Diary of Self-Control in Diabetes: Sample
Diabetes self-monitoring diary is the source of the necessary information directly for the patient himself, caring for him people, as well as for the doctor. It has long been proven that people with this disease live quite comfortably, since diabetes can be controlled.
Why do I need a diary?
To learn how to properly correct therapy, which includes physical activity, diet, dosage of insulin preparations, and correctly assess their condition - these are tasks of self-control. Of course, the leading role in this process is assigned to the doctor, but the patient who consciously manages his disease, achieves good results, always owns the situation and feels more confident.
A diabetic diary or self-monitoring diary will be unmistakably taught in special schools, which are available in every polyclinic in the city. It is useful for patients with any type of disease. Filling it, it should be remembered that this is not a routine job, time-consuming, but a way of preventing serious complications. U
What should I write in my diary?
You need to fix the information, the analysis of which will reduce the risk of complications or improve the patient's condition. The most important are the following:
- glucose level. This indicator is fixed before and after meals. In some cases, doctors ask patients to specify a specific time;
- time of administration of insulin preparations;
- if there was hypoglycemia, then make a mark;
- in some cases, therapy with antidiabetic tableted drugs for type 1 diabetes is possible.
- before the stabilization of glucose is described in detail nutrition;
- in the treatment of insulin preparations, bread units are indicated;
- to increase the body's need for glucose leads to physical activity, which contributes to the accelerated production of insulin, so in the diary of self-control for type 1 diabetes, type of load and its duration;
- blood pressure results with time;
- changes in well-being;
- increase or decrease in body weight;
- concentration of acetone in urine;
- women need to mark the dates of critical days;
- and some other factors that your doctor is recommending.
Types of diaries
There are several options for maintaining self-monitoring diaries for diabetes:
- a regular notebook or notebook with drawn graphs;
- is a ready-made template variant, printed from the Internet. It is designed for a month, so this action must be performed as it is completed;
- various electronic variants of tables;
- special programs that are adapted for patients with diabetes to monitor their condition;
- application for smartphone.
Internet applications for self-management in diabetes mellitus
Currently, there is a large selection of programs for this category of patients. They differ in functionality and can be either paid or free. Modern technologies make it possible to simplify the maintenance of diary of self-control in diabetes mellitus, and also, if necessary, consult with the treating doctor, sending him information from the diary in electronic form. The programs are installed on a smartphone, tablet or personal computer. Let's consider some of them.
Represents an online diary of self-control of maintaining a diet and hypoglycemia. The mobile application contains such parameters:
- body mass and its index;
- consumption of calories, as well as their calculation using a calculator;
- glycemic index of food;
- for any product is derived nutritional value and indicated the chemical composition;
- diary, which makes it possible to see the amount of proteins, lipids, carbohydrates delivered to the body, and also to calculate calories.
With a sample diary of self-control in diabetes mellitus can be found on the manufacturer's website.
This universal program provides the opportunity to use it for any type of diabetes:
- at the first - helps to determine the dose of insulin, which is calculated based on the level of glycemia and the amount of carbohydrates delivered to the body;
- at the second - to reveal deviations at an early stage.
Self-monitoring diary for gestational diabetes
If a pregnant woman has this disease, she needs constant self-monitoring, which will help to identify the following:
- is enough physical activity and diet to control glycemia;
- is there a need for the introduction of insulin preparations in order to protect the fetus from a high level of glucose in the blood.
In the diary, the following parameters should be noted:
- the amount of carbohydrates consumed;
- dosage of insulin administered;
- blood sugar concentration;
- body weight;
- blood pressure figures;
- ketone bodies in urine. They are detected with limited consumption of carbohydrates, improperly selected insulin therapy or fasting. They can be determined with the help of medical devices( special test strips).The appearance of ketone bodies reduces the delivery to tissues and organs of oxygen, which adversely affects the fetus.
In many women, gestational diabetes passes after delivery. In case if after the delivery the need for insulin preparations is preserved, then most likely in the period of gestation the baby developed type 1 diabetes. Some women are diagnosed with type 2 diabetes a few years after the birth of the baby. To reduce the risk of its development will help physical load, diet and control the concentration of glucose in the blood at least once a year.
Diary of self-control in type 2 diabetes
The main task in this disease is a stable normalization of the glucose content in the blood. The patient is not able to sense its fluctuations, therefore only careful self-monitoring will allow to track the dynamics of this serious pathology.
The frequency of glucose testing directly depends on the sugar-reducing drug therapy, which is assigned to the patient and the level of glycemia during the day. At values close to normal, blood sugar is determined at different times of the day, several days a week. If you change your lifestyle, for example, increased physical activity, stressful situations, exacerbation of concomitant disease or the emergence of acute pathology, the frequency of self-monitoring of glucose is carried out in agreement with the doctor. If diabetes mellitus is combined with an overweight, then in the diary, you must write down the following information:
- weight changes;
- energy value of the diet;
- readings of blood pressure at least two times during the day;
- and other parameters recommended by the doctor.
The information stated in the diabetes self-monitoring diary will allow the physician to objectively evaluate the quality of treatment and timely correct the therapy or give appropriate recommendations on nutrition, prescribe physiotherapy procedures. Continuous monitoring of the disease and regular therapy of this ailment will help support the body of the individual at the required level, and, if necessary, take urgent measures to normalize the condition.