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 >>
A Comparison Of Hba1c And Fasting Blood Sugar Tests In General Population
Go to: Abstract Objectives: Early diagnosis of diabetes is crucially important in reduction of the complications. Although HbA1c is an accurate marker for the prediction of complications, less information is available about its accuracy in diagnosis of diabetes. In this study, the association between HbA1c and FBS was assessed through a cross-sectional population-based study. Methods: A random sample of population in Kerman city was selected. The total number was 604 people. Their HbA1c and fasting blood sugar (FBS) were tested. The association between HbA1c and FBS and also their sensitivity, specificity and predictive values in detection of abnormal values of each other were determined. The association of HbA1c with FBS was relatively strong particularly in diabetic subjects. Generally, FBS was a more accurate predictor for HbA1c compared with HbA1c as a predictor of FBS. Although the optimum cutoff point of HbA1c was >6.15%, its precision was comparable with the conventional cutoff point of >6%. Conclusions: In conclusion, FBS sounds more reliable to separate diabetic from non-diabetic subjects than HbA1c. In case of being interested in using HbA1c in screening, the conventional cutoff points of 6% is an acceptable threshold for discrimination of diabetics from non-diabetics. Keywords: HbA1c, Blood glucose, Diabetics *The adjusted values were computed in a multivariable regression model with sex, BMI and age as independent variables. Continue reading >>
Could Slightly High Blood Sugar Cause Neuropathy?
My glucose levels usually run between 120 and 135 with a nonfasting blood test, though do not have a diagnosis of diabetes. I suffer greatly with my feet and been told by a podiatrist that it is neuropathy. Is it possible that my high glucose levels are causing the neuropathy? Dear Terry, Thanks for your question. I like to think of blood glucose values as a spectrum of numbers with no clear cutoff between nondiabetic and diabetic. In similar manner there is a gray area of blood glucose that defines pre-diabetes. Many people use blood sugar and blood glucose interchangeably. The definition of diabetes has changed over time. The numbers you quote might very well be considered diagnostic of diabetes today whereas they were not 20 years ago. In 1997, the American Diabetes Association definition of normal blood glucose decreased from 120 to 110 mg/dL (6.1 mmol/L). In 2002, the American Diabetes Association defined a normal fasting blood glucose as less than 100 mg/dL (5.6 mmol/L). Today we consider fasting blood sugars of 100 mg/dl to 125mg/dl to be in the realm of glucose intolerance which is sometimes called pre-diabetes. These patients are at increased risk for developing frank diabetes. Several fasting glucose levels over 125 or a single random glucose over 200 mg are considered diagnostic of diabetes. There are other tests used to make the diagnosis of pre-diabetes or diabetes. Pre-diabetes is defined as a blood sugar of 140 to 199 mg/dL (7.8 to 11.0 mmol/L) two-hour after drinking 75 grams of an oral glucose solution. The diagnosis of diabetes is confirmed with a blood sugar of 200 mg/dL or greater, two hours after ingestion of the glucose solution. Hemoglobin A1C is a blood test that gives an estimate of blood sugar levels over the previous three months. Persons with Continue reading >>
What Are The Symptoms Of High Blood Sugar?
Whenever the glucose (sugar) level in one’s blood rises high temporarily, this condition is known as hyperglycemia. The opposite condition, low blood sugar, is called hypoglycemia. Glucose comes from most foods, and the body uses other chemicals to create glucose in the liver and muscles. The blood carries glucose (blood sugar) to all the cells in the body. To carry glucose into the cells as an energy supply, cells need help from insulin. Insulin is a hormone made by the pancreas, an organ near the stomach. The pancreas releases insulin into the blood, based upon the blood sugar level. Insulin helps move glucose from digested food enter into cells. Sometimes, the body stops making insulin (for example, in type 1 diabetes), or the insulin does not work properly (as in type 2 diabetes). In diabetic patients, glucose does not enter the cells sufficiently, thus staying in the blood and creating high blood sugar levels. Blood sugar levels can be measured in seconds by using a blood glucose meter, also known as a glucometer. A tiny drop of blood from the finger or forearm is placed on a test strip and inserted into the glucometer. The blood sugar (or glucose) level is displayed digitally within seconds. Blood glucose levels vary widely throughout the day and night in people with diabetes. Ideally, blood glucose levels range from 90 to 130 mg/dL before meals, and below 180 mg/dL within 1 to 2 hours after a meal. Adolescents and adults with diabetes strive to keep their blood sugar levels within a controlled range, usually 80-150 mg/dL before meals. Doctors and diabetes health educators guide each patient to determine their optimal range of blood glucose control. When blood sugar levels remain high for several hours, dehydration and more serious complications can develop. Mor Continue reading >>
What Is Levemir® (insulin Detemir [rdna Origin] Injection)?
Do not share your Levemir® FlexTouch® with other people, even if the needle has been changed. You may give other people a serious infection, or get a serious infection from them. Who should not take Levemir®? Do not take Levemir® if: you have an allergy to Levemir® or any of the ingredients in Levemir®. How should I take Levemir®? Read the Instructions for Use and take exactly as directed. Know the type and strength of your insulin. Do not change your insulin type unless your health care provider tells you to. Check your blood sugar levels. Ask your health care provider what your blood sugar levels should be and when you should check them. Do not reuse or share your needles with other people. You may give other people a serious infection, or get a serious infection from them. Never inject Levemir® into a vein or muscle. Do not share your Levemir FlexTouch with other people, even if the needle has been changed. You may give other people a serious infection, or get a serious infection from them. Who should not take Levemir®? Do not take Levemir® if: you have an allergy to Levemir® or any of the ingredients in Levemir®. Before taking Levemir®, tell your health care provider about all your medical conditions including, if you are: pregnant, plan to become pregnant, or are breastfeeding. taking new prescription or over-the-counter medicines, including supplements. Talk to your health care provider about how to manage low blood sugar. How should I take Levemir®? Read the Instructions for Use and take exactly as directed. Know the type and strength of your insulin. Do not change your insulin type unless your health care provider tells you to. Check your blood sugar levels. Ask your health care provider what your blood sugar levels should be and when you should ch Continue reading >>
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 >>
What’s Normal Blood Sugar?
Thank you for dropping in! 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 (9.9 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 (5.0–6.1 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 2011 are calibrated to compare directly to venous plasma levels. Fasting blood sugar after a night of sleep and before breakfast: 85 mg/dl (4.7 mmol/l) One hour after a meal: 110 mg/dl (6.1 mmol/l) Two hours after a meal: 95 mg/dl (5.3 mmol/l) Five hours after a meal: 85 mg/dl (4.7 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 (3.9–5.0 mmol/l) One hour after a typical meal: 90–125 mg/dl (5.00–6.9 mmol/l) Two hours after a typical meal: 90–110 mg/dl (5.00–6.1 mmol/l) Five hours after a typical meal: 70–90 mg/dl (3.9–5.00 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 Endocrinologists: Prediabetes: Continue reading >>
What Is A Normal Blood Glucose Level For Someone With Diabetes?
Diabetes mellitus (MEL-ih-tus), often referred to as diabetes, is characterized by high blood glucose (sugar) levels that result from the body’s inability to produce enough insulin and/or effectively utilize the insulin. Diabetes is a serious, life-long condition and the sixth leading cause of death in the United States. Diabetes is a disorder of metabolism (the body's way of digesting food and converting it into energy). There are three forms of diabetes. Type 1 diabetes is an autoimmune disease that accounts for five- to 10-percent of all diagnosed cases of diabetes. Type 2 diabetes may account for 90- to 95-percent of all diagnosed cases. The third type of diabetes occurs in pregnancy and is referred to as gestational diabetes. Left untreated, gestational diabetes can cause health issues for pregnant women and their babies. People with diabetes can take preventive steps to control this disease and decrease the risk of further complications. 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 >>
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 >>
A Study Of 22,808 Blood Sugar Estimations—fasting And Postprandial—in Non-diabetic Individuals
A year ago I analyzed the fasting blood sugar estimations in one thousand non-diabetic patients taken at random as they had presented themselves at the Clinic for various examinations. Previous to that time I had had the impression that with each advancing decade of life the fasting blood sugar rose within reasonable limits, so that, for example, in the sixth decade as much as 150 mg. of sugar per 100 c.c. of blood might be considered as a normal figure. My study of this series of 1000 cases disillusioned me in this respect, though in each decade there was a Continue reading >>
Blood Sugar Guidelines
Absolute numbers vary between pets, and with meter calibrations. The numbers below are as shown on a typical home glucometer while hometesting blood glucose, not necessarily the more accurate numbers a vet would see (though many vets use meters similar to those used in hometesting). For general guidelines only, the levels to watch are approximately: mmol/L mg/dL(US) <2.2 <40 Readings below this level are usually considered hypoglycemic when giving insulin, even if you see no symptoms of it. Treat immediately 2.7-7.5 50-130 Non-diabetic range (usually unsafe to aim for when on insulin, unless your control is very good). These numbers, when not giving insulin, are very good news. 3.2-4.4 57-79 This is an average non-diabetic cat's level, but leaves little margin of safety for a diabetic on insulin. Don't aim for this range, but don't panic if you see it, either. If the number is not falling, it's healthy. 5 90 A commonly cited minimum safe value for the lowest target blood sugar of the day when insulin-controlled. 7.8 140 According to the American Association of Clinical Endocrinologists (AACE), threshold above which organ and pancreatic dysfunction may begin in hospitalized humans and the maximum target for post-meal blood glucose in humans. 5.5-10 100-180 Commonly used target range for diabetics, for as much of the time as possible. <10-15 <180-270 "Renal threshold" (varies between individuals, see below), when excess glucose from the kidneys spills into the urine and roughly when the pet begins to show diabetic symptoms. See Hyperglycemia for long-term effects of high blood glucose. 14 250 Approximate maximum safe value for the highest blood sugar of the day, in dogs, who are more sensitive to high blood sugar. Dogs can go blind at this level. Cats Continue reading >>
Normal Blood Sugar 1-2 Hours After Eating
Blood sugar (glucose) is one of the most important variables in your metabolism. It’s the main source of your energy. What levels of blood sugar before meal and 1-2 hours after eating are considered normal and abnormal? The answer may vary, depending on whether or not you are diabetic and non-diabetic. Why is your blood sugar level important? As the name suggests, blood sugar is sugar (glucose) that circulates in the bloodstream. Glucose is required by the body to make energy to support your activity throughout the day. If you have diabetes, it is easier to rise. Actually diabetes is harmless, as long as you can control your blood glucose as well! But the problem occurs when your blood glucose level is out of control, causing some serious complications! Both too high and too low blood sugar is bad for your body. Therefore, it’s important to keep it normal! For non-diabetics, abnormal level of blood glucose may signal pre-diabetes stage. And for those with diabetes – prolonged, poorly controlled blood glucose can cause serious complications such as: cardiovascular diseases, stroke, nerve damage, kidney failure, retinal problems, and more! Either lab test or home test for checking blood glucose is blood test. It requires a small amount of your blood, typically taken from a finger. This sample blood is then analyzed, and soon you’ll be informed of the test result. About A1C test Alternative names; HbA1c, glycosylated hemoglobin, glycated hemoglobin, and hemoglobin A1C! This blood test is often used to diagnose type-2 and type-1 diabetes. It is also commonly used to help gauge how well diabetics are managing their diabetes. It can reveal the average blood sugar level in the last 2-3 months. It can specifically measure the percentage of hemoglobin, a substance in you Continue reading >>
Fasting Blood Sugar And Ppbs Test To Know Your Blood Sugar Levels
Normally, your body makes a hormone called insulin to help control your blood sugar.A blood sugar level test is a type of blood test used to determine the amount of glucose in the blood. It is mainly used in screening for prediabetes or diabetes. Prediabetes is the precursor stage before diabetes mellitus in which not all of the symptoms required to diagnose diabetes are present, but blood sugar is abnormally high. In people with diabetes, blood glucose monitoring is used with frequent intervals in the management of the condition. Some of the common blood glucose tests include. FBS – fasting blood sugar. PPBS – postprandial blood sugar. Fasting Blood Sugar (FBS) A fasting sugar test is a test that determines the amount of sugar, called glucose, in the blood after fasting for certain hours. It is the most commonly used test to diagnose diabetes. Test procedure : The test procedure involves collecting a small amount of blood either from a finger or from a vein. Test Instructions: Don’t eat or drink anything but water for eight hours before the test is scheduled. Most of the time, this means having the test done in the morning, before breakfast. Levels of FBS : Fasting blood sugar more then 126 mg/dL is considered as diabetes. Postprandial Blood Sugar (PPBS) A postprandial sugar test is a test that determines of sugar, called glucose, in the blood after a meal. Test procedure : The test procedure involves collecting a small amount of blood either from a finger or from a vein. Test Instructions: Eat a meal that contains carbohydrates. Do not smoke, eat, drink, or exercise during the 2 hours. These activities cause the blood sugar level to be falsely low or falsely high. The blood will be drawn for the postprandial blood sugar(glucose) after given time. Levels of PPBS: Continue reading >>
How To Tell When Normal Blood Sugar Isn’t
Most people don’t worry about diabetes until a doctor tells them their blood sugar is too high. But even if you get a “normal” blood sugar reading at your next exam, you might not be totally in the clear. According to cutting-edge research, blood sugar levels on the high end of the normal range may still raise your risk of illness, leading some doctors to take such results more seriously — particularly if patients have other diabetes risk factors, such as obesity or family history. The somewhat arbitrary cutoff between normal blood sugar levels and higher ones associated with diabetes may give a false sense of security to millions of people, notes brain researcher Nicolas Cherbuin of Australian National University. His research published in 2013 found that middle-aged people with high-normal fasting blood sugar readings had worse scores on memory tests and more shrinkage in a brain region important to memory than those with lower blood sugar. Higher glucose levels may damage blood vessels and hinder the flow of nutrients to the brain. THE NUMBERS YOU AND YOUR DOC SHOULD KNOW • DIABETES: Blood sugar level of 126 mg/dl or higher • PREDIABETES: Blood sugar level between 100 and 125 mg/dl • HIGH-NORMAL BLOOD SUGAR: Roughly 90 to 99 mg/dl (a new category being studied for health risks) • NORMAL BLOOD SUGAR: Currently defined as 70 to 99 mg/dl * All levels are based on a fasting blood glucose test, which involves an overnight fast. Other research suggests high-normal blood sugar may increase your heart disease risk by raising inflammation and making blood vessels stiffer. A 2012 Israeli study found that people with a fasting blood sugar between 90 and 99 mg/dl were 40 percent more likely to suffer heart disease than those with a level under 80 mg/dl. Cancer is Continue reading >>