What Should You Do If You Are Prediabetic
If youve been to see your doctor, and a blood test confirms you are prediabetic, there are many simple steps you can take to reverse the condition and prevent it from developing into diabetes.
Your healthcare providers will suggest help and guidance, like the best lifestyle changes considering your medical history and circumstances. Steps they may recommend include cutting out processed sugar, consuming more vegetables and whole grains, and taking a walk every morning.
A valuable resource for many prediabetic patients in the United States is the National Diabetes Prevention Program . Through private and public partnerships, it aims to prevent or delay type 2 diabetes by making it easier for Americans to make the lifestyle changes they need.
In some cases, they may even recommend medication. Whatever your doctor suggests, remember prediabetes can be reversed and its great you caught it early.
What Is A Good A1c Level
Levels between 5.7 and 6.4 are considered prediabetes. For most people with diabetes, the general A1C goal is to have a level between 6.0 and 6.9. While it might sound like the ideal A1C target is under 6.0, for those with diabetes, this level can indicate low blood sugar levels, which can be just as dangerous as high blood sugar levels. If A1C results fall between 7.0 and 8.9, a doctor might suggest lifestyle changes or medications to help lower the levels to what is considered controlled. However, for some people, these levels might be appropriate, such as:
- Those with a limited life expectancy
- People with long-standing diabetes who have trouble reaching a lower goal
- Those with severe hypoglycemia or the inability to sense hypoglycemia
Why Is My A1c High
As blood sugar level rises, so do A1C levels. A high A1C indicates that blood sugar control is not optimal. This in itself is not an emergency, but it gives your healthcare provider a picture of how blood glucose has, or has not, been controlled, says Dr. Williams.
Poor diabetes control or a need for medication adjustments might cause higher A1C. Diet changes, daily exercise, or medication adjustments might quickly lower A1C. Because Type 2 diabetes is a progressive disease, adjustments to ones treatment might be a part of the process of controlling diabetes. Poor diabetes control does not always mean a patient is doing something wrong. But there are other reasons why levels might be high.
As previously mentioned, other health conditions can cause skewed results. These include kidney disease, anemia, liver disease, asplenia, blood loss, hypothyroidism, uremia, and sickle cell anemia. Other factors that might lead to a high A1C level include increased age, pregnancy, and gestational diabetes.
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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.
Planning For Sick Days
Your body releases stress hormones when you are sick, which can cause hyperglycemia. Keep taking your insulin and other diabetes medications, even if you are throwing up. If you have ketones and your blood sugar is above 240 mg/dL, call your doctor. They might also want you to call if:
- You have diarrhea that lasts more than 6 hours
- You are throwing up
- You have a high fever or trouble breathing
- You feel very sleepy or confused
Continue checking your blood sugar levels and keep track of the results.
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Fasting Plasma Glucose Test
A fasting plasma glucose test is taken after at least eight hours of fasting and is therefore usually taken in the morning.
The NICE guidelines regard a fasting plasma glucose result of 5.5 to 6.9 mmol/l as putting someone at higher risk of developing type 2 diabetes, particularly when accompanied by other risk factors for type 2 diabetes.
Support Groups And Counseling For High Blood Sugar
You or family members may wish to join a support group with other people to share your experiences. The American Diabetes Association and the Juvenile Diabetes Research Foundation are both excellent resources. Your health care provider will have information about local groups in your area. The following groups also provide support:
American Association of Diabetes Educators100 W Monroe, Suite 400Chicago, IL 60603
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Low Blood Sugar: What To Watch Out For
Hypoglycemia can occur in people with diabetes who:
- Take too much medication or insulin
- Are late eating a meal or snack
- Have increased physical activity
- Drink too much alcohol
Symptoms of low blood sugar include feeling weak, sweaty or clammy, confused, hungry and/or irritable. Sometimes people experience a fast heartbeat and some symptoms may make a person appear to be drunk. A severely low blood sugar can result in unconsciousness, seizures, coma or death especially when a low occurs during the night.
Low blood sugar affects many parts of the body, but the most frustrating part can be that hypoglycemia can happen anytime and anywhere even when you think you are closely following the plan for your diabetes care. If low blood sugar is severe, people may need to go to the hospital to help raise their glucose level or miss work due to the side effects.
It can happen during a date, during a business meeting, or even while driving, which is the most dangerous scenario if there is confusion or loss of consciousness while behind the wheel. Its important to use your blood glucose meter to check your blood sugar before you drive to keep yourself and others safe. Frequent testing with your blood sugar meter and taking action when blood sugar is trending low can prevent a severe low and keep your life on track.
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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High Blood Sugar Symptoms: Causes Signs And Taking Control
If youve had diabetes for any length of time at all, youve probably seen lists of the signs and symptoms of high blood sugar dozens of times. Doctors and diabetes educators hand them out. Hundreds of websites reprint them. Most diabetes books list them. You likely know some of the items on the list by heart: thirst, frequent urination, blurry vision, slow healing of cuts, and more.
But have you ever stopped to wonder why these symptoms occur? How does high blood sugar cause frequent urination, make your vision go blurry, or cause all of those other things to happen? Here are some answers to explain whats going on in your body when you have high blood sugar.
Controlling Blood Glucose Levels
Uncontrolled blood sugar can result in regular episodes of hyperglycemia . This can cause a variety of symptoms including:
- Dry mouth
These symptoms are uncomfortable to experience but there are things you can do at home to reduce your blood sugar. In terms of drinks, water is the best as it will help to maintain hydration and dilute excess sugar in the blood. Also, try to add more fiber to your diet to reduce your blood sugar apples, bananas, oranges, and strawberries are all fibrous fruits.
However, uncontrolled blood sugar levels can also lead to more severe, long term disease. Poorly managed diabetes leads to vision loss, kidney problems, nerve damage, heart attack, and stroke. Therefore, if your blood sugar level reaches 16.7mmol/L, this could be dangerous and you need to seek immediate medical attention.
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Blood Sugar Levels After Eating
Blood sugar fluctuates throughout the day, but the biggest changes happen around mealtimes. Before eating, a healthy sugar level is between 3.9-5.5mmol/L. Around 1-2 hours after eating, expect blood sugar to rise to 5-10mmol/L.
If your blood sugar doesn’t stick within these ranges, the body may have stopped regulating blood sugar effectively which can lead to prediabetes and diabetes.
What Should My Blood Sugar Level Be
When you’re first diagnosed with diabetes, your diabetes care team will usually tell you what your blood sugar level is and what you should aim to get it down to.
You may be advised to use a testing device to monitor your blood sugar level regularly at home.
Or you may have an appointment with a nurse or doctor every few months to see what your average blood sugar level is. This is known as your HbA1c level.
Target blood sugar levels differ for everyone, but generally speaking:
- if you monitor yourself at home with a self-testing kit a normal target is 4 to 7mmol/l before eating and under 8.5 to 9mmol/l 2 hours after a meal
- if your HbA1c level is tested every few months a normal HbA1c target is below 48mmol/mol
The Diabetes UK website has more about blood sugar levels and testing.
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When To Seek Medical Care For High Blood Sugar
If hyperglycemia persists for at least two or three days, or if ketones appear in the urine, call a doctor.
Generally, people with diabetes should test their blood sugar levels at least four times a day: before meals and at bedtime . The urine should be checked for ketones any time the blood sugar level is over 250 mg/dL.
When blood sugar stays high despite following a diabetic diet and plan of care, call the nurse, diabetes health educator, or physician for adjustments in the diet.
If blood sugars are high because of illness, check for ketones and contact a health professional.
Seek immediate medical care for these conditions:
- Blood sugar levels that stay above 160 mg/dL for longer than a week
- Glucose readings higher than 300 mg/dL
- The presence of ketones in the urine
Ketoacidosis or diabetic coma is a medical emergency. Call 911 for emergency transport to a hospital or similar emergency center.
What Are Considered Normal Blood Sugar Levels
You might not have diabetes now, but do you know the risk factors?
In 2015, 22% of Canadian adults were pre-diabetic and the number of Canadians suffering from diabetes has increased by 44% in the last 10 years. As the leading cause of blindness, kidney problems, and non-trauma amputations, it is important to protect ourselves against diabetes.
But its not all bad news, diabetes is often a preventable disease. Knowing whether you have normal blood sugar levels is one of the best indicators of risk. If your blood sugar levels are high, mindful eating and lifestyle changes can reduce your risk of developing diabetes.
Read on for all the hottest tips on how to manage your blood sugar levels and prevent diabetes.
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What Are High Blood Sugar Numbers
The question of what is high blood sugar numbers? is a valid one. A person who has diabetes, heart problems, hypoglycemia or some other medical condition should carefully monitor his or her blood sugar level. If a persons blood sugar level is more or less than what it should be, this could cause serious heart problems.
Normal Range Of Blood Sugar Levels
The normal range of blood glucose levels for individuals with diabetes is between 80 and 130 milligrams per deciliter . When levels are too low, the person may experience hypoglycemia, which is characterized by shakiness, sweating, dizziness, or confusion. When blood sugar levels are too high, the person may experience hyperglycemia, which is characterized as extreme thirst and urination and blurred vision. Blood glucose levels can be checked by pricking a finger to get a drop of blood and putting it on a glucose meter.
The normal blood sugar range is between 80-120 mg/dL .
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How To Lower Blood Sugar
Its best to always talk to your doctor about what to do if a certain situation presents itself. For example, your doctor may recommend you take an additional dose of insulin to lower blood sugar. Make sure youre aware of the dose that should be taken, as well as what level it should be taken at.
While lowering blood sugar for some requires taking insulin or other medication, there are some simple things that can be done to help get blood sugar moving in the right direction.
Drinking water is a simple, effective way to help lower blood sugar. It wont get you all the way back to normal when your blood sugar level is very high, but it will usually help get it moving downward. When your body needs to get rid of extra glucose, it can dispose of it through urine. In order for this to happen, you need to be properly hydrated.
Additionally, exercising can serve as a long term proactive means of lowering average blood sugar. When you exercise, your body becomes more sensitive to insulin in your body and can pull sugar from the blood to use for energy. This is another effective way to lower your blood sugar levels naturally. Make sure that the exercise youre doing isnt too strenuous. Even going for a walk can be the exercise the body needs to use some of the excess glucose in the blood.
High Blood Sugar Prevention
- Learn about managing diabetes.
- Work with a certified diabetes educator. This person will have a CDE certification and may work in a diabetes education center or hospital.
- Check blood sugar as directed by a CDE and doctor or nurse.
- Know the symptoms and act quickly before blood sugars get out of control.
- Follow a diabetes diet plan. Adjust the plan as needed.
- Take medications for diabetes as directed by your healthcare professional.
- Exercise daily.
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The Best Healthcare Options To Prevent Diabetes
Health care is expensive. Canada spent an estimated $253.5 billion in 2018, and as the cost of health care increases, so does the cost to you. Pre-existing medical conditions, family history, and BMI are all factors that increase the cost of health care. These factors also increase your risk of diabetes, so you must be covered.
Of course, as a Canadian, you are entitled to some free and subsidized health care, which is great. But many people opt for private healthcare and for diabetes prevention this can be very useful. If you’re shopping around for private healthcare, it’s important to choose the right package.
Basic health insurance will usually cover health care, medical services, and prescriptions, but they tend to lack customizations. If you opt for a premium/guaranteed health insurance you have the bonus of a custom plan based on your needs if you are worried about your risk of diabetes this is like gold dust.
Private healthcare plans can cover the cost of many expenses related to diabetes such as blood tests, blood sugar monitors, specialist referrals, hospital stays, and much more! The most important thing to note about private health care is that it covers costs for preventative care, not just treatment for diseases.
There are many different options available, so make sure you search for the best quotes.
Why Blood Glucose Levels Rise In Diabetes
The food we eat is converted to glucose and released into the bloodstream. Therefore, blood glucose levels are high after eating. The increase in glucose level signals our pancreas to release insulin.
Insulin helps our body cells to absorb glucose. As a result, blood glucose level goes down / becomes normal again. This process of cell absorption helps in regulating/maintaining blood glucose levels
But in the case of diabetes, our body becomes insulin resistant, or there is insulin deficiency. Due to which our body cells do not absorb blood glucose, resulting in high blood glucose levels, thus causing Diabetes which comes with health problems like thyroid, stress, loss of muscle weight, acidity, insomnia, low energy level, etc. Over a period of time, such high blood glucose levels can cause damage to nerves, kidneys, eyes, and heart. With the right changes in your habits of eating, exercising, sleeping patterns, and stress management we have seen 10000s of patients reverse diabetes. Get started with your diabetes reversal journey, connect with top diabetes experts now.
Therefore if you have diabetes, it is essential to maintain your blood glucose levels at to some typical acceptable values, which can be attained by having a healthy lifestyle that will aid the reversal of diabetes and following a sustainable diet plan that you can follow which includes staple food, easily available in your kitchen and does not include supplements.
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How Do I Treat Hyperglycemia
You can often lower your blood sugar level by exercising. However, if your blood sugar is above 240 mg/dl, check your urine for ketones. If you have ketones, do not exercise.
Exercising when ketones are present may make your blood sugar level go even higher. You’ll need to work with your doctor to find the safest way for you to lower your blood sugar level.
Cutting down on the amount of food you eat might also help. Work with your dietitian to make changes in your meal plan. If exercise and changes in your diet don’t work, your doctor may change the amount of your medication or insulin or possibly the timing of when you take it.