Check In With Your Care Team For More Help
Your doctor and your diabetes healthcare team are great sources of information if you need ideas and inspiration for taking care of your feet, quitting smoking, or staying on top of your numbers your weight, blood sugar, and other measures of health, such as blood pressure. Of course, if you notice any changes in your feet that concern you, its a good idea to see your doctor before your next regularly scheduled check-up.
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
Blood Sugar Levels Of Children With Diabetes:
In diabetic children, the healthy blood sugar levels are between 70 to 180 mg/dL.
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Why Does Type 2 Diabetes Make You Feel So Tired
Fatigue is one of the most common symptoms associated with poorly controlled blood sugar.
If you have type 2 diabetes and youre feeling tired, youre not alone. Fatigue is a symptom thats often associated with the condition. There are many possible causes, including everything from diabetes-related complications to underlying conditions. Simply managing diabetes on a daily basis can zap your energy from time to time.
However, the most common cause, by far, is uncontrolled blood glucose, says Joel Zonszein, MD, director of the Clinical Diabetes Center at the University Hospital of the Albert Einstein College of Medicine, Montefiore Health System in the Bronx, New York.
With type 2 diabetes, poor blood sugar control typically results in hyperglycemia or high blood sugar, which can cause fatigue among other symptoms. But Dr. Zonszein notes that high blood glucose isnt the only cause. Some people especially the elderly get dehydrated because their blood sugars are so high . The fatigue, in part, comes from the dehydration, he says. It can also come from kidney disease.
Underlying conditions and diabetes-related complications are additional factors that can contribute to tiredness. Dr. Zonszein explains that when people have had type 2 diabetes for a long time, they can develop damage in their kidneys, heart, and liver. Abnormalities in these organs can also cause fatigue, he says.
Inspect Your Feet Every Day For Cracks Wounds And Sores
Nerve damage is a complication of diabetes that makes it hard to feel when you have sores or cracks in your feet. Patients with diabetes are looking for any changes in color, sores, or dry, cracked skin, says podiatrist Steven Tillett, DPM, of Portland, Oregon. Place a mirror on the floor to see under your feet or ask a friend or relative for help if you cant see all parts of your feet clearly.
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Control Your Blood Sugar To Help Avoid Diabetic Neuropathy
Theres a direct relationship between blood sugar level and damage to the nerve cells, says Tillett. Out-of-control blood sugar leads to neuropathy, and the better you are at controlling your blood sugar, the healthier your feet will be over the long term. Remember, if you already have an infection, high blood sugar levels can make it hard for your body to fight it.
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.
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Can You Have High A1c And Not Be Diabetic
According to one 2009 study, 3.8% of people without a history of diabetes have an elevated A1C level . This group is more likely to have other risk factors for Type 2 diabetes and cardiovascular disease. Researchers found that the following groups were more likely to have an elevated A1C without having a diagnosis of diabetes:
- Higher C-reactive protein levels
A high A1C result might signal that there is a problem. Even a modest increase in your blood sugar, above normal levels, can increase your risk of heart disease, even when you dont have full-blown diabetes, says Dr. Bellatoni. A physician can review test results and talk to patients about risk factors and lifestyle changes to improve blood sugar levels.
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Why Is Managing Blood Sugar Important
Keeping blood sugars at target levels helps people with diabetes avoid serious complications from the disease. High blood sugar can cause many ill effects, which can be sudden, such as acid buildup in the bloodstream, or occur gradually over time.
Over time, keeping blood sugar at unhealthful levels can damage small and large blood vessels in several organs and systems, leading to serious consequences, such as:
- vision impairment and blindness
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What Impacts On Your Health Does High Blood Sugar Have
Having extra sugar in your bloodstream can be very harmful to the vessels in your body, as well as some major organs. Complications of diabetes include and are not limited to:
- Problems with your eyes which could lead to loss of vision
- Increased risk of heart disease and stroke
These complications are not caused by a spike in the blood sugar. They are caused by an increased number of high blood sugar events over a period of time. Do not think that one or two high blood sugars are going to cause you to go blind. However, it is important to know what caused those high sugars so that you can prevent it from happening again. Hemoglobin A1C levels are checked to see what the average blood sugar has been over the past 120 days. Your doctor will check this to see if how your blood sugar levels have been trending.
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The rest of this article explains these in further detail.
Always talk to your doctor before making any changes to your diet or exercise regimen.
Check your blood sugar levels!
There are critical times that you should check your blood sugar.
There are times when our health is well out of our control. Checking your blood sugar is one way that you can stay in control. Take this control and use it to better your health and your life.
According to the NIDDK, when checking your blood sugar levels, consider the following tips:
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Why Your A1c Matters
In a nutshell: your A1c is one of the clearest indicators of your risk for developing diabetes complications like neuropathy , retinopathy , nephropathy , and severe infection in any part of your body that requires healing.
For instance, a small cut on your toe could become infected due to high blood sugars, struggle to heal, and become severe enough that the infection could lead to an amputation.
The general guidelines from the American Diabetes Association recommend an A1c at or below 7.0 percent for the best prevention of diabetes complications. Your risk of developing a diabetes complication continues to drop as your A1c drops closer to 6 percent.
Some people with diabetes aim for A1c levels in the 5s and lower especially those who follow strict low-carb diets like the ketogenic diet and the Bernstein diet. However, this hasnt been proven in research as especially necessary, nor is it reasonably achievable for the larger population of people with diabetes.
Its also important to remember that your blood sugar levels and your A1c are just information that tells you whether your body needs more or less of factors like insulin, other diabetes medications, changes in your nutrition, and changes in your exercise.
If you dont like the number youre seeing on your glucose meter or your A1c results, use that number as motivation to make changes in how you safely manage your diabetes in order to get different results.
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Why Are Blood Glucose Spikes A Problem
Even though after-meal blood glucose spikes are temporary, several spikes a day, day after day, can raise your glycosylated hemoglobin, or HbA1c level, and a high HbA1c level has been shown to raise the risk of long-term diabetes complications.
Your HbA1c test result reflects your average blood glucose level for all times of day over the past two to three months, with the more recent weeks influencing the result more than earlier weeks. So if your pre-meal blood glucose average is 130 mg/dl for a given three-month period, and your post-meal average is 240 mg/dl, your HbA1c will probably reflect an overall average somewhere in the middle of these two numbers.
Interestingly, research has shown that for people with an HbA1c below 7.5%, post-meal blood glucose readings have a greater influence on HbA1c than pre-meal readings. In other words, lowering your pre-meal readings will only get you so far. If you want your HbA1c level to be as close to normal as possible, you need to pay attention to your after-meal numbers as well.
And dont forget: What goes up must come down. The rapid blood glucose decline that usually follows a post-meal spike can cause false hypoglycemia symptoms. This is referred to as relative hypoglycemia. The sharp drop from a high blood glucose to a normal level can fool the brain into thinking that there is a crisis, and low blood glucose symptoms can result.
Mild High Blood Sugar
If your blood sugar levels are consistently higher than your target range to 350 mg/dL in adults and 200 mg/dL to 240 mg/dL in children), you may have mild symptoms of high blood sugar. You may urinate more than usual if you are drinking plenty of liquids. Some people who have diabetes may not notice any symptoms when their blood sugar level is in this range. The main symptoms of high blood sugar are:
- Increased thirst.
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How To Avoid Hyperglycemia
One high blood sugar reading does not indicate failure. People with diabetes should expect that their blood sugar will fluctuate. Rather than viewing an episode of hyperglycemia as something bad, looking at it as a learning experience may give us some benefit for the future. What caused the episode? Did I eat something different? Did I move more or less than usual? Was I ill or stressed? Taking the time to problem solve to avoid these situations in the future is one way to take control of your health.
The main goal of managing diabetes is to maintain a blood sugar as close to normal as possible. Recommendations for avoiding hyperglycemia are the same as the general recommendations for treating diabetes: