Adjusting Blood Sugar Target Ranges
There are some times when it is appropriate to adjust the blood sugar target ranges for a person with diabetes. Targets can be adjusted due to the age of the individual.
A 92 year old with diabetes, for example, would not be looking at the long term complications of diabetes as much as a younger person would. Therefore, the target range should be adjusted related to the advanced age of the patient.
Mainly, there is an adjustment in the target range for the A1C. In the elderly with diabetes who are not looking at the long-term complications, the A1C target can be set at less than 8 percent.
Other factors, such as other health conditions, stress, illness, how long a person has had diabetes for, and lifestyle habits and activity levels may be considered when setting an A1C target, as well as a fasting, pre-meal, and post-meal blood sugar target.
For example, a patient who is not getting good control of blood sugars, and having frequent readings in the 200-300 mg/dl level may be told to keep their fasting and pre-meal blood sugar in the 80-140 mg/dl range, and post-meal blood sugar less than 200 mg/dl. As the patient improves self-management, the target ranges can be tapered down to the usual ranges.
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Again this can be done through a range of exercise and healthy food choices, while cutting down on some foods will help – there are also certain exercises that you can do to target belly fat.
Speaking to The Sun GP Dr Sally Roxburgh from The Fleet Street Clinic said it is important for those with type 2 diabetes to control their sugar intake as well as control their weight, portion sizes, and calorie intake.
She added: “Getting enough exercise and lifestyle choices are equally important. There are certain foods that should be avoided if you have type 2 diabetes, while other foods should be consumed in moderation.”
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:
|Blood sugar level|
- blood vessels
A wide range of complications can also result, such as slow wound healing and frequent infections. Other possible complications include:
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.
A Few More Things Related To Blood Sugars
Remember that there is no healthy number, per se. You are shooting for your blood sugars to be in a target range, so you have a little leeway. It is important to get your blood sugars into your target range. This is due to the target ranges for blood sugars coincide with the blood sugar target range that prevents the long-term complications of diabetes.
For blood sugar, over 250 mg/dl for two readings, or for low blood sugar that is not over 80 mg/dl after several attempts to correct the low blood sugar with quick acting carbohydrates, assistance may be needed. For the high blood sugar, a patient should call their primary care provider, or the provider on call if it is on the weekend. If a low blood sugar will not come up after two attempts, a 911 call may be warranted. Remember to post your comments down below.
TheDiabetesCouncil Article | Reviewed by Dr. Christine Traxler MD on May 21, 2020
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How Is Diabetes Diagnosed
In most cases the diagnosis of diabetes is simple. A blood test called an HbA1c measures the amount of glucose that has built up in your blood over a 3-month period. A high HbA1c result confirms the diagnosis. In most cases no other test is necessary, but tests to measure the amount of glucose in your blood may also be used. Read more about the HbA1c test.
In the past, urine tests were used to diagnose diabetes, but these are unreliable and no longer used.
Commonly Asked Questions About Blood Sugar Levels
What is the difference between blood sugar and HbA1c?
Blood sugar is a daily reading while HbA1c is a blood test that measures your average blood sugar from the previous 3 month period. You can monitor your daily levels at home but an HbA1c test is a pathology test ordered by your doctor.
Will weight loss help with my diabetes management?
Yes, by default weight loss helps because it reduces inflammation in your body and improves overall metabolic function. However, weight loss alone may not lower blood sugar levels sufficiently. You often have to make several diet and lifestyle changes to bring your levels within normal range.
Ive been prescribed Metformin, will that help with my blood glucose levels?
Yes, Metformin is one of the most commonly prescribed diabetes medications worldwide. It belongs to a class of medications known as Biguanides, which lower blood glucose by decreasing the amount of sugar put out by the liver. And it is one of the medications that does not increase weight gain.
Why does high blood sugar cause complications like neuropathy?
The body is designed to have a blood sugar level within a certain range, with a maximum of 7.8 after meals. Levels above normal for extended periods promote inflammation in the blood vessels throughout the body, along with damage to cells simply because the body isnt designed to operate with levels above normal.
What type of diet helps to lower blood sugar levels?
Is there a different blood sugar levels chart by age?
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Eat According To Your Blood Glucose Meter
Everyone is different, so what works for one person is no guarantee it will work for another. Its worth knowing and being aware of general guidelines and then testing to see how different foods affect your sugar levels
One tried and tested method is to try different foods and meals by testing your blood sugar before eating and then testing your blood at two hour intervals.
A blood test before eating, 2 hours after and 4 hours after will be a good test for most meals, however, some low GI foods may need a test 6 hours after to see the effect of the food.
How Can I Treat Low Blood Sugar
If youve had low blood sugar without feeling or noticing symptoms , you may need to check your blood sugar more often to see if its low and treat it. Driving with low blood sugar can be dangerous, so be sure to check your blood sugar before you get behind the wheel.
Carry supplies for treating low blood sugar with you. If you feel shaky, sweaty, or very hungry or have other symptoms, check your blood sugar. Even if you dont have symptoms but think you may have low blood sugar, check it. If your blood sugar is lower than 70 mg/dL, do one of the following immediately:
- Take four glucose tablets.
- Drink four ounces of fruit juice.
- Drink four ounces of regular soda, not diet soda.
- Eat four pieces of hard candy.
Wait for 15 minutes and then check your blood sugar again. Do one of the above treatments again until your blood sugar is 70 mg/dL or above and eat a snack if your next meal is an hour or more away. If you have problems with low blood sugar, ask your doctor if your treatment plan needs to be changed.
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What Causes Low Blood Sugar
Low blood sugar has many causes, including missing a meal, taking too much insulin, taking other diabetes medicines, exercising more than normal, and drinking alcohol. Blood sugar below 70 mg/dL is considered low.
Signs of low blood sugar are different for everyone. Common symptoms include:
Know what your individual symptoms are so you can catch low blood sugar early and treat it. If you think you may have low blood sugar, check it even if you dont have symptoms. Low blood sugar can be dangerous and should be treated as soon as possible.
Prevent Type 2 Diabetes
If your test results show you have prediabetes, ask your doctor or nurse if there is a lifestyle change program offered through the CDC-led National Diabetes Prevention Program in your community. You can also search for an online or in-person program. Having prediabetes puts you at greater risk for developing type 2 diabetes, but participating in the program can lower your risk by as much as 58% .
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What Are Common Complications From Living With Diabetes
- Over time, diabetes can damage arteries, which may result in high blood pressure.
- If not controlled, this can lead to stroke, heart failure or heart attack.
- People with diabetes need to keep their blood pressure and cholesterol under control.
- Kidney damage can develop in some people with diabetes.
- If left untreated, this can lead to more severe kidney damage or kidney failure.
- If you have diabetes, you should have your kidney function tested regularly.
Did You Know?
A healthcare provider can help with monitoring blood glucose levels, as well as ensuring that necessary preventive care treatments and advice are received in a timely manner.
- Diabetic eye disease can lead to loss of vision and blindness.
- Regular eye exams can help find problems that can be treated if found early.
Lower Limb Amputation
- Over time, diabetes can damage sensory nerves, especially in the hands and feet.
- As a result, people with diabetes may not feel a foot injury, such as a blister or cut. Even a small injury, if left untreated, can quickly become infected. This can lead to serious complications such as amputation.
- People with diabetes should regularly check their feet and skin for ulcers and wounds .
People with diabetes are likely to develop other conditions such as dental disease and mental illness .
Blood Sugar Target Levels For People Without Diabetes
In a person without diabetes, the body makes enough insulin to bring down the blood sugar after a meal. There is enough insulin made by the islet cells in the pancreas to deal with blood sugar. The insulin that is made by the islet cells in the pancreas works well. It is used by the bodys cells efficiently.
The blood sugar ranges listed below for the nondiabetic coincide with an A1C of 4.8 5.6 percent. This is in normal range for this laboratory value. The A1C is the average of blood sugars over a two to three-month period. A person with no diabetes and a fully working pancreas will have an A1C in this range.
Fasting blood sugar and before meal blood sugar target levels for a person without diabetes
In a person with the absence of diabetes, a normal blood sugar before eating or drinking anything upon rising in the morning would be 80-99 mg/dl. This is the range for blood sugars fasting and before meals .
If we convert the same number to mmol, the value in mmol . Now that you have a good idea of how to convert mg/dl to mmol, we will continue discussing blood sugars in terms of milligrams per deciliter, or mg/dl, for simplification. Again, this is the measurement used in the United States.
Two-hour post-prandial blood sugar for a person without diabetes
There is no insulin resistance in the person with no diabetes, so the bodys cells take the insulin up, and use it for energy. Everything is as it should be, and working properly.
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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!
Diabetes Levels Normal Range
The human body runs on a sugar called glucose. pre-diabetics and diabetics need to know how to bring blood sugar or glucose close to normal levels. sugar is the name given to sweet, water-soluble carbohydrates.. To check if this is happening, the diabetic can check his or her blood glucose levels in the middle of the night. if the blood glucose levels are in the average range at that time but higher upon waking, this may be the cause.. Fasting blood sugar: normal levels and testing gene therapy restores normal blood glucose levels in mice with type 1 diabetes worlds first diabetes app will be able to check glucose levels without drawing a drop of blood and.
Normal blood sugar ranges in healthy non-diabetics. for a person without any type of diabetes, blood sugar levels are generally between 70 to 130 mg/dl depending on the time of day and the last time they ate a meal. newer theories about non-diabeticblood sugar levels have included post-meal blood sugar levels as high as 140 mg/dl.. What are normal blood glucose levels? the amount of glucose in your blood changes throughout the day and night. your levels will change depending upon when, what and how much you have eaten, and whether or not you have exercised.. What is the normal range for type 2 diabetes blood sugar range? before meals, after meals, etc answered by a verified endocrinologist.
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Ideal Blood Sugar Levels For Type 2 Diabetes
In this post, we talk about the ideal blood sugar levels for type 2 diabetes. Blood sugar levels or blood glucose levels is the amount of blood sugar in your body. When you understand the normal blood sugar level ranges you can better manage your diabetes. The ranges stated on this post are as recommended by the National Institute for Clinical Excellence . However, your target range as advised by your doctor or health professional may be different.
What Else Can I Do To Help Manage My Blood Sugar Levels
- Keep track of your blood sugar levels to see what makes them go up or down.
- Eat at regular times, and dont skip meals.
- Choose foods lower in calories, saturated fat, trans fat, sugar, and salt.
- Track your food, drink, and physical activity.
- Drink water instead of juice or soda.
- Limit alcoholic drinks.
- For a sweet treat, choose fruit.
- Control your food portions .
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Risk Factors For Type 2 Diabetes
There is no single cause of type 2 diabetes but some factors can put you at greater risk. They include:
- being age 40 or over
- being overweight
- having a family member who has diabetes
- having had gestational diabetes
- having given birth to a baby that weighed more than 4 kg at birth
- high blood pressure
- high cholesterol or other fats in the blood or
- member of a high-risk ethnic group.
Navigating The Targets For Hba1c
With more than 100 million U.S. adults living with diabetes and prediabetes,Â¹ the value of education and treatment for this condition cannot be overstated. The health and economic costs of managing, rather than improving, the complications associated with diabetes necessitate a careful look at the treatment options that are available for this disease.
Summary of Recommendations from the ACP Guidance Statement:âµ
- Clinicians should personalize goals for glycemic control
- Aim to achieve HbA1c 7â8% in most patients
- De-intensify pharmacologic therapy when HbA1c < 6.5%
- Avoid targeting HbA1c level in certain patient populations
The ACP determined that the risks associated with intensive medication therapy aimed at achieving tight HbA1c control were greater than the benefits, asserting that the evidence did not support enough of an improvement in outcomes for patients with an HbA1c of less than 7% versus 7â8%. The statement cited concerns with intensive pharmacologic treatment as it relates to adverse events, medication costs and patient burden, as well as the risk-benefit analysis based upon a patientâs health status.âµ According to the ACP, their guidance statement is consistent with the recommendations of the Institute for Clinical Systems Improvement guideline from 2014 wherein a recommendation for > 7% â < 8% was provided in order to manage the potential complications of intensive medication therapy.â¶
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Getting A Second Opinion
You should always feel free to get a second opinion if you have any concerns or doubts about your diagnosis.
If you change doctors, youll want to ask for new tests. Different doctors offices use different laboratories to process samples. The NIDDK says it can be misleading to compare results from different labs. Remember that your doctor will need to repeat any test to confirm your diagnosis.