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Monitoring Blood Glucose Levels for People with Type 1 Diabetes

2024/09/27

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The importance of knowing your blood glucose levels​ 

Regular monitoring of blood glucose levels has many advantages. The readings help you to: 

  1. Understand how your body responds to various factors such as diet, insulin, physical activity and stress 
  2. Make better decisions on a day-to-day basis, to maintain blood glucose within an optimal range 

The glucose data also enables your healthcare team to provide more effective support for you.  

Methods of monitoring blood glucose levels: 

  1. Finger-prick testing 
  2. Flash glucose monitoring 
  3. Continuous glucose monitoring 
  4. Glycated haemoglobin (HbA1c) testing 
In general, individuals with Type 1 Diabetes find flash glucose monitoring or continuous glucose monitoring more beneficial than occasional finger-prick testing. 

Discuss with your healthcare team how to make the most of your glucose data, and what your personalized blood glucose targets should be.

Targets may vary depending on individual circumstances. For instance, a higher target may be set for those experiencing frequent hypoglycaemia. On the other hand, lower targets may be advisable for those who are pregnant or planning to conceive.
Finger-prick Testing

This method involves obtaining a blood sample to measure glucose levels at a specific moment using a glucose meter. Further information on utilising a glucose meter can be found here

Here is an example of blood glucose targets for finger-prick testing:

TimingTarget
 Before meals 4 to 7 mmol/L
2hours after a mealLess than 10 mmol/L
 Before bedtime 6 to 8 mmol/L

Blood glucose targets vary from person to person. Your healthcare team will work with you to determine your individual targets. 

Flash glucose or continuous glucose monitoring sensors

These devices measure glucose levels via a sensor placed under the skin. They measure glucose levels in the interstitial fluid at frequent time intervals, without you having to prick your fingers frequently. 

These sensors offer real-time insights into glucose levels fluctuations throughout the day (Figure 1). Some sensors might require calibration with daily finger-prick glucose testing.

Example of continuous or flash glucose monitoring reading

A key feature of these sensors is the ‘time-in-range’ metric, representing the percentage of time your glucose levels remain within the target range. To track your time-in-range, first ensure that you have entered the correct target glucose range into the system.


For example, a goal might be to spend over 70% of time within a target range of 4-10 mmol/L and less than 5% of the time below 4 mmol/L. 

RangeGlucose LevelTarget
 Time above rangeAbove 10 mmol/L  Less than 25%
 Time in range4 to 10 mmol/L  Above 70%
Time below rangeBelow 4 mmol/LLess than 5%

 

For additional details on flash glucose monitoring, click  here

HbA1c (Glycated hemoglobin)

HbA1c is a laboratory test conducted every three to four months at a clinic. It estimates your average blood glucose over this period and is reported as a percentage (%) or mmol/mol.

HbA1c targets typically range from 6 to 7%. Sometimes your healthcare team may set a higher target for you due to individual factors or lower if you are planning for pregnancy.

Unlike finger-prick testing or glucose sensors, HbA1c provides a single reading each quarter, offering a broad overview rather than detailed daily or moment-to-moment glucose levels.  

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