Wednesday , December 13 2017
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Video Call Reveals Cause of Elevated BG

I had a type 2 patient on metformin whose blood sugars were elevated every day at lunchtime. All of his other readings including fasting, pre- and post- dinner, and bedtime, were fine. When he demonstrated his testing method over a Skype internet video call, everything he did seemed correct. After much discussion of his blood testing procedures still turned up nothing, he happened to mention that he ate a peanut butter and jelly sandwich every day. We adjusted for his carbohydrate intake but his blood sugars were still too high for what he was eating. I decided to call him via Skype prior to lunch and observe him make the sandwich. He tested his blood sugar just before eating the sandwich and that was when we discovered the problem….

Because we were using Skype, I could see exactly what he was doing. My patient was licking his fingers after making his peanut butter and jelly sandwich, and then doing a blood sugar test. Jelly residue on his fingers was getting mixed with his blood and so the glucose meter was showing a much higher blood sugar level because of the added sugar from the jelly.

Lesson Learned:

Using new technology to place the patient in front of me and viewing his procedure enabled us to figure out why his blood sugars were showing up as so high. This procedure could be used by many of our patients when they have problems that cannot be solved through discussion on the phone or meeting outside the patient’s home environment.

Susan, NP, CDE

Copyright © 2014 Diabetes In Control, Inc.

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