Bedtime Blood Sugar Goal

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Managing Your Blood Glucose Ups And Downs

High blood glucose is the defining characteristic of diabetes: It’s what leads to a diagnosis of diabetes, and it’s what can lead to long-term diabetes complications if sustained over time. Consequently, the medicines prescribed to treat diabetes lower blood glucose in one way or another. Exercise, too, usually lowers blood glucose, which is one of the reasons it’s an important part of a diabetes treatment regimen. But too-low blood glucose, or hypoglycemia, is no good, either, since it can cause you to lose consciousness. “Always bear in mind that your own resolution to succeed is more important than any other.” — Abraham Lincoln Food raises blood glucose level, and certain other things can, too, such as illness and other forms of physical or mental stress. The challenge of managing diabetes, therefore, is to balance all of the things that can raise blood glucose (including the diabetes itself) with those that can lower it, so that your blood glucose level stays within a fairly narrow range. Staying in this range will not only help to prevent complications, but it will enable you to feel your best, both mentally and physically. So what is that range, and how do you sta Continue reading >>

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  1. Dr. D. Love

    Thank you for using JustAnswer. I will be glad to assist you today.
    This is a good question, but one that is more complicated than it would first appear. There is no single goal of bedtime blood sugar for hypoglycemics, as it would depend upon the pattern of hypoglycemia.
    Some people have the primary problem as a reactive hypoglycemia, so primarily occurs after meals and is not as much of a problem during the night. In this situation, there is less concern about the bedtime blood sugar and the goal would be to achieve a blood sugar that is in the normal range (i.e., 70-100).
    However, if the pattern is that there is more of a problem during the middle of the night, because it is the longest period of time that the person goes without eating, there would be a higher goal, so that there is some buffer before going to sleep. In this situation, the goal would be to achieve a blood sugar that is high in the normal range (i.e., 85-100).
    Another problem, though, is that there is a limitation in the accuracy of home glucose meters. They generally will provide 20% accuracy (so that the reported result is within 20% of the true value), but this would not differentiate between a value of 75 and 85; these two values are within the range of accepted accuracy for a home glucose monitor.
    For this reason, doctors will also strongly rely on a patients history and current symptoms, rather than just developing a strict threshold goal on a home glucose monitor.
    My goal is to provide you with excellent service and a complete answer. If I have completely answered your question, please remember to provide a positive rating so that I can be compensated for my time. If you have any further questions or need clarification, please let me know.

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