{"id":7432,"date":"2024-05-21T14:03:17","date_gmt":"2024-05-21T14:03:17","guid":{"rendered":"https:\/\/www.jdrf.org\/socentralohio\/?p=6496"},"modified":"2025-10-10T00:46:47","modified_gmt":"2025-10-10T00:46:47","slug":"blood-sugar-balance-with-kristie-lambert-evolution-of-diabetes-glucose-monitoring","status":"publish","type":"post","link":"https:\/\/www.breakthrought1d.org\/southernoh\/2024\/05\/21\/blood-sugar-balance-with-kristie-lambert-evolution-of-diabetes-glucose-monitoring\/","title":{"rendered":"Blood Sugar Balance with Kristie Lambert &#8211; Evolution of Diabetes: Glucose Monitoring"},"content":{"rendered":"<p><em><strong>The content below is provided by Kristie Lambert, MSN, APRN<\/strong><\/em><\/p>\n<p>K<a href=\"https:\/\/www.breakthrought1d.org\/southernoh\/wp-content\/uploads\/sites\/138\/2024\/04\/IMG_2873-scaled-1.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-6478 alignleft\" src=\"https:\/\/www.jdrf.org\/socentralohio\/wp-content\/uploads\/sites\/12\/2024\/04\/IMG_2873-800x1067.jpeg\" alt=\"\" width=\"164\" height=\"219\" \/><\/a>ristie Lambert is an Adult Nurse Practitioner who specializes in Endocrinology. She completed her Bachelor of Science in Nursing at the University of Toledo and then earned her Master\u2019s of Science in Nursing at the University of Akron. She has a passion for diabetes and has been working in this field since 2011.<\/p>\n<p>In her spare time she enjoys reading, boating and spending time with family and her dog CJ.<\/p>\n<h3><span style=\"font-weight: 400\">Evolution of Diabetes: Glucose Monitoring<\/span><\/h3>\n<p><span style=\"font-weight: 400\">Blood sugar monitoring is a necessity for all people with diabetes, no matter what type you are and my, how the technology has changed. What was being done 50 or even 25 years ago to monitor blood sugars, is completely different than what is being done today. So sit back and read on, and by the time you are done, you will see the silver lining in having diabetes today versus back then, and it might even give you hope for the future.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">How would you like to check your sugar with your urine? Well, that\u2019s how it used to be done. Dating all the way back to the 1960s, urine was the only option.\u00a0 <\/span><a href=\"https:\/\/americanhistory.si.edu\/collections\/object-groups\/insulin-and-diabetes-management\/glucose-sugar-monitoring\"><span style=\"font-weight: 400\">Urine testing <\/span><\/a><span style=\"font-weight: 400\">started with boiling the urine, which progressed to putting a reactive tablet in the urine and finally in the 1960s, a test strip was developed which reacted directly with the urine. The color the urine or test strip turned, corresponded to sugar levels. This was not very accurate for how sugars were doing in real time, but it is all they had.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Blood sugar monitoring. This probably sounds a little more familiar to you. This has also come a long way from where it originally started. In 1965, the <\/span><a href=\"https:\/\/journals.lww.com\/ijdt\/fulltext\/2023\/02020\/histiry_and_evolution_of_capillary_glucose.1.aspx\"><span style=\"font-weight: 400\">Dextrostix <\/span><\/a><span style=\"font-weight: 400\">was developed and it was the first blood sugar test strip. It required a large drop of blood that was placed on the strip, the strip then went in a meter, and after 60 seconds the blood was washed away. The color that remained was then compared to a chart that gave you an idea of where the blood sugar was. This device was mainly used in hospital emergency departments and physician offices.<\/span><\/p>\n<p><span style=\"font-weight: 400\">I\u2019m sure you\u2019re starting to wonder, when did self-monitoring of blood sugar become a thing? Mid 1970s to 1980s, that was only about 40-50 years ago! Through the years, these devices have stopped requiring wiping of the blood, they require less blood, have become more portable and most importantly more accurate.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The 1990s welcomed the continuous glucose monitor (CGM). In 1999, CGMs were approved for\u00a0 \u201c<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538968\/#:~:text=The%20most%20important%20development%20in,than%2050%20years%20(1).\"><span style=\"font-weight: 400\">professional<\/span><\/a><span style=\"font-weight: 400\">\u201d use through physicians\u2019 offices only. The patient wore the CGM for 3 days (without knowing what the blood sugar readings were) and then the CGM was brought back to the physician for review. The first personal CGM was approved in 2004. CGMs have also been changing. The devices are smaller, the wear time is becoming longer and some are even implantable. They are also being integrated into insulin delivery devices.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">To put all this into perspective, someone who is 20 years old and younger has had access to CGMs. Those who were diagnosed well after 2004, have the possibility of rarely having to finger-stick for blood sugar information!<\/span><\/p>\n<p><span style=\"font-weight: 400\">The evolution of blood sugar monitoring has come a long way, from urine testing to the most recent advancement in CGMs. One thing history has taught us, how blood sugars are being monitored today, won\u2019t stay the same!\u00a0<\/span><\/p>\n<p>Kristie Lambert, MSN, APRN<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The content below is provided by Kristie Lambert, MSN, APRN Kristie Lambert is an Adult Nurse Practitioner who specializes in Endocrinology. She completed her Bachelor of Science in Nursing at the University of Toledo and then earned her Master\u2019s of&hellip;<\/p>\n","protected":false},"author":1317,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ep_exclude_from_search":false,"publish_on_app_meta":"True","iawp_total_views":5,"footnotes":"","bt1d_storytelling_post":false,"bt1d_storytelling_more_posts":[]},"topics":[122,16],"class_list":["post-7432","post","type-post","status-publish","format-standard","hentry","jdrf_topic-awareness","jdrf_topic-research"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Blood Sugar Balance with Kristie Lambert - Evolution of Diabetes: Glucose Monitoring - Southern Ohio Chapter<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.breakthrought1d.org\/southernoh\/2024\/05\/21\/blood-sugar-balance-with-kristie-lambert-evolution-of-diabetes-glucose-monitoring\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Blood Sugar Balance with Kristie Lambert - Evolution of Diabetes: Glucose Monitoring - Southern Ohio Chapter\" \/>\n<meta property=\"og:description\" content=\"The content below is provided by Kristie Lambert, MSN, APRN Kristie Lambert is an Adult Nurse Practitioner who specializes in Endocrinology. 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