Diabetes

Tips for Checking Blood Sugar

General Guidelines

Here's when to check your child's blood sugar level:

• Check before meals and bedtime, a minimum four times per day.
• If you suspect that your child has a low blood sugar level.
• Before and after exercise.
• When ill.
• Two hours after the start of a meal, if before-the-meal results don't match Hb AIC (a measure of three month blood sugar levels).
• During the night. This is particularly important if your child had a low blood sugar level during the day, exercised more than usual, made a change in the insulin dose or has been ill.

Steps for Checking Blood Sugar Levels

A health care professional will teach you and your child how to properly use a blood glucose meter.

1. Clean hands with soap and water. Make sure the finger is dry before obtaining the blood sample. Wet fingers can alter the value.
2. Prick the side of the fingertip. The forearm also can be pricked with certain meters using a lancet device. Do not use the forearm if you suspect a low blood sugar or when the blood sugar is rapidly changing, such as after meals or exercise.
3. Insert strip into meter.
4. Obtain a drop of blood.
5. Apply the drop of blood to a test strip.
6. Read the result. Write the result in a logbook. Bring meter and log book to all doctor visits.

Suggested Glucose Target Ranges

The American Diabetes Association (ADA) published a position statement for 2005 on the standard of care for children with type 1 diabetes. Below is a table with the ADA's recommendation on age specific blood sugar goal ranges. Blood glucose goals should be higher than those listed below for children who have frequent cases of hypoglycemia or low blood sugar levels and don't experience the associated signs and symptoms.

Your child's diabetes health care team will recommend an individualized target range for blood sugar levels. The general goal is to maintain as normal as possible sugar levels without causing frequent low blood sugar. Research has shown that in children under the age of 6, frequent severe low blood sugar levels may result in neuro-cognitive deficits -- or problems related to intellectual ability -- so target ranges are higher in this age group.

Adolescents should strive to achieve similar target sugar ranges as adults. However, this may be difficult because of higher hormone levels, such as growth hormones, which counteract the effects of insulin. If your child's sugar levels are in the ranges listed below at least 50 percent of the time, then sugar control is considered reasonable. If sugars levels exceed the range more than 50 percent of the time, then sugar control is not optimal and the diabetes plan should be changed.

Plasma Blood Glucose Goal Range

Reviewed by health care specialists at UCSF Children's Hospital.
Last updated May 8, 2007

This information is for educational purposes only and is not intended to replace the advice of your doctor or health care provider. We encourage you to discuss with your doctor any questions or concerns you may have.