How Do You Know What Your Blood Glucose Level Is
For the most part, you cant feel what your blood glucose level is unless its fairly high or its low. You may not even always have symptoms of either high or low blood glucose in fact, many people with type 2 diabetes dont have the usual symptoms of high blood glucose, and for this reason, its not uncommon for people to go undiagnosed for many years.
The best way to know your blood glucose level is to check it with a glucose meter. This means doing a fingerstick with a lancet and getting a drop of blood onto a test strip, then inserting the strip into the meter for a reading. Your doctor may be able to give you a meter free of charge, but youll likely need to pay for test strips and lancets. But check with your health plan, as there are likely one or two preferred meters that they want you to use.
Another way to know what your glucose levels are up to is to use a continuous glucose monitor, or CGM, which reads glucose in the interstitial fluid about every 5 minutes. Continuous glucose monitoring is expensive and may or may not be covered by your health plan.
Is Diabetes Diagnosed The Same Way In Every Country
There are four methods of diagnosing diabetes, which are used around the world. They are:
How Often Is A1c Tested
To keep A1C levels in check, patients should have the test repeated regularly. If the A1C is less than 5.7, indicating you dont have diabetes, you should have it checked every three years, according to Robert Williams, MD, a family doctor and geriatrician in Lakewood, Colorado, and a medical advisor for eMediHealth. If it is between 5.7 and 6.4, indicating you are at risk of developing diabetes, you should have it rechecked every one to two years. If you have a confirmed diabetes diagnosis, and your blood sugar is well-controlled, you should have an A1C test every six months. If you already have diabetes and your medications change, or your blood sugar is not well-controlled, you should have an A1C test every three months.
Also Check: What Is Your A1c Supposed To Be
Why Do I Need To Know My Blood Sugar Numbers
Your blood sugar numbers show how well your diabetes is managed. And managing your diabetes means that you have less chance of having serious health problems, such as kidney disease and vision loss.
As you check your blood sugar, you can see what makes your numbers go up and down. For example, you may see that when you are stressed or eat certain foods, your numbers go up. And, you may see that when you take your medicine and are active, your numbers go down. This information lets you know what is working for you and what needs to change.
Recommended Blood Sugar Targets
For people with type 1 diabetes, the American Diabetes Association recommends that blood sugar targets be based on a person’s needs and goals. Talk to your doctor and diabetes educator about these goals. A general guideline is:
Before meals, your blood sugar should be:
- From 90 to 130 mg/dL for adults
- From 90 to 130 mg/dL for children, 13 to 19 years old
- From 90 to 180 mg/dL for children, 6 to 12 years old
- From 100 to 180 mg/dL for children under 6 years old
After meals , your blood sugar should be:
- Less than 180 mg/dL for adults
At bedtime, your blood sugar should be:
- From 90 to 150 mg/dL for adults
- From 90 to 150 mg/dL for children, 13 to 19 years old
- From 100 to 180 mg/dL for children, 6 to 12 years old
- From 110 to 200 mg/dL for children under 6 years old
For people with type 2 diabetes, the American Diabetes Association also recommends that blood sugar targets be individualized. Talk to your doctor and diabetes educator about your goals.
In general, before meals, your blood sugar should be:
- From 70 to 130 mg/dL for adults
After meals , your blood sugar should be:
- Less than 180 mg/dL for adults
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What To Expect From Your Blood Sugar In The Morning
After an overnight fast, a normal blood sugar level is less than 100 milligrams per deciliter , according to the American Diabetes Association . But, according to Susan Spratt, MD, an endocrinologist and associate professor of medicine at Duke University School of Medicine, not everyone with type 1 or type 2 diabetes has to shoot for “normal” levels.
“If you’re young, the goal may be to get your fasting blood sugar levels to less than 120 mg/dL,” Dr. Spratt says. But if you’re older and have other health conditions, that number may be higher, she says.
The ADA points out that not everyone will have the same blood sugar level goals. Instead, your endocrinologist or doctor will calculate your target number based on your age, how long you’ve had diabetes, whether you have health conditions like heart disease and other factors.
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Are Some Canadians At Higher Risk For Elevated Blood Sugar Levels Than Others
You may have a higher risk for elevated blood sugars and type 2 diabetes if you:
- Are 40 or years of age or older
- Have a close relative with diabetes
- Are of African, Arab, Asian, Hispanic, Indigenous or South Asian descent
- Are overweight
- Have been diagnosed with prediabetes
Some medical conditions can also increase your risk of type 2 diabetes, such as:
- High blood pressure or cholesterol levels
- Polycystic ovary syndrome
How Can I Lower My Morning Blood Sugar
How can high blood sugar levels in the morning be controlled?
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Causes Of Impaired Fasting Glycaemia
IFG develops if your body becomes unable to control glucose levels. Your body may be unable to use insulin properly or produce less insulin. There are a number of factors that may make you more likely to develop IFG. If youre black or South Asian and over 25, or if youre white and over 40, and you have one or more of the following risk factors, then you may be at risk of IFG:
- one of your parents, brother or sister has type 2 diabetes
- youre overweight or you carry extra weight around your middle rather than your hips and thighs
- you have high blood pressure or you have had a heart attack or stroke
- you have polycystic ovary syndrome and you are overweight
- you have had diabetes during pregnancy
- you have severe mental health problems
Ask The Prescriber About Enrolling In Patient Assistance Programs
Realistically, even with substantial savings, Ozempic is difficult to afford. Novo Nordisk, the manufacturer, offers a patient assistance program for uninsured patients, Novocare, but the prescribing healthcare provider must help with enrollment. If you meet the income eligibility requirements, you may be able to receive Ozempic at no cost. The prescriber should have enrollment forms and additional information about the program.
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What Is Hemoglobin A1c
Hemoglobin A1C is a lab test. It indicates an average blood glucose reading for the last 90 days. It is done when you find out you have diabetes, and every 3 months after that at clinic visits. A person without diabetes has a Hemoglobin A1C of less than 5.6%.
Target Hgb A1C is 7.5% for all children and adults with diabetes.
The chart below shows the Hemoglobin A1C result compared with the blood glucose number.
Remedies For Low Blood Sugar Levels
If you experience any of the low sugar symptoms, immediately test your blood glucose levels. For levels between 60 to 80 mg/dL, consume 15 grams of fast-acting carbs. Repeat the test after 15 minutes and eat till sugar levels settle to normal.
But if the levels are below 50 mg/dL and if the patient is conscious and able to eat, give 15 gm. of fast-acting carbs. But if the patient is unable to speak, dont give anything to eat. Call emergency services immediately. If possible, administer glucagon via injection.
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Is Ozempic Covered By Insurance
Ozempic is a relatively new drug. Some commercial health insurance plans and Medicare Advantage and Medicare Part Dprescription drug plans cover an Ozempic prescription and some dont. Many health insurance plans require prior authorization before covering a prescription or may prefer that you use a particular drug in this class first before covering another.
Pumpkin And Pumpkin Seeds
Pumpkin seeds are like gold coins. These seeds are packed with protein, healthy fats, fiber, and antioxidants.
One cup of unshelled pumpkin seeds only has about 6 grams of net carbohydrates , so most people do not have trouble bolusing insulin for them.
Pumpkin puree is similarly great for blood sugar control. The naturally sweet squash is high in fiber and Vitamins A and C, while low in calories and carbohydrates.
In countries like Mexico and Iran, pumpkins are even used as a medicinal food for people with diabetes.
A 2018 study found that people who consumed 2 ounces of pumpkin seeds enjoyed a post-meal blood sugar that was 35% lower compared to a control group. Dig in!
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High And Low Blood Sugar Levels In Diabetes
The chart below shows the concerning values of blood sugar levels for diabetic patients. Red levels are indicators that require emergency treatment, while yellow levels indicate medical attention but not an emergency.
|Chart of High and Low Blood Sugar Levels in Diabetes|
|Blood sugar level status|
|71 to 90 mg/dL|
High Blood Sugar Levels Range
Low Blood Sugar Levels Range
High blood sugar range is between 180 to 250 mg/dL, while below 70 mg/dl is low. Above 250 mg/dL and under 50 mg/dL requires immediate medical attention.
Achieving Normal Fasting Glucose Level
The very first thing is to watch out the figures lower than 70 mg/dl. In case youâve been experiencing more than two episodes of low figures then you should consult your doctor.
The most probable cause include medicine you are taking and diet youâre following. And that should be corrected to keep glucose level under control.
Trying to achieve normal fasting glucose level means you must work hard on it and never surrender.
If this is so hard for you, try this natural alternative by
Blood Sugar Basics: What Is Blood Sugar
The term blood sugar refers to the sugar, or glucose, that is floating around in your bloodstream at any given time. Blood sugar, or blood glucose is the main source of sugar found in your blood, and comes from the food you eat. I
f you are monitoring your blood sugar, it is important to keep these numbers in check according to the American Diabetes Association .
Your blood sugar needs to be in the right range for you to be healthy. At least some glucose is necessary for your muscle, liver, and some other cells to use as fuel so they can function.
At least some sugar is necessary for your cells and organs to function properly. When our blood sugar levels get too low, it is called hypoglycemia. Without enough glucose as fuel, we lose the ability to function normally. This can make us feel weak, dizzy, and sweaty. And it can even lead to loss of consciousness.
On the other hand, blood sugar levels that get too high are also harmful, this is called hyperglycemia. Our blood sugar levels can get too high when we dont have enough insulin, or when our insulin isnt working well. This is the case for people who have prediabetes or diabetes. If it isnt treated, high blood sugar can lead to serious problems that can be deadly
The Centers for Disease Control and Prevention explains that keeping blood sugar levels in the target range is vital. It can help us prevent serious health concerns like heart disease, vision loss, and kidney disease, for example.
People Who Are Obese Are More Likely To Develop Type 2 Diabetes
Those with increased body fat are at higher risk for type 2 diabetes. Risk is greatest for those with excess fat carried around the waist. These people are also at increased risk for hypertension, high cholesterol levels, and heart disease compared with those who are lean or carry fat around the hips.
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Are There Different Recommendations For Blood Sugar Levels In Other Countries
The recommended blood sugar level ranges in countries around the world are very similar. However, there are two different units of measurement that are used when referring to blood sugars, depending on where you live: millimoles per litre and milligrams per decilitre .
The mmol/L measurement is used here in Canada, as well as England, Australia and China, while mg/dL is used in such countries as the United States, France, Japan, Israel and India.
To convert mmol/L to mg/dl, simply multiply by 18. For example, a blood sugar level of 5.0 mmol/L would mean a level of 90 mg/dL .
Here are blood sugar recommendations from some countries other than Canada:
|80 to 130 mg/dL||Less than 180 mg/dL|
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.
How Accurate Are A1c Tests
A1C levels rise well before the clinical onset of diabetes, making early diagnosis possible according to the 2017 Standards of Medical Care in Diabetes by the American Diabetes Association . Sometimes, however, in the early stages of diabetes, blood sugar levels are not high enough to show up as problematic. Testing environments, such as temperature in the lab, equipment used, and handling of samples, can affect the results however, this is more common in the fasting plasma glucose and the OGTT than in the A1C. Strict quality controls and advancements in testing have made the A1C test more precise than in the past, according to the NIDDK. Doctors should be aware of laboratories that use an NGSP-certified method of testing for A1C levels. The NIDDK warns that blood samples taken at home or analyzed in a healthcare providers office should not be used for diagnosis.
There are some health conditions and situations that might skew the results of the test. These include:
- Blood loss or blood transfusions
Also, the test can be unreliable for people of African, Mediterranean, or Southeast Asian descent, people with a family member with sickle cell anemia, and those with thalassemia. For those who fall into these groups, a healthcare provider might suggest a different test or a specialized A1C.