Blood Sugar 133 After Eating

Achieving Normal Blood Sugar/blood Glucose Levels

For most people with diabetes, keeping blood sugar levels in check is all about being mindful of what and how much they eat and drink. Making healthy choices and watching portion sizes can help you control your weight and your blood sugar levels.

But dont worry, you dont have to navigate this road alone. When you have nutritionists who specialize in managing diabetes by your side, you can learn to choose the right foods, such as:

• Smart carbohydrates Instead of white or flour-based bread, rice or pasta, choose whole grains, barley, brown rice, non-starchy vegetables and fresh fruit. These foods can be efficiently converted to energy.
• Lean proteins Limit or avoid red meats and go for chicken, turkey, low-fat dairy, fish and shellfish.
• Healthy fats Skip the cream sauces, butter, lard and processed foods, and start cooking with canola or olive oil. Like to snack? Munch on nuts like almonds, cashews, pecans and peanuts.

Techniques To Manage Your Blood Sugar In The Morning

Based on your glucose levels and trends, there are a few things you can do to manage your glucose levels so they dont run high in the morning. Some of these strategies focus on adjusting medications to better suit your needs. Other strategies include adjusting your exercise routine, as well as what and when you are eating before bed.

What Is The Normal Range For Blood Sugar Levels And What Blood Sugar Level Constitutes A True Emergency

Dr. Horton answers the question: ‘Normal Range For Blood Sugar Levels?’

& #151 — Question:What is the normal range for blood sugar levels, and what blood sugar level constitutes a true emergency?

Answer:Now, in a normal individual we measure blood sugar under different circumstances. What we call fasting blood sugar or blood glucose levels is usually done six to eight hours after the last meal. So it’s most commonly done before breakfast in the morning and the normal range there is 70 to 100 milligrams per deciliter.

Now when you eat a meal, blood sugar generally rises and in a normal individual it usually does not get above a 135 to 140 milligrams per deciliter. So there is a fairly narrow range of blood sugar throughout the entire day.

Now in our diabetic patients we see both low blood sugar levels that we call hypoglycemia, or elevated blood sugars, hyperglycemia. Now, if the blood sugar drops below about 60 or 65 milligrams per deciliter, people will generally get symptoms, which are some shakiness, feeling of hunger, maybe a little racing of the heart and they will usually be trenchant or if they eat something, it goes away right away. But if blood sugar drops below 50 and can get down as low as 40 or 30 or even 20, then there is a progressive loss of mental function and eventually unconsciousness and seizures. And of course that is very dangerous and a medical emergency.

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What Is Blood Sugar Level

Blood sugar concentration or blood glucose level is defined as the amount of glucose present in the blood of a human or animal. The body naturally tightly regulates blood glucose levels as a part of metabolic homeostasis. The international standard way of measuring blood glucose levels are in terms of a molar concentration, measured in mmol/L . In the United States, mass concentration is measured in mg/dL – See our mmol/L to mg/dl chart for blood sugar number conversions.

When a person eats carbohydrates, such as pasta, bread or fruit, their body converts the carbohydrates to sugar – also referred to as glucose. Glucose travels through the blood to supply energy to the cells, to include muscle and brain cells, as well as to organs. Blood sugar levels usually fluctuate depending upon what a person eats and how long it has been since they last ate. However consistent or extremely low levels of glucose in a person’s blood might cause symptoms such as:

Warning signs of dangerously high levels of blood sugar include sleepiness or confusion, dry mouth, extreme thirst, high fever, hallucinations, loss of vision, or skin that is warm and dry.

How Do Carbs Affect Blood Sugar

Carbs in food make your blood sugar levels go higher after you eat them than when you eat proteins or fats. You can still eat carbs if you have diabetes. The amount you can have and stay in your target blood sugar range depends on your age, weight, activity level, and other factors. Counting carbs in foods and drinks is an important tool for managing blood sugar levels. Make sure to talk to your health care team about the best carb goals for you.

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Ketoacidosis: When Hyperglycemia Becomes Severe For People With Type 1 Diabetes

If you have type 1 diabetes, it is important to recognize and treat hyperglycemia because if left untreated it can lead to a dangerous condition called .

This happens because without glucose, the body’s cells must use ketones as a source of energy. Ketoacidosis develops when ketones build up in the blood. It can become serious and lead to diabetic coma or even death.

According to the American Diabetes Association, ketoacidosis affects people with type 1 diabetes, but it rarely affects people with type 2 diabetes.

Many symptoms of ketoacidosis are similar to hyperglycemia. The hallmarks of ketoacidosis are:

• High level of ketones in the urine

• Shortness of breath

• Fruit-smelling breath

Additionally, stomach pain, nausea, vomiting, and confusion may accompany ketoacidosis. Immediate medical attention is highly recommended if you have any of these symptoms.

Some people with diabetes are instructed by their doctor to regularly test ketone levels. Ketone testing is performed two ways: using urine or using blood.

For a urine test, you dip a special type of test strip into your urine. For testing blood ketones, a special meter and test strips are used. The test is performed exactly like a blood glucose test.

If ketone testing is part of your self-monitoring of diabetes, your health care professional will provide you with other information including prevention.

Official Hba1c Ada Recommendation For Someone With Diabetes

The American Diabetes Association recommends an HbA1C of less than 7% for most nonpregnant adults with diabetes. A lower goal, such as less than 6.5%, may be appropriate for some people who have had diabetes for a shorter amount of time, for younger people, for those without heart disease, and/or for those with type 2 diabetes treated with lifestyle or metformin only. A higher HbA1C goal, such as less than 8%, may be appropriate for people with a history of severe hypoglycemia, a limited life expectancy, advanced diabetes complications, other illnesses, or for whom a lower HbA1C goal is difficult to achieve. Its important that people with diabetes discuss their target blood sugar goals with their health care provider.

HbA1C levels should be checked between two to four times per year in people who have diabetes.

These are goal levels, according to The Joslin Diabetes Center:

• Under 100 mg/dl if you do not have diabetes.
• 70 to 130 mg/dl if you have diabetes.

The dawn effect can often lead to a high morning measurement in diabetes. This is your bodys tendency to get ready for the day by raising blood sugar by increasing levels of counter-regulatory hormones ââ¬â the ones that counteract insulin as in normal blood sugar. For people with diabetes, you do not have the capacity to counterbalance this rise in blood sugar, so levels can be dangerously high.

Ways to lower your morning blood sugar value include:

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Expected Blood Glucose After A High

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Blood glucose levels normally rise after a high-carbohydrate meal and drop back to normal levels within a few hours. But if your glucose levels rise higher than normal and recover more slowly, you might have diabetes. Your doctor can administer tests that measure your blood glucose levels immediately before you consume a high-carbohydrate meal and for several hours afterward. If you already have diabetes, your doctor might want you to check your blood glucose levels after meals, to make sure you’re keeping your glucose within the expected range.

Postprandial Blood Sugar Few Of Those With Diabetes Know Why It Is So Important

Blood sugar after a meal is referred to as postprandial blood sugar. So the opposite, namely before a meal, is called preprandial. The American Diabetes Association advises keeping your blood sugar levels before meals between 80130 mg/dl and your levels 12 hours after meals under 180.

Usually, blood sugar begins to rise 10-15 minutes after a meal and reaches its peak after an hour. However, it is important to note that these are just approximate guidelines as postprandial glucose depends on several factors, such as the type of food consumed.

Influence on HbA1c

Research has shown that postprandial blood sugar levels are significant for HbA1c. Even if glucose spikes after eating are only brief, they still have the potential to raise HbA1c over the course of the day. Most people with diabetes check their blood sugar before a meal but not afterwards or they leave it until the next mealtime. This can lead to glucose spikes being undetected and remaining high for a long period of time.

How to deal with high postprandial blood sugar levels

Be sure to check your levels at least 90 minutes after a meal. Why? By that time rapid acting analogue insulin has reached its maximum effect .

If its still too high then you should look into the causes such as:

• what type of food did I eat?

• did I correctly estimate my carbs?

• is my insulin-to-carb ratio correct?

• and is the injection-meal interval correct?

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Does A Blood Sugar Spike Mean You Have Diabetes

Occasional high spikes donât mean you have diabetes. Itâs normal for your blood sugar to go up after eating a meal high in carbohydrates or even due to lifestyle habits and events. Besides food, your blood sugar can be affected by stress, lack of sleep, age, menstrual cycle, physical activity, and even being sick.

What affects one persons blood sugar may also affect yours differently. We can all have different responses to food, so monitoring the overall trend of your blood sugar gives you the most insight into your overall health.

However, while infrequent spikes arent a problem, if they happen more regularly, its time to take a closer look at whats contributing.

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People With Gestational Diabetes

Gestational diabetes can occur during pregnancy. Often, it is a temporary condition, but it can lead to pregnancy complications.

The American Diabetes Association recommends that people with a diagnosis of gestational diabetes aim for blood sugar levels similar to those for people without diabetes, although individual targets may vary.

The ADA offers the following as a guideline:

A wide range of complications can also result, such as slow wound healing and frequent infections. Other possible complications include:

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Hyperosmolar Hyperglycemic Nonketotic Syndrome : When Hyperglycemia Becomes Severe For People With Type 2 Diabetes

Hyperosmolar hyperglycemic nonketotic syndrome is very rare, but you should be aware of it and know how to handle it if it occurs.

HHNS is when your blood glucose level goes way too highyou become extremely hyperglycemic. HHNS affects people with type 2 diabetes.

HHNS is most likely to occur when you’re sick, and elderly people are most likely to develop it.

It starts when your blood glucose level starts to climb: when that happens, your body will try to get rid of all the excess glucose through frequent urination. That dehydrates your body, and you’ll become very thirsty.

Unfortunately, when you’re sick, it’s sometimes more difficult to rehydrate your body. For example, it might be difficult to keep fluids down.

When you don’t rehydrate your body, the blood glucose level continues to climb, and it can eventually go so high that it could send you into a coma.

To avoid hyperosmolar hyperglycemic nonketotic syndrome, you should keep close watch on your blood glucose level when you’re sick .

Talk to your health care professional about having a sick-day plan to follow that will help you avoid HHNS.

You should also be able to quickly recognize the signs and symptoms of HHNS, which include:

• Extremely high blood glucose level

Why Does Blood Sugar Go Up In The Morning What Is The Dawn Phenomenon

There are a few main reasons why your glucose levels may be higher in the morning. One of these is known as the dawn phenomenon.

The dawn phenomenon occurs early in the morning between 3 am and 8 am while you are still asleep. As morning approaches, the body naturally signals your liver to produce glucose, giving your body the energy it needs for the start of the day. Caused by changes in hormonal levels, the dawn phenomenon happens to all people, with or without diabetes. However, for those without diabetes, insulin levels increase and they do not experience hyperglycemia.

Another reason you may experience higher morning glucose levels is because your injected insulin wears off. If your body has insufficient insulin during the night, your glucose levels may start to rise. To combat this, you may consider trying a new basal insulin, adjusting the timing and amount of your basal dose , or changing your nighttime basal rates .

The last reason you may experience higher morning glucose levels is known as the Somogyi effect. This occurs if your glucose levels fall too low during the night, caused by too much insulin or medication. To respond, your liver produces more glucose to try to maintain your glucose levels, which may result in hyperglycemia. The Somogyi effect is not as common as the other reasons described.

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Glycosylated Hemoglobin Or Hemoglobin A1c

Reflects average blood sugar levels over the preceding 90-day period. Elevated levels are associated with prediabetes and diabetes. Individuals with diabetes have an increased risk of a cardiac event. A person with diabetes has the same risk for heart attack as a person without diabetes, who has experienced one heart attack, having a second heart attack. Aggressive global preventive risk reduction efforts, such as lower LDL targets, diet, exercise and blood pressure control, are recommended.

Goal values :

• A range of 5.7-6.4 percent indicates an increased risk for development of diabetes , and lifestyle interventions may be beneficial.
• A value equal or greater than 6.5 percent is considered diabetes.

Preparation

This test may be measured any time of the day without fasting.

Glycosylated hemoglobin is blood glucose attached to hemoglobin . This test is often called the “diabetes report card.” It reflects the average blood sugar for the two to three month period before the test.

To calculate the average blood glucose level from the HbA1C:

HbA1C level x 33.3 86 = average blood glucose level for the past 90 days. HbA1C can be helpful to track diabetes control over time.

Normal Fasting Blood Sugar In Diabetes 133 Blood Sugar Level After Eating

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Recommended Blood Sugar Targets

For people with type 1 diabetes, the American Diabetes Association recommends that blood sugar targets be based on a persons needs and goals. Talk to your doctor and diabetes educator about these goals. A general guideline is:

Before meals, your blood sugar should be:

• From 90 to 130 mg/dL for adults
• From 90 to 130 mg/dL for children, 13 to 19 years old
• From 90 to 180 mg/dL for children, 6 to 12 years old
• From 100 to 180 mg/dL for children under 6 years old

After meals , your blood sugar should be:

• Less than 180 mg/dL for adults

At bedtime, your blood sugar should be:

• From 90 to 150 mg/dL for adults
• From 90 to 150 mg/dL for children, 13 to 19 years old
• From 100 to 180 mg/dL for children, 6 to 12 years old
• From 110 to 200 mg/dL for children under 6 years old

For people with type 2 diabetes, the American Diabetes Association also recommends that blood sugar targets be individualized. Talk to your doctor and diabetes educator about your goals.

In general, before meals, your blood sugar should be:

• From 70 to 130 mg/dL for adults

After meals , your blood sugar should be:

• Less than 180 mg/dL for adults