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Medicine Talk
By Nicole Madsen
If you are one of
the 12% of Native Americans who has diabetes, you have probably wondered why
it is so important for you to check your blood sugars so often. The thought
of pricking your finger (sometimes several times a day) may seem as
cumbersome as it is uncomfortable. But this tedious task is far more
important then you may think.
Diabetes
has profound effects on the blood vessels, nerves, and kidneys. Good blood
sugar control and proper use of medications can decrease the chances of
developing complications associated with this disease.
The
purpose of blood sugar testing is to ensure that the diabetic patient’s
readings are kept within the normal range. Readings outside of the normal
range may indicate a need for dietary changes or, more commonly, medication
changes. Blood sugar readings are a beneficial tool to help medical
providers adjust diabetic medications to ensure patients are getting just
the right amount of these drugs.
Other factors,
such as exercise and foods eaten during the day, are also important
components to assist providers in determining changes in therapy – here’s
why. Each diabetic medication works in a different way in the body. The
doses of these medications are evaluated and changed based on blood sugar
readings. A good example of a common medication used for diabetes is
metformin - Glucophage®.
Metformin works by reducing the amount of sugar our bodies produce. Blood
sugar readings taken right away in the morning, before meals, or at bedtime
indicate how well metformin is working for a patient. On the other hand,
glyburide - Micronase®,
works by reducing the amount of sugar in our bodies after we eat something.
Blood sugar readings taken shortly after meals indicate how well glyburide
is working. By keeping a daily log of foods consumed, exercise, and blood
sugar readings, your provider will be able to evaluate your medication’s
effectiveness. Changes can then be made to your medications to reflect your
needs.
As you can
see, different factors may contribute to medication adjustments in diabetic
patients. Blood sugar readings and the time of day the readings were taken
with respect to meals or snacks are the most important components to aid
your provider in evaluating your progress and medication regimen.
Stop in to the
pharmacy for a logbook or meter teaching. We are always available to answer
any questions you may have.
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