Diabetes And Exercise: When To Monitor Your Blood Sugar
Exercise is an important part of any diabetes treatment plan. To avoid potential problems, check your blood sugar before, during and after exercise. Diabetes and exercise go hand in hand, at least when it comes to managing your diabetes. Exercise can help you improve your blood sugar control, boost your overall fitness, and reduce your risk of heart disease and stroke. But diabetes and exercise pose unique challenges, too. To exercise safely, it's crucial to track your blood sugar before, during and after physical activity. You'll learn how your body responds to exercise, which can help you prevent potentially dangerous blood sugar fluctuations. Before exercise: Check your blood sugar before your workout Before jumping into a fitness program, get your doctor's OK to exercise — especially if you've been inactive. Talk to your doctor about any activities you're contemplating, the best time to exercise and the potential impact of medications on your blood sugar as you become more active. For the best health benefits, experts recommend at least 150 minutes a week of moderately intense physical activities such as: Fast walking Lap swimming Bicycling If you're taking insulin or medications that can cause low blood sugar (hypoglycemia), test your blood sugar 30 minutes before exercising. Consider these general guidelines relative to your blood sugar level — measured in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L). Lower than 100 mg/dL (5.6 mmol/L). Your blood sugar may be too low to exercise safely. Eat a small snack containing 15 to 30 grams of carbohydrates, such as fruit juice, fruit, crackers or even glucose tablets before you begin your workout. 100 to 250 mg/dL (5.6 to 13.9 mmol/L). You're good to go. For most people, this is a safe pre-exercise Continue reading >>
Is There A 'safe' Blood Sugar Level?
What is the "safe" blood sugar level? I have heard several opinions from other diabetics, and I am very confused. I was told that it was 154 about a year ago, and my doctor didn't recommend daily monitoring. At one time on a morning fasting, my level was 74. — Theresa, Alabama Yes, there is a safe blood sugar level. It is the optimum range that safely provides the body with adequate amounts of energy. For the average person, it is 70 to 105 mg/dl in a fasting state. (Diabetes is diagnosed when the fasting blood glucose level is at or above 126 mg/dl.) Glucose values vary depending on the time of day, your activity level, and your diet. Your sugar level of 154 mg/dl, which is high, may not have been determined while you were fasting. If it had been, a physician would have repeated the test. Your doctor did, and your level was determined to be normal at 74 mg/dl. In this case, daily monitoring is probably not necessary. If your levels are elevated in the future, you will be diagnosed with diabetes. Treatment can include lifestyle modification, diet, and exercise. If these strategies are not adequate to control your blood glucose level, your physician may prescribe oral medicines or insulin. Having a laboratory examination during your yearly physical and maintaining a healthy lifestyle are adequate for now. Why is it important to keep your glucose level within a normal range? An excess of glucose in the bloodstream causes various chemical changes that lead to damage to our blood vessels, nerves, and cells. Each cell in the body has a function that requires energy, and this energy comes primarily from glucose. The energy allows you to perform various tasks, including talking and walking. It allows your heart to beat and your brain to produce chemicals and signals that hel Continue reading >>
What A High Blood Sugar Feels Like? Signs & Symptoms Of Hyperglycemia
I get my first cup of coffee and sit on the sun deck with the birds singing. I feel as if I have not slept a wink, and my head aches. I could go back to bed and sleep all day, but work awaits. It’s a beautiful, sunny day, but my body feels heavy, and stuck to the chair. It hurts to lift my arms. My blood sugar was 381 this morning. Again. I think about having to face the day at the office. Driving down the interstate, the lines are blurry. I know that if the DMV got wind of it, I might not be driving as high as my A1C had been. When I get to the office, I walk in with a dark fog feeling surrounding me, and take some deep breaths at my desk. As I begin to review the end of the month reports, the numbers get fuzzy, and I can’t concentrate on them. My 36 ounce water bottle with only a few sips left beads sweat on the desk, and it’s across the building to get to the bathroom. Sometimes it’s a race to get there in time. My body is taught and swollen, like the Blueberry Girl from Willy Wonka’s Chocolate Factory. My blood sugar is a blue river of sticky blueberry filling as I roll down the hall toward the bathroom. I feel that if I had a needle, I could pop myself. That would surely be a mess. My skin is so dry and flaky that no amount of lotion will hydrate it. No amount of water can quench my thirst, and my mouth feels like the Sahara Desert. With one hand on the water cooler, and the other hand on the bathroom door, I guzzled down what I could until the feeling hit that I wasn’t going to be able to wait any longer. I was out of regular insulin, and I had taken my long acting insulin. I was not so patiently waiting for it to kick in. This morning was not starting out so well. I’d have to tackle the reports in my current brain fog. I did have a doctor’s appoin Continue reading >>
High Blood Sugar Symptoms
If you’ve had diabetes for any length of time at all, you’ve probably seen lists of the signs and symptoms of high blood glucose 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 glucose cause frequent urination, make your vision go blurry, or cause all of those other things to happen? Here are some answers to explain what’s going on in your body when you have high blood glucose. Setting the stage for high blood glucose High blood glucose (called hyperglycemia by medical professionals) is the defining characteristic of all types of diabetes. It happens when the body can no longer maintain a normal blood glucose level, either because the pancreas is no longer making enough insulin, or because the body’s cells have become so resistant to insulin that the pancreas cannot keep up, and glucose is accumulating in the bloodstream rather than being moved into the cells. What is high blood sugar? Blood glucose is commonly considered too high if it is higher than 130 mg/dl before a meal or higher than 180 mg/dl two hours after the first bite of a meal. However, most of the signs and symptoms of high blood glucose don’t appear until the blood glucose level is higher than 250 mg/dl. Some of the symptoms have a rapid onset, while others require a long period of high blood glucose to set in. It’s important to note that individuals differ in their sensitivity to the effects of high blood glucose: Some people feel symptoms more quickly or more strongly than others. But each sign or sympt Continue reading >>
Blood Sugar Levels
In diabetics, dangerous blood sugar levels can occur if oral drugs do not work or if the diabetes has not been diagnosed. Sometimes diabetics forget to take their oral tablets or insulin or are in a situation where they cannot or they even may be taking some medications, which adversely affect their sugar levels. At such times, their sugar levels can go very high or even low. Normal blood sugar levels read 70-100 mg per deciliter of blood. The sugar levels vary throughout the day: when you wake up in the morning your levels are low and when you eat a carbohydrate/sugar rich meal, levels can go up. If you experience the mid-morning slump, your sugar levels are probably low. The highest level is reached two hours after a meal. Hyperglycemia or high blood sugar levels in a diabetic start at 180 mg/dl. However, some people, especially those who have undiagnosed diabetes can have dangerous blood sugar levels in the range of over 250-800 mg/dl. It is not just a short time high level that is dangerous, but when high levels persist or are dangerously high, they can cause more problems and even lead to emergency situations. Dangerous levels can lead to: Coma Stroke Blindness Nerve damage Blood vessel damage Kidney disease DKA or diabetic ketoacidosis – more common in people with type 1 diabetes Hyperglycemic hyperosmolar nonketotic syndrome (HHNS) – more common in people with type 2 diabetes. For diabetics, monitoring sugar levels are of utmost importance and can prevent dangerous complications. What Causes Dangerous Blood Sugar Levels? Blood sugar levels can go high in different situations and can be caused by: Not taking enough insulin Eating too much high sugar/carbohydrate foods Missing an insulin dose Less than usual exercise Drinking alcohol Stress Illness Injury Medic Continue reading >>
I Have 250 Fasting Blood Sugar. What Should I Do To Control The Same?
An excellent question, but a complicated one to answer. Your doctor or nurse educator should be contacted any time your blood sugar runs consistently higher than 250 mg/dl for more than two days. When a person with Type 2 diabetes encounters a high blood sugar, the strategy used in bringing it down will vary from individual to individual. This is because of the differences in treatment concerning diet, exercise, and medication. It will also depend upon the guidelines for glucose control that you and your doctor have mutually agreed upon. When high blood sugars do occur, there are a number of strategies that can be employed to adjust the glucose level back down to a normal range. These might include: 1) Eating less food at the next meal, eliminating a snack and/or eating foods with a lower glycemic index. A general rule of thumb to follow is decreasing 15 grams of carbohydrate (the amount found in one starch exchange, one fruit exchange, or one cup skim milk exchange) will lower blood glucose by 30 mg/dl. If you test your blood sugar at 182 mg/dl before a meal or snack, then eliminate one starch and one cup milk at the next meal to bring the glucose value as close to 120 mg/dl as a baseline. Although people with diabetes will respond differently to this adjustment, it provides a basic guideline to start with. For persons with Type 2 diabetes who are overweight, the loss of only 5% to 10% of total weight loss can dramatically improve blood glucose values (so just cutting calories moderately can achieve better blood glucose control). Lastly, choosing foods with a lower glycemic index, i.e., foods that do not raise blood sugar as quickly or dramatically, can help to bring blood glucose back into a normal range. To test the glycemic effect of a food on your system, you will Continue reading >>
4 December 2012why Is My Blood Glucose So High When I Wake Up?
It doesn't seem fair, does it? You haven't eaten anything all night and you still wake up with high blood glucose! What is going on and how can you lower it? For those of you with diabetes, this post is for you! Basics Your body strives to keep blood glucose (BG) within a safe range, but with diabetes the balance is disturbed. The insulin your pancreas produces might not be sufficient to cover your BG lowering needs. As well, the insulin it does produce might not be handled properly by target body cells. And to make matters worse, your liver might be on glucose production overdrive. All of this results in your body's failure to control BG overnight as well as after meals or snacks. For more basic information about diabetes, please be sure to read my article, Diabetes Basics at MyNetDiary's library. Dawn Phenomenon Due to normal daily changes in our body's release of hormones during sleep and wake cycles, BG typically starts to rise in the very early morning – starting about 3 AM - and continues to rise as the morning progresses. For folks without diabetes, insulin production simply increases and takes care of the rising BG. However, for folks with diabetes, unless there is medication on board to cover this early morning rise, BG will eventually rise out of target range by the time they wake up. The classic pattern is to see BG within target range at both bedtime and during the middle of the night, and then see a high fasting BG. If you have noticed that your fasting BG is creeping up over time and is no longer within target range despite sticking to a carb controlled eating plan and taking your diabetes medication as prescribed, then it might be time to talk with your doctor about your diabetes medication. The type, dose, and/or timing might need to be adjusted to bet Continue reading >>
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Healthy Snack Ideas For People With Type 2 Diabetes – Small Snacks
If you have type 2 diabetes, a snack can help you manage your blood glucose levels. If your Registered Dietitian suggests that a small snack fits into your diabetes meal plan, you’ll find many healthy ideas below. What is a healthy snack? Your snack choices should be based on the four food groups in Canada’s Food Guide. The amount of carbohydrate in your snack is very important since carbohydrate-rich foods make the biggest difference to blood glucose levels. Smaller snacks should have about 15 grams of carbohydrate. This is the amount found in one slice of bread or one small apple. Carbohydrates are also found in sugary sweets like pastries, chocolate bars and candy. Because they are not very nutritious, they should be chosen less often, if at all. Here’s a good rule to remember when choosing carbohydrate-rich foods: Choose more vegetables, fruit, legumes and whole grains like oats, barley, brown rice and whole wheat. Choose fewer products that are made from sugar, white flour and white rice. The smaller snacks listed below have about 15 grams of carbohydrate each. They each have 85-150 calories. Mid-day snacks Your eating plan may include a snack in the morning or the mid-afternoon. Here are some delicious options. 1 slice whole grain bread with 10 mL (2 tsp) peanut butter 1 small orange and 175 mL (¾ cup) edamame (green soybeans in the pod) 250 mL (1 cup) latte, cappuccino, unsweetened cocoa or chai tea made with skim milk 250 mL (1 cup) cantaloupe with 125 mL (½ cup) low fat cottage cheese 15 baby carrots with 30 mL (2 tbsp) hummus On-the-go snacks These snacks can be left in your briefcase, knapsack, car or your desk drawer. They will come in handy when you have a very busy day and need to grab a quick snack. 2 whole grain rye crispbread crackers 1 single-s Continue reading >>
Blood Sugar Level 250-400 Mg/dl (mmol/l)
you found your levels ranging 251, 252, 253, 254, 255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 287, 288, 289, 290, 291, 292, 293, 294, 295, 296, 297, 298, 299, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 314, 315, 316, 317, 318, 319, 340, 341, 342, 343, 344, 345, 346, 347, 348, 349, 350, 351, 352, 353, 354, 355, 356, 357, 358, 359, 360, 361, 362, 363, 364, 365, 366, 367, 368, 369, 370, 371, 372, 373, 374, 375, 376, 377, 378, 379, 380, 381, 382, 383, 384, 385, 386, 387, 388, 389, 390, 391, 392, 393, 394, 395, 396, 397, 398, 399. Having blood sugar level 250-400 mg/dl, regardless if having eaten or not, means you suffer from mild to moderate diabetes. OneTouch® Glucose Meter - Qualify For a Meter at No Charge Ad Remove the Guesswork. Track Your Blood Glucose Levels w/ OneTouch Verio … OneTouch Learn more My patient's case: Random blood sugar 400-157 Hi, Three weeks before, my husband random blood sugar level is 400 but now 157. Is this good or bad? Aimee, Maldives Answer: Hello Aimee, Random glucose testing is important to distinguish how effective the treatment is. In diabetic people, the numbers for random glucose levels may vary widely. The comparison between days is not the right one. Take the random glucose test multiple times during a day and compare the numbers. In a diabetic person, they may vary more than in normal people but they must not vary too widely. If they do vary a lot this means that the treatment is not effective or your husband is not following it. The glucose levels must stay relatively stable as much as possible. Also, stress, diet and the time of the time may influence the results. It is important to contro Continue reading >>
Type 2 Diabetes Diagnosis: 6 Months Later
NEW YORK I was sitting in my recliner watching TV on a sunny Sunday morning in June when my doctor called. I had been to see him that Friday for a checkup; he was passing on the alarming news that my blood glucose was over 300 mg/dL - about triple that of a healthy person. "Whatever you do, don't eat anything sweet," he warned, after we made plans to have me see an endocrinologist that week. After he hung up, I reviewed what I had eaten that morning: a latte from the French bakery down the street, along with a chocolate-almond croissant dusted in powdered sugar with two seams of rich dark chocolate inside. I had also polished off a pair of half-empty sorbet cartons in my freezer -- you know, to clear the decks for the coming week. Sugar was pretty much all I had eaten that morning. I spent the rest of the day googling the obvious likelihood that I had probably joined the ranks of 25.8 million Americans with diabetes. That's 8.3 percent of the U.S. population, according to the American Diabetes Association, and an estimated 7 million of those people don't even realize they have the disease. The ADA estimates another 79 million Americans are pre-diabetic -- which means they're well on their way to joining the club if they don't make lifestyle changes. Taken together, that's more than 30 percent of the U.S. population that is diabetic, undiagnosed, or pre-diabetic, according to the ADA. When I saw the endocrinologist two sugarless days later, my blood glucose was at 250 mg/dL -- still way too high. Another test of long-term control of blood glucose levels also had super-high levels. A normal blood glucose ranges from 70 to 130 mg/dL before a meal to less than 180 mg/dL after a meal, according to ADA. It was official: I was a Type 2 diabetic. My new endocrinologist gave me Continue reading >>
Blood Sugar: What Causes High Blood Sugar Levels In The Morning
There are two reasons why your blood sugar levels may be high in the morning – the dawn phenomenon and the Somogyi effect. The dawn phenomenon is the end result of a combination of natural body changes that occur during the sleep cycle and can be explained as follows: Your body has little need for insulin between about midnight and about 3:00 a.m. (a time when your body is sleeping most soundly). Any insulin taken in the evening causes blood sugar levels to drop sharply during this time. Then, between 3:00 a.m. and 8:00 a.m., your body starts churning out stored glucose (sugar) to prepare for the upcoming day as well as releases hormones that reduce the body's sensitivity to insulin. All of these events happen as your bedtime insulin dose is also wearing off. These events, taken together, cause your body's blood sugar levels to rise in the morning (at "dawn"). A second cause of high blood sugar levels in the morning might be due to the Somogyi effect (named after the doctor who first wrote about it). This condition is also called "rebound hyperglycemia." Although the cascade of events and end result – high blood sugar levels in the morning – is the same as in the dawn phenomenon, the cause is more "man-made" (a result of poor diabetes management) in the Somogyi effect. There are two potential causes. In one scenario, your blood sugar may drop too low in the middle of the night and then your body releases hormones to raise the sugar levels. This could happen if you took too much insulin earlier or if you did not have enough of a bedtime snack. The other scenario is when your dose of long-acting insulin at bedtime is not enough and you wake up with a high morning blood sugar. How is it determined if the dawn phenomenon or Somogyi effect is causing the high blood sug Continue reading >>
Getting High Blood Sugar Levels Under Control
Getting high blood sugar levels under control Getting high blood sugar levels under control A 70-year-old man with a history of type 2 diabetes takes insulin glargine (Lantus) 100 units every morning (he is afraid of developing hypoglycemia at night) and insulin aspart (Novolog) 20 units with each meal. However his blood sugar is still around 250 mg/dL. Can the Lantus dose be increased, and if so, to what? Or should the patient be switched to insulin detemir (Levemir) twice daily? Can the dose of Levemir be greater than 100 units? What else would you suggest for this patient? If your patient's blood sugars are in the 250 range all day, he likely needs more insulin. Patients with type 2 diabetes will routinely need 1-2+ units/kg body weight per day. If he is requiring more than this, one should look for factors that might increase insulin resistance (infection, Cushing syndrome, etc.), noncompliance, or incorrect administration. (I have discovered that some patients who were supposed to be taking multiple shots of insulin per day were injecting air and not insulin!). There is no maximum dose of glargine per se, although at doses >100 units, I usually prescribe this agent b.i.d. In addition, we are finding that in some patients, Lantus seems to last only 12-18 hours, so that splitting the dose to 80 units in the morning and 30 units at bedtime would likely improve his morning/fasting blood sugars. Using insulin detemir b.i.d. at this dose would also suffice. Most patients on stable insulin regimens are taking approximately 50% as basal (glargine in this case) and 50% as bolus (mealtime aspart), so this patient likely needs an increase in his prandial doses. If, despite dosing adjustments that put him at 250-300+ units/day of insulin U-100, he is still not at goal, many d Continue reading >>
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Unexplained High Blood Sugars
Member T1 with previous gestational diabetes Hello everyone. I've had diabetes for a few years now and take insulin to control it. Over the past couple of months my sugars have risen dramatically, completely out of control and I'm very worried. It is due to the high sugars in the past that my eyesight is failing so I don't want it to get any worse. But it dosn't seem to matter what I do, take more exercise, take extra insulin, reduce my carbs etc, I wake in the mornings with sky high sugars. I have tried to contact my diabetic nurse for advice but she is constantly unavailable so I feel very alone. Has anyone else had to deal with the same problem? How did you rectify it? Many thanks. Stress. For me, if I have a stressful situation my sugar skyrockets. This makes me more stressed, which makes it skyrocket more. Because my sugar is so high I feel crummy and don't excersize. You see the pattern here right? Maybe this isn't your problem, but if it is you need to excersize no matter how crummy you feel. NOt just a walk around the block or something lame like that but really work and get sweaty and tired and keep going. Do this for a few days and no only will you work the stress out of your system but your sugars will come back into line. I think it has something to do with human 'fight or flight' mechanism, where the liver (i think thats the organ that does it) dumps sugar into the blood times of stress to quickly supply muscles with energy. If you don't use up that sugar somehow your sugar skyrockets. Also if you stay stressed the liver keeps dumping sugar, and you can just pour in the insulin and your liver will keep on dumping more sugar to compensate. Happens to me all the time, I hate it, I know how to combat it, but unfortunately I'm not wealthy enough to just play o Continue reading >>
[the Dawn Or Somogyi Phenomenon? High Morning Fasting Blood Sugar Values In Young Type-1 Diabetics].
Abstract High blood sugar levels in the morning in juvenile type 1 diabetics may be caused by a Somogyi phenomenon (counter-regulation after nocturnal hypoglycaemia) or insulin resistance in the morning hours (dawn phenomenon). To enable differentiation between the two, 1,562 blood sugar profiles (24 h, 3 h, 6 h) were determined in 161 children and juveniles (74 boys, 87 girls; mean age 10.8 [1.0-19.7] years) with type 1 diabetes mellitus. In accordance with the mechanism of the dawn phenomenon there was a close positive correlation between the blood sugar levels in the night and morning (r = +0.696; P less than 0.0001); the mean fasting blood sugar level was about 60 mg/dl above the 3 h value. Low nocturnal blood sugar levels as a possible cause of a high morning blood sugar (greater than 250 mg/dl) was demonstrated in fewer than 1% of profiles. On the other hand, the probability of nocturnal hypoglycaemia rose exponentially in the presence of low morning fasting blood sugar levels. Thus, if the morning level was below 80 mg/dl, the blood sugar levels at 3 h was below 50 mg/dl in 41.2%. This indicates that high morning blood sugar levels result from the dawn phenomenon and require a higher evening dose of slow-release insulin. But if the morning blood sugar values are clearly below 100 mg/dl, the cause may be nocturnal low blood sugar levels and the evening insulin dose should, therefore, be reduced. Continue reading >>
Q&a: How To Lower Your Blood Sugar When It’s Over 200 Mg/dl
Q: How do I lower my blood sugar when it goes over 200 mg/dl? I have Type 2 diabetes. A: An excellent question, but a complicated one to answer. Your doctor or nurse educator should be contacted any time your blood sugar runs consistently higher than 250 mg/dl for more than two days. When a person with Type 2 diabetes encounters a high blood sugar, the strategy used in bringing it down will vary from individual to individual. This is because of the differences in treatment concerning diet, exercise, and medication. It will also depend upon the guidelines for glucose control that you and your doctor have mutually agreed upon. When high blood sugars do occur, there are a number of strategies that can be employed to adjust the glucose level back down to a normal range. These might include: 1) Eating less food at the next meal, eliminating a snack and/or eating foods with a lower glycemic index. A general rule of thumb to follow is decreasing 15 grams of carbohydrate (the amount found in one starch exchange, one fruit exchange, or one cup skim milk exchange) will lower blood glucose by 30 mg/dl. If you test your blood sugar at 182 mg/dl before a meal or snack, then eliminate one starch and one cup milk at the next meal to bring the glucose value as close to 120 mg/dl as a baseline. Although people with diabetes will respond differently to this adjustment, it provides a basic guideline to start with. For persons with Type 2 diabetes who are overweight, the loss of only 5% to 10% of total weight loss can dramatically improve blood glucose values (so just cutting calories moderately can achieve better blood glucose control). Lastly, choosing foods with a lower glycemic index, i.e., foods that do not raise blood sugar as quickly or dramatically, can help to bring blood glucose Continue reading >>