Recommended Blood Sugar Targets For Most People With Diabetes*
Your targets may not be the same as the examples in this chart. Your targets are important and should be specific to you.
|4.0 to 7.0||5.0 to 10.0|
* This information is based on the Diabetes Canada 2018 Clinical Practice Guidelines;for the Prevention and Management of Diabetes in Canada and is a guide.** A1C is a measurement of your average blood sugar control for the last two to three months and approximately 50 per cent of the value comes from the last 30 days.
When Should I Be Measuring My Blood Sugar Levels Throughout The Day
According to the Diabetes Canada clinical practice guidelines, the schedules for testing blood sugar should be as follows:
|Situation||How often to check blood sugar|
|Type 1 diabetes using multiple daily insulin injections or using an insulin pump||Check four or more times per day|
|Type 2 diabetes, taking diabetes medication known to cause hypoglycemia||Check at times when symptoms of hypoglycemia occur, or at times when hypoglycemia has occurred previously|
|Type 2 diabetes, and meeting your blood sugar targets||Check once or twice per week, to ensure that your blood sugar targets are being met between A1C tests|
|Type 2 diabetes and not meeting your blood sugar targets|
How Do I Pick A Glucose Meter
Your doctor will make a recommendation. Check with your health insurance plan to see if it will pay for your BGM, its supplies, or a CGM. If so, your plan may only pay for a certain meter.
Shop around and compare costs. Consider what features are important to you. For example, some meters are made for people who have poor eyesight. If you want to pay a little more money, you can get a BGM that stores the results in its memory. This allows you to compare results from several days at one time.
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When Should I Check My Blood Sugar More Frequently
- If your diabetes medicine changes
- If you begin taking other kinds of medicines
- If you change your diet
- If your exercise routine or activity level changes
- If your stress level;increases
- If youre sick. When you are sick, even without eating, your sugar levels may run high, so testing is important.
Follow your doctors testing recommendations during this time. Continue testing more often until you have maintained your blood sugar goal values for at least 1 week. Or continue testing until your doctor advises you that more frequent testing is no longer necessary.
If Your Diabetes Medication Changes
When your medication for diabetes changes or is adjusted, its important to know how that change is working. The best way is to check your blood sugar levels more often, according to FamilyDoctor.org. Check your blood sugar levels before and after taking medication and keep track of the results to show your doctor.
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How Often To Check Hba1c Levels If You Have Prediabetes
Prediabetes â also known as âborderline diabetesâ â refers to higher-than-normal blood sugar levels that havenât yet climbed into the diabetes range. Specifically, a prediabetes HbA1c level lies within the 5.7% and 6.4% range.
According to some estimates, about 1 in 3 American adults have prediabetes. And hereâs an equally startling statistic: if you have prediabetes, your risk of type 2 diabetes is up to 15 times greater than that of an individual with normal blood sugar levels! So, because prediabetes puts you right in the crosshairs of diabetes, regularly checking your HbA1c levels is an important way you can protect your health.
Because prediabetes puts you right in the crosshairs of diabetes, regularly checking your HbA1c levels is an important way you can protect your health.
Here are a few guidelines for monitoring your HbA1c levels if you have prediabetes:
In general, check your HbA1c level at least once a year. So if you have prediabetes â but havenât checked your HbA1c status for more than a year â itâs probably time to get an HbA1c test kit.
Check your HbA1c levels more frequently â 2 times a year â if you are especially at risk of diabetes because:* You currently have a heart disease* Your body mass index is in the obese range * You have a family history of type 2 diabetes
Get A Good First Drop For Accurate Blood Glucose Results
Diabetes educator Deb Bjorsness, R.D., CDE, suggests taking these steps to get a good drop of blood with the least pain and most accurate results:
1. Wash.“It’s amazing how many people don’t wash their hands prior to doing a check,” Bjorsness says. “Say you eat an apple. You don’t realize you have apple residue on your fingers. If you don’t clean your hands, you could have a blood sugar result that is artificially high. If you use insulin, that can be a real issue.” Bjorsness recommends just using soap and warm water. “Save the alcohol pads for when you are out and about and don’t have access to a sink,” she says.
2. Shake. Give your hands three to five shakes below your heart to get the blood down to the fingertips. For those of you who remember shaking down a mercury thermometer, that’s the snap you want.
3. Stick. Set your lancet to the right depth for you. “You need a depth on the device to get just enough blood without having to squeeze the life out of your finger. Don’t go deeper than you need,” Bjorness says. For less pain, use the sides of your fingers, which have fewer nerve endings than the pads. Or try an alternate lancing site, such as the fleshy parts of your palm or forearm.
4. Milk. Gently milk the finger down. Don’t squeeze hard or you might change the composition of the blood, affecting the result.
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Blood Sugar And Hba1c For Type 2 Diabetes
The same should be followed by people who have type 2 diabetes. However, if you are on medication that can cause hypoglycemia, you must test your glucose level whenever you experience any symptoms. Further, you should test, before and after meals, especially if you have type 2 diabetes.
Apart from this, you can also opt for structured testing. In this, you need to check your blood glucose level at specified times. This will not only help you monitor your blood glucose level but also help you recognize patterns of how your glucose level fluctuates during day-to-day activities. This is extremely helpful in maintaining a record and solving problems related to daily activities.
Combining structured testing and routine blood testing can give you a better view of how your self-care program is working so that you can tailor your plans to achieve your goals.
Disclaimer: The information included at this site is for educational purposes only and is not intended to be a substitute for medical treatment by a healthcare professional. Because of unique individual needs, the reader should consult their physician to determine the appropriateness of the information for the readers situation.
Metformin But Normal Blood Sugar
Ive been taking a break from TTC for a couple of months beacuse I was just becoming a little obsessive with the whole thing Anyway, I recently saw my OB again and after running all my hormone blood work again and doing another ultrasound, she said all my blood work was normal and my Ultrasoud also looked fine. But, why the long/irregular/annovulatory cycles?? Recently theyve been anywhere from 40-70 days! Ive been temping and my temps are so erratic and dont indicate ovulation, even though I gear up to ovualte many times. Soooo, my OB wanted me to start 500mg of metformin 2x/day for some time then possibly start on clomid. She said even though my bloodowork and U/s was normal she wants to treat it as PCOS..? Now, my question is, my bloodwork for blood sugar was done and was completely normal. Has anyone else taken metformin for irregular cycles? Did it work? How about metformin + clomid? Im just looking for anyone thats been though the same and has more experience! Theres no reason for the irregular cycles and Im not sure about just taking metformin with no high blood sugar levels. Obviously, something is causing the cycles to be crazy, just dont know what it is: and difficult conceiving. It has other symptoms such as issues with weight, mood swings, craving for sweets and carbs, unusual hair growth or hair loss, along with many other things. It is a very difficult disease, especially if you want a famContinue reading >>
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What Are Blood Sugar Targets
A blood sugar target is the range you try to reach as much as possible. These are typical targets:
- Before a meal: 80 to 130 mg/dL.
- Two hours after the start of a meal: Less than 180 mg/dL.
Your blood sugar targets may be different depending on your age, any additional health problems you have, and other factors. Be sure to talk to your health care team about which targets are best for you.
Structured Blood Glucose Testing
Structured testing supports your routine or daily testing by giving you deeper, more targeted data to work from. It can help you determine if you’re in a safe range and problem-solve around how the things you do are connected to your blood sugar. You simply perform additional tests over a short period at specific times of day.
Structured blood glucose testing can help you:
- Discover how to best use your numbers
- See how certain activities can affect on your blood sugar levels
- Problem-solve around highs and lows
- Identify blood sugar patterns
- Work with your healthcare team decide if any adjustments are needed in your insulin therapy or other areas of your diabetes management
Pattern management: If you find that your A1C result is rising in spite of your best efforts, or if you don’t feel as well as you’d like, talk with your healthcare professional about the Accu-Chek 360° View tool. This simple paper tool helps you track your blood sugar over 3 days, so you and your doctor can quickly identify patterns that can guide adjustments to your treatment plan. As a result, you may be able to feel better and lower your A1C.2
Before-and-after testing: You may also decide to try the Accu-Chek Testing in Pairs tool. This easy-to-use, printable tool helps you see changes in your blood glucose with before-and-after testing. In just 7 days, you can see the effect a specific meal, exercise or other event has on your blood sugar.
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Are Fingersticks Necessary On Dexcom G6 Or Freestyle Libre Cgm
Lets talk about when to check your blood sugars when youre using a;CGM like Dexcom G6 or libre. The CGM companies like Dexcom or freestyle Libre or Medtronic, they all advertise no finger stick. No finger sticks are true to a point but they dont really tell you downsides of the products they sell. Heres what happens if youre on CGM: Any CGM is somewhat delayed when the blood sugars are changing rapidly. If you check the fingerstick you will see that if your blood sugars are changing rapidly your Dexcom is not going to be true. One typical example that a lot of people do wrong is this.
Dexcom G6 will show that their blood sugar is low and its true.; Its typically low when it says so. Its generally correct although freestyle libre has not been the most correct CGM,. Anyhow,; then you eat something, and then Dexcom will keep it showing still low. They end up to keep eating more and more and next, you see blood sugar is 300.
If youre following us from Florida and New York sign up for our services.; In Florida we accept insurance.; In New York, we dont. But if you are one of our patients regardless well take care of you the best we can and we are going to give you all the resources we have.; If you are from another country or some other state in the United States then you can pick up the coaching plan.
Ahmet Ergin, MD, FACE, CDCES, ECNU Endocrinology
Why You Should Check Your Blood Sugar
Testing blood glucose can help you manage diabetes by showing you:
- How well your diabetes treatment plan is working
- How exercise and food affect your blood sugar levels
- How things like stress and illness affect your levels
- How well your diabetes medication is working
- When your blood sugar levels are too high or too low
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Make A Note Of Your Readings
It may sound obvious, but you must record your readings. Note them down in a diary, a notebook or in your phone calendar. Some meters have software that lets you do this. You could try a diabetes app too.
You and your healthcare team can then look back over your results to see if you need to adjust your treatment.
Success Is More Than Just Blood Sugar Count
Information from the;Diabetes Care medical journal;indicate that there is more to managing blood sugar than merely how many times a day patients test their blood sugar. Success is determined by how well patients comply with the medication and dietary instructions provided by their physicians. This may mean that patients with type 1 diabetes or those on intensive insulin therapies may need to test their blood sugar level before exercise, at bedtime, before eating, and when they suspect low blood sugar. It may also be important to test blood sugar before performing important tasks such as driving. Depending upon the patient and the specifics of his or her particular situation, this may mean testing blood glucose six to eight times daily.
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How Many Times Do You Really Check Your Blood Sugars At The Early Stages Of Diabetes
You dont really have to check too many times. If your blood sugars are not very uncontrolledMeaning your;A1c;is below 7%, you can check it once a day in the mornings, just to keep an eye on your blood sugars overall. As we mentioned occasionally you can check it after meals to see where your blood sugars are. You can do that occasionally after meals. Lets say you think that you had too much carbs, and you want to check. This will help you understand how food affects you and so forth. For example,if your overall well controlled and youre waking up with you know say 100 Or 110 and then occasionally you check after meals and you never go more than 160 170 after meals then youre pretty well controlled.
Know Your Blood Sugar
Blood sugar is the amount of sugar in your blood at a given time. It’s important to check your blood sugar level, because it will:
- determine if you have a high or low blood sugar level at a given time
- show you how your lifestyle and medication affect your blood sugar levels
- help you and your diabetes health-care team make lifestyle and medication changes to improve your blood sugar levels
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Factors That Affect How Often You Need To Test Your Blood Sugar
How often you test depends on several different factors.
You should test your blood sugar at home, but how often is enough? Well, it dependsmostly on your medication, you, and your doctor.
The American Diabetes Association recommends testing your blood sugar at least three times a day if you need multiple daily insulin injections. But for the rest of those with type 2 diabetes, testing frequency should be “dictated by the particular needs and goals of the patients,” the ADA says.
That means that frequent testing is clearly necessarily for some people with type 2 diabetes, but there is a little wiggle room for others.
Some studies suggest that frequent monitoring is not always helpful for people with type 2 diabetes. But that research is still being debated. Your doctor or diabetes educator can help you determine how often and when you should be testing.
How often you test depends on the following factors.
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Do You Really Have To Check Your Blood Sugar 7
Basically, we are going to start with the easiest patient example. So, basically, lets talk about a patient who just got diagnosed with diabetes. As you can imagine theyre super nervous. Theyre checking their blood sugar seven-eight times a day. Well, initially that may be exciting and you know if youre worked up you wanna get this under control. That is great but eventually, you are going to burn out. So, there is an easier way to do this than just doing seven-eight times a day. Now, if you are really wanting to you know and still have an understanding of where your blood sugars are without doing eight times a day, do the scattered method.; You scatter your blood sugar checks. While doing that make sure that its organized so your doctor and yourself can actually look at it and have an understanding.
What a lot of people do they check their blood sugar first in the morning and then before bedtime every day? They keep doing the same thing over and over again. If you know it is especially similar in the mornings, meaning, similarly high or similarly low what is the point of repetition while you can discover your other blood sugars at other times of the day?
What some people think that 160 blood sugar sounds okay. They say I can live with that.; However, then when they check their blood sugar after eating after breakfast they realize that they go sometimes up to 250. They would not know that unless they checked it.
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