Introduction To Self-monitoring Blood Glucose
The tiny drop of blood you see on your test strip contains a wealth of information. You can use this to help you within the blood glucose target ranges recommended by your healthcare provider, as well as your own lifestyle goals.1 Blood sugar target ranges In general, the American Diabetes Association's (ADA) recommended blood sugar levels are: Between 80 and 130 mg/dL before meals2 Less than 180 mg/dL after meals2 Your range is yours alone—based on your health, age, level of activity and other factors. And remember that your target is a range you'd like to stay within, not a single number. But what if you're out of range? These results provide valuable information, too. You can review your numbers over time to find patterns in highs and lows. Then you can work with your healthcare team to make adjustments to your diabetes management plan that will bring you closer to your target range. Gaining insights from routine testing Day-to-day blood sugar checks—also known as routine testing—can give you a good idea of how you're doing at this moment, and they can be reviewed overall to see trends. They can help answer questions such as: Are your medications working as they should? How does the type or amount of food you eat affect your blood sugar? How does activity or stress affect your blood sugar? Your healthcare team will probably recommend a schedule of routine or daily testing to help you manage your blood sugar. Recognizing patterns with structured testing You can take self-monitoring a step further with structured testing—checking your blood sugar at specific times over a short period to see how the things you do may affect your blood sugar. For example, if you're interested in insights into your overall blood glucose control, you can identify patterns with the Continue reading >>
High Blood Glucose Reading Four Hours After A Meal
An elevated blood glucose level after eating may indicate you have diabetes. If you haven't been diagnosed, see your health care provider. If you're already being monitored for diabetes, a high blood glucose level may occur from changes in your routine, illness or due to medications. Over time, a chronically elevated blood glucose level may lead to complications such as kidney disease, eye problems, heart attack and stroke. According to Joslin Diabetes Center, blood glucose is considered high when it's 160 milligrams per deciliter or greater. If two or more tests show your blood glucose is between 100 and 125 milligrams per deciliter four hours after a meal, also known as fasting blood sugar, you'll be diagnosed with prediabetes or impaired fasting glucose. Prediabetes puts you at risk for developing Type 2 diabetes and heart disease, according to Joslin Diabetes Center. If two or more tests show your blood glucose is greater than 126 four hours after a meal, you'll be diagnosed with diabetes. Making changes to your eating habits and exercise, oral prescriptions and insulin injections can all help lower your glucose levels four hours after eating. Changes in Your Routine If your blood glucose has been within normal range and has recently become elevated, examine any changes in your eating habits and exercise. Increasing your food intake, changing what you eat daily and eating too many high-carbohydrate or high-fat foods can cause fluctuation in your blood sugar. A decrease in physical activity may also cause an increase in your blood glucose. Track your food intake and exercise routine along with your blood glucose to identify any patterns that may be causing this increase. High blood glucose four hours after a meal may also be due to problems with your medication. If y Continue reading >>
Morning Highs? How To Lower Morning Blood Sugar
As Type 2 Diabetes Develops During the years when type 2 diabetes slowly develops (which may be up to 10 years through developing metabolic syndrome and continuing on to prediabetes), hormonal control of blood glucose breaks down. To understand how your body responds, it's important to understand the essential hormones involved in blood glucose control. Four hormones are involved in blood glucose control: Insulin, made in the beta cells of the pancreas, helps the body use glucose from food by enabling glucose to move into the body's cells for energy. People with type 2 diabetes have slowly dwindling insulin reserves. Amylin, secreted from the beta cells, slows the release of glucose into the bloodstream after eating by slowing stomach-emptying and increasing the feeling of fullness. People with type 1 and type 2 diabetes are amylin-deficient. Incretins, hormones secreted from the intestines that include glucagon-like peptide 1 (GLP-1), enhance the body's release of insulin after eating. This in turn slows stomach-emptying, promotes fullness, delays the release of glucose into the bloodstream, and prevents the pancreas from releasing glucagon, putting less glucose into the blood. Glucagon, made in the alpha cells of the pancreas, breaks down glucose stored in the liver and muscles and releases it to provide energy when glucose from food isn't available Out-of-Control Blood Sugar During Sleep For people in the early years of type 2 diabetes, the hormones that control blood sugar can particularly go awry. Here's what happens during sleep to a person with type 2 diabetes: "Overnight, the liver and muscles get the message from excess glucagon to ramp up the glucose supply because the person is sleeping, not eating," says Marty Irons, R.Ph., CDE. "There is not enough GLP-1, i Continue reading >>
Non-fasting Blood Sugar Levels
Non-fasting blood sugar levels are considered random readings where a person's levels should be no higher than 200 mg/dl, or it indicates type 2 diabetes. A fasting glucose level, on the other hand, should be no higher than 126. Further tests provide insight into how long it takes a person's blood sugar to spike and drop after eating. Warning Risk factors for type 2 diabetes include having close relatives with the condition, being over 45 years of age, being overweight, not exercising on a regular basis, and having gestational diabetes during pregnancy. Because symptoms can be mild for months or even years, type 2 often is initially indicated during a routine non-fasting blood test. Considerations Diabetes cannot be confirmed by non-fasting blood sugar levels, so physicians require fasting tests as well. Diabetes is suspected if the non-fasting level is higher than 200 mg/dl, especially if the patient also has symptoms of increased thirst and urination, along with fatigue. Even soon after eating, such high blood sugar numbers are considered unhealthy. The physician will advise the person to return for a fasting blood sugar test, which is performed after at least eight hours with no food. Identification A fasting blood sugar level indicates type 2 diabetes if the reading is higher than 126 on two separate days. Numbers between 100 and 126 are considered impaired, or pre-diabetes, where a person can more easily return to normal levels through diet changes and exercise. Types A glucose tolerance test is another type of non-fasting blood sugar diagnostic procedure. The patient typically drinks water with a specific amount of glucose added, and then a health care professional determines how long it takes the blood sugar level to peak and return to normal. Levels should drop Continue reading >>
What You Should Know About Your Blood Glucose Levels
Written by Tom Nikkola - Director of Nutrition & Weight Management If you’re like many Americans, you tend to judge your health based on how you look and a little on how you feel. You’re not that out of shape. You generally feel pretty good, although you’d like to feel a little better. But you’re not really sure you’re healthy on the inside, you just hope so. A variety of different markers of metabolism can identify how healthy you really are, like the ones we’ve talked about in the Longevity and Vitality lab test. However, if you had to pick just one thing to have measured, the most important could very well be your blood sugar levels. Think about this: 25.8 million Americans are thought to have diabetes, with 7 million people having diabetes, but not knowing about it. Most of those who have diabetes have type 2 diabetes, which is the result, in large part, from lifestyle choices. Additionally, 79 million Americans have prediabetes, a condition where blood sugar regulation begins to be a problem, but it’s not bad enough to begin using drug therapy. If you’ve read this far and are thinking, “I’m in good shape; this article doesn’t apply to me,” think again. About 20% of those with prediabetes are at what would be considered a healthy weight or body composition. In fact, this condition may precede weight gain often associated with diabetic and prediabetic conditions. As you’ll see below, prediabetes may be a sign of other unwanted health effects as well. Blood Sugar 101 To maintain optimal health, glucose must be maintained within a relatively close range in the blood. Blood sugar rises typically come from two sources — from the carbohydrates (and under special circumstances, protein) in one’s diet and from glycogen stored in the liver. Carb Continue reading >>
Blood Sugar Monitoring
What Do the Numbers Tell You? “I must admit that I stopped checking my blood sugar,” Dave said. “I used to stick myself and write the numbers in a book, but I had no idea what they meant. I’d eat the same thing and get different numbers. Finally, I just gave up.” Sound familiar? Many people dutifully check their blood glucose levels but have no idea what the numbers mean. Part of the problem is that blood glucose levels constantly fluctuate and are influenced by many factors. The other part of the problem is that no two people are alike. A blood glucose reading of 158 mg/dl in two different people might have two different explanations. Most people know that their bodies need glucose to fuel their activities and that certain foods or large quantities of almost any food will raise blood glucose. That’s the easy part. But just as cars require a complicated system of fuel pumps, ignition timing, batteries, pistons, and a zillion other things to convert gasoline into motion, our bodies rely on an intricate system to convert glucose into energy. Back to basics Insulin is a hormone secreted by the pancreas that helps regulate the way the body uses glucose. Its main job is to allow glucose in the blood to enter cells of the body where it can be used for energy. In people who don’t have diabetes, the pancreas changes how much insulin it releases depending on blood glucose levels. Eating a chocolate bar? The pancreas releases more insulin. Sleeping? The pancreas releases less insulin until the wee hours of the morning when the hormones secreted in the early morning naturally increase insulin resistance, so the pancreas needs to release a little more. Insulin also controls how much glucose is produced and released from the liver. Glucose is stored in the liver in a f Continue reading >>
Why Is Blood Sugar High In The Morning?
Here you'll find info about why blood sugar is high in the morning, along with tips and resources to lower those numbers! A while back I had a client sending me her blood sugar charts every few days and on those charts she always made some notes if she had questions. Every time she sent them through, I noticed she had 3 big question marks (???) against her morning blood sugar results. And on another morning when her morning blood sugar levels were high at 160 mg/dl (or 8.9 mmol/l). She had written: I don't understand. 97 mg/dl (or 5.5mmol/l) last night when I went to sleep. I didn't eat anything because I didn't feel well. Humm… I was also over in one of the online diabetes groups I'm involved in today and this message popped up. I'm struggling with my morning BS number. When I went to bed around 11PM my BS was 107. I'm waking up with my BS between 120 – 135. I did put two pieces of string cheese next to my bed and when I woke up around 3am, I ate one. Since I was told to eat protein at night. When I woke up 3 hours later my BS was 130. I didn't want to eat anything large since it's so close to 140 (my goal is to keep it below 140). So I had 1 piece of toast (sugar free wheat bread) and just a tiny bit of peanut butter. I checked it an hour later and it was 161! What am I doing wrong? Do these morning situations sound familiar to you? Are you constantly questioning: Why is blood sugar high in the morning? I mean, logically we'd think that it should be at it's lowest in the morning right? Well don't panic, there is a reason for it, so let's explore why morning blood sugar is often higher. And at the end, I'll also point you toward some resources to help you lower those levels. Why Is Blood Sugar High In The Morning? Although it would seem logical that your body would Continue reading >>
Diabetes – Exposing A Silent Killer!
3 Foods to Remove from - The Fridge Forever Cut a bit of belly bloat each day, by avoiding these 3 foods nucific.com I am writing this article as a lay person who wants to raise an alarm for all of us to act, with the help of our experts, to save lives. Until recently, I thought of diabetes as a disease that is reserved for those who eat a lot of sugar and for obese individuals. After all, in the Akan language, it is called Asikyire Yare? or “sugar disease.” Recently, however, I have come to acquire a bit of knowledge on the subject of diabetes and have developed interest in knowing more about the disease. I went for my usual annual checkup in August 2011 and my Doctor told me that everything was perfect except for the fact that my blood glucose level was “slightly elevated”. This was the second time in a row he had told me that. My Doctor did not show any sense of urgency but began asking me if there was any incidence of diabetes in my family. I told him I did not know as my folks were in the village in Ghana and probably wouldn’t know either, even if they had the disease. He told me to continue doing what I have been doing and increase my exercise routine and watch my diet. When I came home, I was curious to find out more about this glucose level thing and “boy, was I shocked” at what I found! A short Note on Diabetes (Source: PubMed Health): Diabetes is a disease in which there are high levels of sugar in the blood. Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both. To understand diabetes, it is important to first understand the normal process by which food is broken down and used by the body for energy. Several things happen when food is digested: • A sug Continue reading >>
When Your “normal” Blood Sugar Isn’t Normal (part 1)
In the next two articles we’re going to discuss the concept of “normal” blood sugar. I say concept and put normal in quotation marks because what passes for normal in mainstream medicine turns out to be anything but normal if optimal health and function are what you’re interested in. Here’s the thing. We’ve confused normal with common. Just because something is common, doesn’t mean it’s normal. It’s now becoming common for kids to be overweight and diabetic because they eat nothing but refined flour, high-fructose corn syrup and industrial seed oils. Yet I don’t think anyone (even the ADA) would argue that being fat and metabolically deranged is even remotely close to normal for kids. Or adults, for that matter. In the same way, the guidelines the so-called authorities like the ADA have set for normal blood ￼sugar may be common, but they’re certainly not normal. Unless you think it’s normal for people to develop diabetic complications like neuropathy, retinopathy and cardiovascular disease as they age, and spend the last several years of their lives in hospitals or assisted living facilities. Common, but not normal. In this article I’m going to introduce the three markers we use to measure blood sugar, and tell you what the conventional model thinks is normal for those markers. In the next article, I’m going to show you what the research says is normal for healthy people. And I’m also going to show you that so-called normal blood sugar, as dictated by the ADA, can double your risk of heart disease and lead to all kinds of complications down the road. The 3 ways blood sugar is measured Fasting blood glucose This is still the most common marker used in clinical settings, and is often the only one that gets tested. The fasting blood glucose Continue reading >>
What Is Normal Blood Sugar?
Thank you for visiting my website! If you need help lowering your blood sugar level, check out my books at Amazon or Smashwords. If you’re outside of the U.S., Smashwords may be the best source. —Steve Parker, M.D. * * * Physicians focus so much on disease that we sometimes lose sight of what’s healthy and normal. For instance, the American Diabetes Association defines “tight” control of diabetes to include sugar levels as high as 179 mg/dl (9.94 mmol/l) when measured two hours after a meal. In contrast, young adults without diabetes two hours after a meal are usually in the range of 90 to 110 mg/dl (5.00–6.11 mmol/l). What Is a Normal Blood Sugar Level? The following numbers refer to average blood sugar (glucose) levels in venous plasma, as measured in a lab. Portable home glucose meters measure sugar in capillary whole blood. Many, but not all, meters in 2010 are calibrated to compare directly to venous plasma levels. Fasting blood sugar after a night of sleep and before breakfast: 85 mg/dl (4.72 mmol/l) One hour after a meal: 110 mg/dl (6.11 mmol/l) Two hours after a meal: 95 mg/dl (5.28 mmol/l) Five hours after a meal: 85 mg/dl (4.72 mmol/l) (The aforementioned meal derives 50–55% of its energy from carbohydrate) ♦ ♦ ♦ Ranges of blood sugar for young healthy non-diabetic adults: Fasting blood sugar: 70–90 mg/dl (3.89–5.00 mmol/l) One hour after a typical meal: 90–125 mg/dl (5.00–6.94 mmol/l) Two hours after a typical meal: 90–110 mg/dl (5.00–6.11 mmol/l) Five hours after a typical meal: 70–90 mg/dl (3.89–5.00 mmol/l) Blood sugars tend to be a bit lower in pregnant women. ♦ ♦ ♦ What Level of Blood Sugar Defines Diabetes and Prediabetes? According to the 2007 guidelines issued by the American Association of Clinical Endocrinol Continue reading >>
When To Test Blood Sugar After Meals
For some reason the past week brought me a bunch of emails all asking the same question: Are we supposed to test our blood sugar one hour after we start or end a meal? As is true with everything involving diabetes the answer is not simple due to variations in individual blood sugar responses. The reason we test one hour after a meals is to learn how high our blood sugar goes in response to the specific meal. So we want to be testing at the moment when our blood sugar is at its peak. Studies tell us something about the average time it takes for the carbohydrate in our food to turn into blood sugar (carbohydrates are the main nutrient that causes elevated blood sugars). Such studies suggest that most Americans who eat our meals fairly quickly will see a peak somewhere between one hour and seventy-five minutes after we start eating. But because studies only come up with averages, they don't take into account individual variations--and you are, of course, an individual. And when we move from group averages to individual response we learn that when the blood sugar peak occurs depends on a multitude of factors that include how fast we eat our meals, how much we eat at each meal, how tightly bound the glucose is in the carbohydrates we eat, and how efficient our digestive system is at digesting the carbohydrate bound in our food. That explains why the same meal consumed at the same time by two different people may peak at different times--and why I can't tell you exactly when to test. That's why you might try varying the time at which you test a carefully chosen test meal to see if your personal peak is later than average. Choose a simple meal that contains a known quantity of carbohydrate--a single measured portion of something rather than a meal where you have to guess what Continue reading >>
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The “normal Blood Sugar Range” May Be Misleading You
A fasting blood sugar test measures the amount of a type of sugar, called glucose, in your blood after you have not eaten for at least eight hours. Checking for an ideal fasting blood sugar is one of the most commonly performed tests to check for prediabetes and type 2 diabetes. So what should your fasting blood sugar be? The normal blood sugar range is 65-99 mg/dL. If your fasting blood sugar is between 100 and 125 mg/dL, you have “impaired fasting glucose,” also referred to as “prediabetes.” If your fasting blood sugar is more than 126 mg/dL on two or more occasions, you have full-blown diabetes. What Is Prediabetes? People defined as having impaired fasting glucose/prediabetes are individuals whose blood sugar levels do not meet criteria for diabetes, yet are higher than those considered normal. These people are at relatively high risk for the future development of diabetes. According to the American Diabetes Association (ADA), prediabetes is not a disease itself but rather a risk factor “for diabetes as well as cardiovascular disease.” However, the ADA also state that prediabetes can be considered an “intermediate stage” in the diabetes disease process.(One might wonder how prediabetes can be a both a risk factor for diabetes and an intermediate stage of the diabetes disease process simultaneously). In addition to increasing the chance of developing diabetes, it’s well-established that people with impaired fasting glucose/prediabetes are more likely to be overweight or obese, especially with what’s known as abdominal or visceral obesity. They also are more likely to have high triglycerides and/or low HDL cholesterol, and hypertension. Even Normal-Range Blood Glucose Levels Can Increase Diabetes Risk There’s a lot more at stake for thos Continue reading >>
Blood Sugar Of 103 Mg/dl For 27 Year Old?
My fasting blood sugar was 103 mg/dl. Is this high. I am not obese and fairly fit. Can someone quickly answer me this? This is not normal though lab range is wide. Fasting BS should be less than 90. Check you post meal sugar also. Non-diabetics have their FBS in between 75-85. Forget WHO and ADA. Go for Fasting blood sugar and fasting insulin tests and then compute your IR. No ADA/WHO trained professional ever will tell you this. They will push you to be a full blown diabetic with their advice. Diabetes is a flourishing business for the drug industry. They want more customers. Type 2 starts with over secretion of insulin, so first line of attack should be to bring that excess insulin down. Cutting down carbs helps like nothing else. Dont get lost with buzzword "diabetes" ...fasting bs ...fasting insulin...understand your body .... Fasting insulin is good and fasting bs is fair ...though not very good ...cut down carbs...everybody lose their beta cells diabetic or non diabetic ....if beta cells are lost beyond a threshold one is declared daibetic ...so forget about the buzzword "diabetes"... Cutting down carb will decrease the load on pancreas to keep up with load of carbs...and thus it will get chance to rest and recover its lost beta cells...eat atmost 3 meals a day and dont snack much ...as this will give rest to digestive system and lighten the load and give opportunity to recover They only have OPINIONS. And try to scare with wait and watch, see in future type statements. Devoid of any scientific backing and they don't like discussing science. Water = Vodka because both are colorless. That's their logic They will say wait and watch after 2 years, when 2 years is over they will say 5 years, and when 5 years is over they will say wait till death. All scare mongering o Continue reading >>
Blood Glucose Four Hours After Eating
Cells throughout your body work around the clock, even when you’re sleeping. Clearly, they need a steady supply of energy to keep going. To function, they rely on glucose, a simple type of carbohydrate. Glucose enters your bloodstream until the hormone insulin comes around to help cells use or store the circulating glucose. Your blood sugar may go up a bit after eating, but if it’s still high four hours after your meal, or if it drops too low, something is awry in your body. Video of the Day Normally your blood sugar should remain between 70 and 130 milligrams per deciliter, according to the American Diabetes Association. This range is for any random time throughout the day, before or after meals. After a long fast, such as after a night’s sleep, it’s normal for your glucose to be on the lower end of that spectrum -- 70 to 100 milligrams per deciliter. Four Hours After Eating If you’re generally healthy or are properly managing your diabetes, your blood glucose should fall between 90 and 130 milligrams per deciliter four hours after eating. If you're not diabetic, your sugar could even go as high as 140 milligrams per deciliter after meals. Of course, if you are a diabetic, your blood glucose could rise even higher -- 180 milligrams per deciliter or above, even several hours after eating. It’s not typical for your glucose to remain elevated four hours after eating. By then, insulin should have done its job and made sure that all of that extra glucose was used up. So if your blood sugar is still high hours after eating, it could be a sign that you have diabetes. Or if you have already been diagnosed, the dosage of your insulin or other diabetes medication might be off. Elevated glucose can also stem from an infected pancreas, an overactive thyroid and certain Continue reading >>
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Blood Sugar 103 Mg/dl (5.72mmol/l) After Eating - Is That Good Or Bad?
It is normal for blood sugar levels to rise immediately after a meal. The increased glucose is a product of the carbohydrates in the food that was just consumed. The higher blood glucose triggers the pancreas to produce more insulin. This release of insulin usually takes place within about 10 minutes of eating. The insulin removes the glucose from the blood and stores it for the body to use as energy. In a healthy individual, blood glucose levels should return to a normal level within about two hours after finishing the meal. In diabetics, the blood sugar level often remain elevated for a longer period because of the body’s inability to produce or utilize insulin properly.An elevated two-hour postprandial (after a meal) blood sugar may indicate diabetes or prediabetes. As a general rule, a normal two- hour postprandial blood sugar is as follows: • Age 50 and under: Less than 140 mg/dl • Age 50 – 60: Less than 150 mg/dl • Over age 60: Less than 160 mg/dl A doctor may recommend different postprandial blood sugar levels based on an individual’s particular circumstances and health history. Several factors may cause a person’s postprandial blood sugar to remain elevated. • Smoking after the meal: Studies show that smoking raises blood sugar levels in people with diabetes. • Extreme stress: Stress produces the body’s fight-or-flight response triggering the release of stress hormones such as cortisol. These hormones cause the body to release the glucose it has previously stored for energy. • Eating or drinking after the meal and before testing the blood sugar: Continuing to eat will keep blood sugars closer to their immediate post-meal levels. Studies show that 15 to 20 minutes of moderate exercise, such as walking, shortly after a meal may improve glucos Continue reading >>