What About The Glycemic Index
Your daily carb total, spread steadily across the day, is one key to good blood sugar control. Some people also use the glycemic index , a rating of how individual foods raise blood sugar levels. Beans and whole-grain breads and cereals have a lower GI than white bread and regular pasta. Juice has a higher GI than whole fruit. Craving a high-GI food? Eat it along with a lower-GI choice to help control your levels.
Blood Sugar Chart: Summary
The fasting blood sugar, 2-hour post-meal blood sugar, and HbA1C tests are important ways to diagnose prediabetes and diabetes, as well as indicate how well a persons diabetes is being managed. If you think you have diabetes, its important to not try and diagnose yourself by doing a finger-stick with a home blood glucose meter. There are strict standards and procedures that laboratories use for diagnosing diabetes therefore, you should get tested at your doctors office or at a laboratory.
Its also important to talk with your doctor to make sure you understand a) how often you should have certain tests, such as a fasting blood glucose or HbA1C test b) what your results mean and c) what your blood sugar and HbA1C targets are.
If you have not been previously diagnosed with prediabetes or diabetes but your results are above normal, your doctor may recommend other tests and should discuss a plan of treatment with you. Treatment may include lifestyle changes, such as weight loss, a healthy eating plan, and regular physical activity. You may need to start taking diabetes medications, including insulin. If you are diagnosed with diabetes, its recommended that you learn how to check your blood sugars with a meter so that you and your healthcare team can determine how your treatment plan is working for you.
Caution: Birth Control Pills
Types that have estrogen can affect the way your body handles insulin. Still, oral contraceptives are safe for women with diabetes. The American Diabetes Association suggests a combination pill with norgestimate and synthetic estrogen. The group also says birth control shots and implants are safe for women with the condition, though they can affect your blood sugar levels.
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What Are The Recommended Targets For Blood Glucose Levels
Many people with diabetes aim to keep their blood glucose at these normal levels:
- Before a meal: 80 to 130 mg/dL
- About 2 hours after a meal starts: less than 180 mg/dL
Talk with your health care team about the best target range for you. Be sure to tell your health care professional if your glucose levels often go above or below your target range.
Random Plasma Glucose Test
Random blood sugar testing is used in people who have symptoms of diabetes. A random blood sugar test can be done at any time of day. The test looks at blood sugar without considering your last meal.
No matter when you last ate, a random blood sugar test of 200 mg/dL or above suggests that you have diabetes. This is particularly true if you already have symptoms of diabetes.
Your doctor will go over your results with you. Heres what your test results could mean:
- random blood sugar of 200 mg/dL or more = diabetes
- random blood sugar level between 140 and 199 mg/dL = prediabetes
- random blood sugar less than 140 mg/dL = normal
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Why The Test Is Performed
Your health care provider may order this test if you have signs of diabetes . More than likely, the provider will order a fasting blood sugar test.
The blood glucose test is also used to monitor people who already have diabetes.
The test may also be done if you have:
- An increase in how often you need to urinate
- Recently gained a lot of weight
- Blurred vision
SCREENING FOR DIABETES
This test may also be used to screen a person for diabetes.
High blood sugar and diabetes may not cause symptoms in the early stages. A fasting blood sugar test is almost always done to screen for diabetes.
If you are over age 45, you should be tested every 3 years.
If you’re overweight and have any of the risk factors below, ask your provider about getting tested at an earlier age and more often:
- High blood sugar level on a previous test
- Blood pressure of 140/90 mm Hg or higher, or unhealthy cholesterol levels
- History of heart disease
- Member of a high-risk ethnic group
- Woman who has been previously diagnosed with gestational diabetes
- Polycystic ovary disease
- Close relative with diabetes
- Not physically active
Children age 10 and older who are overweight and have at least two of the risk factors listed above should be tested for type 2 diabetes every 3 years, even if they have no symptoms.
How To Manage Diabetes With Numbers
Diabetes self-management is a numbers game. But it’s not just about your blood sugar. There are at least eight different numbers you should be familiar with to lower your risk for complications from diabetes symptoms. “Diabetes self-management is absolutely essential,” says Enrico Cagliero, MD, an associate professor of medicine at Harvard Medical School and an associate physician at the Massachusetts General Hospital Diabetes Center. “Although managing these numbers may not improve diabetes symptoms, it can help decrease the risk of serious complications such as blindness or kidney failure down the road.”
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Recommended Target Blood Glucose Level Ranges
The NICE recommended target blood glucose levels are stated below for adults with type 1 diabetes, type 2 diabetes and children with type 1 diabetes.
In addition, the International Diabetes Federations target ranges for people without diabetes is stated.
The table provides general guidance. An individual target set by your healthcare team is the one you should aim for.
*The non-diabetic figures are provided for information but are not part of NICE guidelines.
Know Your Body Mass Index
Being overweight or obese puts you at risk for developing type 2 diabetes. BMI is an easy way to estimate excess fat. Even a small change in body weight can reduce your risk of diabetes.
If your score is:
25.029.9 = Overweight/Pre-obese 30.0 and over = Obese
To calculate your BMI, you can use the BMI chart or the formulas at the bottom of this page or complete the Canadian diabetes risk questionnaire.
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Measuring Blood Sugar Levels Yourself
You can measure your blood sugar levels yourself using an electronic device called a blood glucose meter. To do this, you prick your fingertip with a small needle, and place a drop of blood on a test strip. The strip is inserted into the blood glucose meter. Shortly after, your blood sugar level is displayed on the device’s screen. More specifically, the procedure involves the following steps:
- First of all, lay out everything you need. This includes a blood glucose meter, a blood-sampling device with a fine needle , and a test strip.
- Wash your hands before measuring your blood sugar because dirt can distort the results.
- Take a test strip out of the package and insert it into the glucose meter.
- Gently prick the tip of a finger with the needle. It hurts less if you prick the side of the finger. Gently squeeze the tip of the finger until a small drop of blood comes out. It should just fill the test field on the strip.
- Then carefully place the drop of blood on the test strip without smearing it.
- After a short while your blood sugar level will be displayed on the meter. Modern devices can save the measurements along with the date and time, and this information can be transferred to a computer or smartphone. If this isn’t possible, it’s a good idea to write the measurements down in a special diary or app, for instance.
For Those Diagnosed With Diabetes You Can Reduce The Risk Of Complications:
- Monitor blood glucose levels with appropriate testing and an A1C blood test every three months to measure the average amount of sugar in your blood
- If you smoke, it’s never too late to quit
- Be physically active
- Examine feet and skin every day
- Have an eye exam at least once a year
- Have a kidney function test at least once a year
- Visit your healthcare provider regularly
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How Can I Treat High Blood Sugar
Talk to your doctor about how to keep your blood sugar levels within your target range. Your doctor may suggest the following:
- Be more active. Regular exercise can help keep your blood sugar levels on track. Important: dont exercise if ketones are present in your urine. This can make your blood sugar go even higher.
- Take medicine as instructed. If your blood sugar is often high, your doctor may change how much medicine you take or when you take it.
- Follow your diabetes meal plan. Ask your doctor or dietitian for help if youre having trouble sticking to it.
- Check your blood sugar as directed by your doctor. Check more often if youre sick or if youre concerned about high or low blood sugar.
- Talk to your doctor about adjusting how much insulin you take and what types of insulin to use.
Why Test Blood Sugar Levels
If you take certain medication, like insulin or sulphonylureas, checking your blood sugars is a vital part of living with diabetes. It can help you work out when you need to take more medication, when you need to eat something or for when you want to get up and move around more.
Routine checks can help you know when you might be starting to go too low or too high . Its a way of getting to know your body and how it works. It can help you and your healthcare team spot patterns too. Do you write your results down? You might find that helpful.
But importantly, it will help you stay healthy and prevent serious diabetes complications now and in the future. By complications, we mean serious problems in places like your feet and your eyes. This happens because too much sugar in the blood damages your blood vessels, making it harder for blood to flow around your body. This can lead to very serious problems like sight loss and needing an amputation.
The higher your blood sugar levels are and the longer theyre high for, the more at risk you are.
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When To Contact A Medical Professional
- Chest pain or pressure
- Shortness of breath
- Red, painful skin that is spreading quickly
These symptoms can quickly get worse and become emergency conditions .
Also call your provider if you have:
- Numbness, tingling, or pain in your feet or legs
- Problems with your eyesight
- Sores or infections on your feet
- Symptoms of high blood sugar
- Symptoms of low blood sugar
- Frequent feelings of depression or anxiety
Can I Check My Own Blood Sugar
You can do blood sugar level check by doing a finger-prick test, by using a blood sugar monitor called a flash glucose monitor or with a continuous glucose monitor . You can do this several times a day helping you keep an eye on your levels as you go about your life and help you work out what to eat and how much medication to take. Find out your ideal target range.
Not everyone with diabetes needs to check their levels like this. Youll need to if you take certain diabetes medication. Always talk to your healthcare team if youre not sure whether thats you theyll give you advice on whether to check them yourself and how often.
And theres also something called an HbA1c, which is a blood test to measure your average blood sugar level over the last three months. Everyone with diabetes is entitled to this check.
High blood sugar levels increase your risk of developing serious complications. However you manage your diabetes, stay in the know about your blood sugar levels
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Normal Blood Sugar Levels After Eating For Diabetics
The American Diabetes Association recommends that the blood sugar 1 to 2 hours after the beginning of a meal be less than 180 mg/dl for most nonpregnant adults with diabetes. This is typically the peak, or highest, blood sugar level in someone with diabetes. Again, this target may need to be individualized for certain people based on such factors as duration of diabetes, age and life expectancy, cognitive status, other health conditions, cardiovascular complications, and hypoglycemia unawareness. Its important that people with diabetes discuss their target blood sugar goals with their healthcare provider.
Is Sugar Bad For You
If you love sweets, don’t despair. You don’t have to give them up forever. Sugar will raise your blood sugar levels more quickly than other carbs, but diabetes experts now say the total amount of carbs is most important. So keep your serving sizes small and take into account the total carbs and calories.
Interested In Learning More Read About Normal Blood Glucose Numbers Getting Tested For Type 2 Diabetes And Using Blood Sugar Monitoring To Manage Diabetes
Want to keep track of your blood glucose readings to help you better manage your condition? With our free printable diabetes logbook sheets, youll be able to monitor the effects of food, exercise, medicines and more. One sheet tracks levels for a week. Download your free blood sugar logbook today to start analyzing your patterns!
Living With Type 1 Diabetes:
Life with type 1 diabetes poses lifelong challenges for every member of the family.
People with type 1 diabetes should:
- Test blood glucose levels three or more times per day and adjust their insulin through injections or an insulin pump.
- Ensure insulin doses are balanced with food intake and level of daily activity. People with type 1 diabetes may experience low and high blood sugar levels, which should be carefully monitored and managed.
While living with type 1 diabetes requires a certain amount of daily structure, newer pumps and insulin products have provided more flexibility in the management of this condition.
A healthcare provider can provide advice to help properly manage blood glucose levels.
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Questions To Ask Your Doctor
When visiting your doctor, you might keep these questions in mind to ask during your appointment.
- What is my target blood sugar range?
- How often should I check my blood sugar?
- What do these numbers mean?
- Are there patterns that show I need to change my diabetes treatment?
- What changes need to be made to my diabetes care plan?
If you have other questions about your numbers or your ability to manage your diabetes, make sure to work closely with your doctor or health care team.
What Is The A1c Test
The A1C test is a simple blood test that measures your average blood sugar levels over the past 2 or 3 months. The test is done at a lab or your doctors office in addition tonot instead ofregular blood sugar testing you do yourself.
A1C testing is part of the ABCs of diabetesimportant steps you can take to prevent or delay health complications down the road:
- A: Get a regular A1C test.
- B: Try to keep your blood pressure below 140/90 mm Hg .
- C: Manage your cholesterol levels.
- s: Stop smoking or dont start.
The A1C goal for most adults with diabetes is between 7% and 8%, but your goal may be different depending on your age, other health conditions, medicines youre taking, and other factors. Work with your doctor to establish a personal A1C goal for you.
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What Are Normal Blood Sugar Levels
They’re less than 100 mg/dL after not eating for at least 8 hours. And they’re less than 140 mg/dL 2 hours after eating.
During the day, levels tend to be at their lowest just before meals. For most people without diabetes, blood sugar levels before meals hover around 70 to 80 mg/dL. For some people, 60 is normal for others, 90.
What’s a low sugar level? It varies widely, too. Many people’s glucose won’t ever fall below 60, even with prolonged fasting. When you diet or fast, the liver keeps your levels normal by turning fat and muscle into sugar. A few people’s levels may fall somewhat lower.
Nutritional Expertise And Individual Care To Help You Manage Diabetes
At Charles River Medical Associates, we take pride in supporting you and your familys health from head to toe. When it comes to managing diabetes, whether for you or your children, know that you have comprehensive and caring diabetes nutrition in Framingham, Marlborough, and Natick, Massachusetts. Our specialists are here to help you learn proven ways to eat well and to give you the tools to keep you on track.
To learn more or schedule an appointment, call 508-848-2190 or to use our online form.
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Oral Glucose Tolerance Test
The OGTT is a two-hour test that checks your blood sugar levels before and two hours after you drink a special sweet drink. It tells the doctor how your body processes sugar.
- Diabetes is diagnosed at 2 hour blood sugar of greater than or equal to 200 mg/dl
Oral Glucose Tolerance Test
|140 mg/dl to 199 mg/dl|
|Diabetes||200 mg/dl or higher|