for blood glucose monitoring.

 3 Important Things to Remember

  1. Advantages of flash glucose monitoring include fewer finger-prick checks and the ability to see trends.
  2. Disadvantages include not being able to set an alarm for low or high sugar levels, making it harder to recognize hypoglycemia.
  3. In addition to monitoring your blood glucose levels, nutrition plays a large role in glucose control.