I got one the week after I was dx with Pre-Diabetes (I'd been dx with PCOS and IR about 15 years earlier than that).
I bought my first one because I read Blood Sugar 101, and wanted to see what my meals were doing to my blood sugar.
Then, my doc sent me to diabetes education (2 -day seminar), and prescribed a meter and strips. We learned to use the meter in the class, along with a bunch about the disease, medications, food, and lifestyle issues.
I definitely think it was worth getting. NOTHING but seeing those numbers climb after a carby meal has been able to hit home the reality of my insulin resistance. NOTHING has helped me stick with a low-moderate carb plan like testing after a carby meal "Just to see if I'm still pre-D..." And of course, I am.
NOTHING else has helped me stand up to those who suggest "Oh, you should eat something healthy like oatmeal for breakfast!". It's not my opinion. It's not my doctor's opinion. It's not some study or article online. It's a cold, hard meter number that shows that oatmeal for breakfast is NOT GOOD FOR MY BLOOD SUGAR! It may be fine for you. It may be great for Sue down the street who has diabetes 2 and is on insulin. It is NOT GOOD FOR ME. And I can prove it, because I use my meter.
I tested a lot at the beginning, when I was developing a repertoire of "safe" meals and foods that didn't spike my blood sugar. Basically I did breakfasts first (because I'm happy with only a handful of meal options that I eat over and over). Then I ate those safe breakfasts while I experimented with lunches. Once I knew what I could eat for lunch, I began working on dinners, which are much harder because there is SO much variety (especially when you eat out a lot!).
Now, I only check my fasting once in a while, and post-meal when I've eaten out or eaten more carbs than I expected. (Like last night's Seder meal... who knew matzoh has THAT much carb??!)
Anyway, I highly recommend that anyone with PCOS or IR get and use a blood sugar monitor. See what your reaction is to the foods you eat. It may not be a huge thing (remember, I didn't begin using one until I was pre-D), but it may be eye-opening.
And if nothing else, a test now and then can help you see if you're creeping up into pre-D territory. It's a way of being pro-active in your health.
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