What Is Blood Glucose Monitoring
People use blood glucose monitoring to regularly test glucose levels in the blood.
It is an essential part of effective diabetes control. Many people with diabetes must check several times each day to plan for activities and meals, as well as scheduling doses of medication or insulin.
A person can test their blood glucose levels with a glucometer. They usually come with lancets, or tiny needles, as well as test strips and a logbook to record results.
Blood Sugar Level Charts For Those With Diabetes
Normal blood sugar levels, for those with diabetes, will vary depending on someones age and the time of day. For example, when fasting, blood sugar levels are often in the target goal range. The type of food eaten will impact blood sugar levels in different ways. A meal with a lot of carbohydrates will raise blood sugar quicker than a meal that contains carbohydrates, protein, and fat . Blood sugar will rise after a meal, but will start to return to normal levels in several hours.
Lets take a look at what blood sugar levels should be, in those with diabetes, based on their age.
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What Are The Target Ranges
Blood glucose targets are individualized based on:
- duration of diabetes
- conditions a person may have
- cardiovascular disease or diabetes complications
- hypoglycemia unawareness
- individual patient considerations
The American Diabetes Association suggests the following targets for most nonpregnant adults with diabetes. A1C targets differ based on age and health. Also, more or less stringent glycemic goals may be appropriate for each individual.
- A1C: Less than 7%A1C may also be reported as eAG: Less than 154 mg/dL
- Before a meal : 80130 mg/dL
- 1-2 hours after beginning of the meal *: Less than 180 mg/dL
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
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Glucose Homeostasis: Regulation Of Blood Glucose Level
Carbohydrate-rich foods, such as bread and pasta, contribute significantly to blood glucose levels. Glucose fuels the cells that provide energy for movement, thought, learning, and breathing. The cells in the body, particularly the brain cells, use half of all energy from glucose stored in the body.
Insulin is a hormone secreted by the pancreas. It is responsible for moving sugar into cells to fuel them as energy cells, ensuring glucose homeostasis. However, if your body does not produce enough or use insulin correctly, your blood sugar level can become too low or too high, resulting in serious health problems.
According to studies, smaller fluctuations in blood sugar levels are normal because they vary throughout the day due to activity, diet, and other factors. But, non-diabetics typically experience fewer spikes than people with diabetes because the sugar level in the blood gets carefully regulated by the bodys natural function and insulin secretion.
How Do We Measure A1c
An A1C test is done via blood work in a lab and is usually repeated twice a year. A1C is measured in percentages and according to Diabetes Canada, the desired target for most people with diabetes is less than 7%. Find out more about how to do an A1C test and what your targets should ideally be in this article.
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Things You Can Do To Manage Blood Sugar Throughout Your Menstrual Cycle
You can take several steps to help manage your blood sugar throughout your menstrual cycle:
- Track your cycle: Each personâs average cycle length is different, and there is also some variability in cycle length from month to month. Tracking your menses for three to six months can help you identify the phases of your menstrual cycle. Track your period length and any PMS or other symptoms you notice.
- Track your blood sugar: Use your CGM and the Signos app to track your blood sugar. Map it onto your cycle pattern to identify trends. You will probably notice an increase in insulin resistance and blood glucose around the time you ovulate and right before your period.
- Track how your menstrual cycle may affect you: Track your mood, PMS symptoms, fatigue levels, and weight to see if fluctuations in hormone levels throughout your menstrual cycle cause these signs and symptoms.
- Minimize cravings associated with PMS: To minimize cravings and maintain more stable blood glucose levels, avoid alcohol, caffeine, chocolate, and foods high in simple carbohydrates. Instead, try to eat regular meals and choose healthy fats and complex carbohydrates.
- Exercise: Regular exercise can help with insulin sensitivity and therefore help moderate your blood sugar. It can also decrease stress and improve PMS symptoms. Any physical activity can help!
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What Abnormal Results Mean
If you had a fasting blood glucose test:
- A level of 100 to 125 mg/dL means you have impaired fasting glucose, a type of prediabetes. This increases your risk of developing type 2 diabetes.
- A level of 126 mg/dL or higher usually means you have diabetes.
If you had a random blood glucose test:
- A level of 200 mg/dL or higher often means you have diabetes.
- Your provider will order a fasting blood glucose, A1C test, or glucose tolerance test, depending on your random blood glucose test result.
- In someone who has diabetes, an abnormal result on the random blood glucose test may mean that the diabetes is not well controlled. Talk with your provider about your blood glucose goals if you have diabetes.
Other medical problems can also cause a higher-than-normal blood glucose level, including:
- Weight loss after weight loss surgery
- Vigorous exercise
Some medicines can raise or lower your blood glucose level. Before having the test, tell your provider about all the medicines you are taking.
For some thin young women, a fasting blood sugar level below 70 mg/dL may be normal.
What Are Blood Glucose Tests Used To Diagnose
Glucose testing is primarily done to diagnose or manage type 1 diabetes, type 2 diabetes, and gestational diabetes. Diabetes is a condition that causes your blood glucose levels to rise.
The amount of sugar in your blood is usually controlled by a hormone called insulin. But if you have diabetes, your body either doesnt make enough insulin or the insulin produced doesnt work properly. This causes sugar to build up in your blood.
If left untreated, chronically elevated levels of blood sugar can lead to other serious conditions including kidney disease, blindness, and heart disease.
In some cases, blood glucose testing may also be used to test for hypoglycemia. This condition occurs when the levels of glucose in your blood are too low, usually lower than 70 milligrams per deciliter .
Hypoglycemia can occur in people with diabetes if they take too much of their medication, like insulin, exercise more than usual, or skip a meal. Less commonly, hypoglycemia can be caused by other underlying conditions or medications.
Doctors consider very low blood sugar to be a medical emergency, as it can lead to seizures, coma, and even death.
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What Causes Blood Sugar To Be High
Many things can cause high blood sugar , including being sick, being stressed, eating more than planned, and not giving yourself enough insulin. Over time, high blood sugar can lead to long-term, serious health problems. Symptoms of high blood sugar include:
- Feeling very tired.
- Having blurry vision.
- Needing to urinate more often.
If you get sick, your blood sugar can be hard to manage. You may not be able to eat or drink as much as usual, which can affect blood sugar levels. If youre ill and your blood sugar is 240 mg/dL or above, use an over-the-counter ketone test kit to check your urine for ketones and call your doctor if your ketones are high. High ketones can be an early sign of diabetic ketoacidosis, which is a medical emergency and needs to be treated immediately.
Different Levels And What They Mean
The ranges of safe levels of blood glucose depend on factors such as what time of day it is and when you last ate. Safe levels of blood sugar are high enough to supply your organs with the sugar they need, but low enough to prevent symptoms of hyperglycemia or complications of diabetes which follow the National Institute of Diabetes and Digestive and Kidney Diseases guides. Dangerous levels of blood glucose are outside of this range.
The target levels can also vary if you have diabetes. For example, if you are diabetic and are monitoring your blood sugar, you might get a reading of 65 mg/dl. That is considered to be mild hypoglycemia, and you would be wise to eat 15 grams of fast-acting carbohydrates and retest your blood sugar in 15 minutes.
If you were not diabetic, you probably would not know that your sugar was low because you would not test and because you would not symptoms, and you would not act.
That is fine because your body is capable, under normal circumstances, of raising your blood glucose to healthy levels when needed, even if you have not eaten. It is important to keep them in control to help prevent issues like heart disease or nerve damage.
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What Are Normal Blood Sugar Levels
For people with diabetes, the American Diabetes Association suggests keeping blood sugar levels before meals from 80130 mg/dl. One to two hours after meals, levels should be under 180.
In people without diabetes, healthy insulin function keeps sugars in a normal range. But in diabetics, insulin function is damaged, so its essential to support the body by eating right, exercising, taking medications or herbs and reducing stress.
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