Glucose Testing Glucose Monitoring Blood Glucose Interstitial Glucose

Glucose Testing

Glucose Monitoring Blood Glucose Interstitial Glucose The child can continue wearing an interstitial glucose testing device while in hospital however this must not be used to make clinical decisions. Only blood glucose testing will be used.

Targets are important • Blood glucose between 3. 9 and 6. 9 mmol/l • Hb. A 1 c 48 mmol/mol • Average blood glucose reading on meter less than 8 mmol/l • Optimal Glycaemic control reduces risk of complications • Short term – Hyperglycaemia /Diabetic Ketoacidosis or Hypoglycaemia • Long term – Retinopathy, Nephropathy, Neuropathy

Blood Glucose Testing for in-patients • Pre- prandial + 2 hour post prandial breakfast, lunch, dinner • The 2 hour post prandial test will ideally coincide with mid morning, mid afternoon and bedtime snack • 4 hourly overnight unless otherwise directed • For example • 0800. 1000. 1200. 1400. 1630. 1930 2200. 0000. 0400 • EXCEPTION – patient on DKA protocol, hypoglycaemia – hourly testing

Recording – Ward Chart Date Blood glucose Urine ketones Sliding Scale Insulin (ml/hr) Signature 0000 0100 0200 0300 0400 0500 0600 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 2300

Recording – Home Glucose Diary

Practical example of Blood Glucose Testing • Please click on the following link to access a practical video on how to conduct a blood glucose test.