
How Can I Fight Morning Highs?
My morning blood glucose is quite elevated (190 to 260 mg/dl). Is there a certain time before bed that I should eat to help lower my blood sugar? Are there certain foods I should eat after dinner? Continue reading >>

Can My Dinner Affect My Morning Blood Glucose?
Can My Dinner Affect My Morning Blood Glucose? Q: I have type 2 diabetes and control it with diet and exercise. My blood sugar is 130-142 mg/dl in the morning. What can I eat in the evening to get it lower in the morning? The rest of the day is fine: 100-104 mg/dl before meals and 130-135 mg/dl after meals. A:Fasting blood glucose is largely influenced by the liver's overnight activity. The liver converts stored glucose into usable blood glucose during the night to keep the body from developing hypoglycemia, or low blood sugar, while asleep. In type 2 diabetes, however, the liver tends to release too much glucose into the bloodstream overnight. This can result in elevated fasting blood glucose. Following a carbohydrate- and portion-controlled meal plan and staying physically active are smart things to do to manage diabetes -- good effort on your part! But type 2 diabetes is progressive, meaning your body can't efficiently use the insulin it makes, and it produces less and less insulin over time. You may need medicine to better use your body's own insulin or to replace insulin it no longer makes. The medication metformin is now recommended on diagnosis of type 2 diabetes, in addition to using food and exercise, to keep blood glucose in control. Read our guide on oral medications for people with diabetes to learn more about metformin and other drugs. Virginia Zamudio Lange, R.N., M.S.N., CDE, is a member of Diabetic Living's editorial advisory board. Continue reading >>

Does A Sugar Level Of 130 Before Eating And 170 After Eating Mean Diabetes?
Fasting blood sugar FBS of 130 is definitely a concern. Post Prandial blood sugar PPBS at 170 is also bit on the high side. You should consult a doctor and get your HbA1c test and also repeat the FBS and PPBS tests. He may prescribe you oral medication. I was diagnosed of pre diabetes at FBS of 109, PPBS of 159 and HbA1c of 5.9. Your range is at the least in the pre diabetes range if not diabetic. Good thing is that early stage diabetes or pre diabetes is reversible without using medicines. Your blood sugar can be controlled through diet, exercise and home remedies. I am able to control my HbA1c at 5.5–5.7. Edit: Check out Dr Jason Fung blog posts at Intensive Dietary Management. Going forward, you may want more control on what you eat, by reducing consumption of refined carbohydrates and increasing consumption of fibrous non starchy vegetables. If you choose to adapt to Low Carb High Fat diet, eliminate all carbs from your diet, though carbs from green vegetables and nuts are fine. Continue reading >>

What Are The Ideal Levels Of Blood Sugar?
A blood sugar or blood glucose chart identifies ideal blood sugar levels throughout the day, including before and after meals. Doctors use blood sugar charts to set target goals and monitor diabetes treatment plans. Blood sugar charts also help those with diabetes assess and self-monitor blood sugar test results. What is a blood sugar chart? Blood sugar charts act as a reference guide for blood sugar test results. As such, blood sugar charts are important tools for diabetes management. Most diabetes treatment plans involve keeping blood sugar levels as close to normal or target goals as possible. This requires frequent at-home and doctor-ordered testing, along with an understanding of how results compare to target levels. To help interpret and assess blood sugar results, the charts outline normal and abnormal blood sugar levels for those with and without diabetes. In the United States, blood sugar charts typically report sugar levels in milligrams per deciliter (mg/dL). In the United Kingdom and many other countries, blood sugar is reported in millimoles per liter (mmol/L). A1C blood sugar recommendations are frequently included in blood sugar charts. A1C results are often described as both a percentage and an average blood sugar level in mg/dL. An A1C test measures the average sugar levels over a 3-month period, which gives a wider insight into a person's overall management of their blood sugar levels. Blood sugar chart guidelines Appropriate blood sugar levels vary throughout the day and from person to person. Blood sugars are often lowest before breakfast and in the lead up to meals. Blood sugars are often highest in the hours following meals. People with diabetes will often have higher blood sugar targets or acceptable ranges than those without the condition. These Continue reading >>

Fasting Blood Glucose: An Introduction
SHARE RATE★★★★★ Fasting blood glucose is the fastest and simplest test used to diagnose diabetes. It also plays a role in ongoing monitoring of blood glucose control if you have type 2 diabetes. The test measures the level of glucose (a type of sugar) in your blood. Having high blood glucose can be a sign that your body is not functioning normally and that you may have diabetes. If you have high blood glucose and it is not treated, it can lead to a range of dangerous health complications. However, finding out that you have elevated blood glucose is powerful information that you can use to keep yourself healthy. If you know that your blood glucose is high, you can take steps to lower it, by losing weight (if you are overweight or obese), getting regular moderate physical activity, and taking a medication that lowers blood glucose.1 Why measuring blood glucose is important in diagnosing type 2 diabetes Our bodies require energy to function properly and we get that energy from the foods we eat. Our diet (everything we eat and drink) includes three main sources of energy (also known as calories): protein, fat, and carbohydrates (sugars, starches, and fibers).When the body digests most sources of carbohydrates, they are transformed through digestion into a very important source of instant energy, a form of sugar called glucose. Our bodies depend on the action of a number of different natural body chemicals called hormones, including insulin, amylin, incretins, and glucagon, working together in conjunction, to control how we use glucose. In type 2 diabetes, these hormones no longer work in the way they should and this results in elevated blood glucose.2-6 How is a fasting blood glucose test done? A fasting blood glucose test requires taking a sample of blood. Before Continue reading >>
- Postprandial Blood Glucose Is a Stronger Predictor of Cardiovascular Events Than Fasting Blood Glucose in Type 2 Diabetes Mellitus, Particularly in Women: Lessons from the San Luigi Gonzaga Diabetes Study
- Fasting blood sugar: Normal levels and testing
- Why Is My Fasting Blood Sugar High in the Morning?

How Blood Sugar Affects Your Body
When you have diabetes, your blood sugar (glucose) levels may be consistently high. Over time, this can damage your body and lead to many other problems. How much sugar in the blood is too much? And why is high glucose so bad for you? Here’s a look at how your levels affect your health. They're less than 100 mg/dL after not eating (fasting) for at least 8 hours. And they're less than 140 mg/dL 2 hours after eating. During the day, levels tend to be at their lowest just before meals. For most people without diabetes, blood sugar levels before meals hover around 70 to 80 mg/dL. For some people, 60 is normal; for others, 90. What's a low sugar level? It varies widely, too. Many people's glucose won't ever fall below 60, even with prolonged fasting. When you diet or fast, the liver keeps your levels normal by turning fat and muscle into sugar. A few people's levels may fall somewhat lower. Doctors use these tests to find out if you have diabetes: Fasting plasma glucose test. The doctor tests your blood sugar levels after fasting for 8 hours and it’s higher than 126 mg/dL. Oral glucose tolerance test. After fasting for 8 hours, you get a special sugary drink. Two hours later your sugar level is higher than 200. Random check. The doctor tests your blood sugar and it’s higher than 200, plus you’re peeing more, always thirsty, and you’ve gained or lost a significant amount of weight. He’ll then do a fasting sugar level test or an oral glucose tolerance test to confirm the diagnosis. Any sugar levels higher than normal are unhealthy. Levels that are higher than normal, but not reaching the point of full-blown diabetes, are called prediabetes. According to the American Diabetes Association, 86 million people in the U.S. have this condition, which can lead to diabetes Continue reading >>

Why Is My Blood Glucose So High In The Morning?
I am puzzled by my blood sugar pattern. I am not on any medications. My morning fasting blood sugar is always the highest of the day—between 120 and 140 mg/dl. The rest of the day it is in the normal range. Why does this occur? Continue reading >>

10 Surprising Causes Of Blood Sugar Swings You Probably Didn’t Know
1 / 11 What Causes Blood Sugar to Rise and Fall? Whether you were recently diagnosed with type 2 diabetes or have been living with the disease for several years, you know how fickle blood sugar levels can be, and how important it is that they stay controlled. Proper blood sugar control is key for helping ward off potential diabetes complications, such as kidney disease, nerve damage, vision problems, stroke, and heart disease, according to the National Institutes of Health (NIH). If you keep your levels in check on a daily basis, it will help you stay energized, focused, and in a good mood. You’ll know if your diabetes is poorly controlled if you experience symptoms such as frequent urination, sores that won’t heal, blurred vision, and unexplained weight loss. According to the American Diabetes Association (ADA), proper medication, effective meal planning, regular exercise, and use of a blood glucose meter to track your numbers routinely can all help you keep your levels within a healthy range. The ADA recommends blood glucose be 80 to 130 milligrams per deciliter (mg/dL) before meals, and below 180 mg/dL two hours after the start of a meal. Furthermore, the organization recommends getting an A1C test, which measures your average blood glucose over the past two to three months, at least twice per year if your levels are stable and you are meeting treatment goals. Learning how different habits can cause your blood sugar to fluctuate can help you better predict how your levels will swing. You may be more likely to experience hypoglycemia, or low blood sugar if you have advanced-stage diabetes, according to the ADA. Meanwhile, high blood sugar, or hyperglycemia, may be caused by factors such as not using enough insulin or other diabetes medication, not following a prop Continue reading >>

Must Read Articles Related To High Blood Sugar (hyperglycemia)
A A A High Blood Sugar (Hyperglycemia) 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 into cells. Sometimes, the body stops making insulin (as 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 complicat Continue reading >>

A False Sense Of Hypoglycemia
By Nora Saul, M.S., R.D., C.D.E., Manager of Nutritional Services at Joslin Hypoglycemia is defined as a blood glucose level below 70mg/dl. But many people find that they feel the symptoms of low blood glucose at levels much higher than expected. Some patients have come into my office reporting getting sweaty, hungry and tachycardic at levels in the mid 130s. Symptoms of hypoglycemia are individual, but may include extreme hunger, nervousness, excessive perspiration, rapid heartbeat (tachycardia), headache, fatigue, mood changes, blurred vision and difficulty concentration and completing mental tasks. Extremely low glucose levels can lead to disorientation and convulsions. People who take insulin or some oral medications that cause the pancreas to produce insulin are usually prone to episodes of hypoglycemia. This is especially true if they are attempting to keep their glucose level as close to normal as possible. But, people in poor control can also have hypoglycemic reactions as they swing from high to low glucose levels. False hypoglycemia is usually due to one of two causes. The first can be compared to an incorrectly programmed thermostat. If you usually keep your room at a steamy 85 degrees, 70 degrees might start to feel chilly. People whose blood glucose is often high trick their body into thinking this is normal. If they rapidly bring their blood glucose into the normal range their bodies’ trigger the same autonomic and neurological warnings as if their blood glucose had fallen into the danger zone. Gradually bringing yourself into better control will help accustom your body to lower blood glucose levels. The other cause of pseudo-hypoglycemia occurs when glucose levels drop rapidly in a short time period. This can happen when exercising vigorously and can oc Continue reading >>

What Are “normal” Blood Sugar Levels?
Physicians focus so much ondisease 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 are Normal Blood Sugar Levels? 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 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 Endocrinologists: Pre-diabetes: (or impaired fasting glucose): fasting blood sugar 100–125 mg/dl (5.56–6.94 mmol/l) Pre-diabetes: (or impaired glucose tolerance): blood sugar 140–199 mg/dl (7.78–11.06 mmol/l) two hours after ingesting 75 grams of glucose Continue reading >>

What Are Blood Sugar Target Ranges? What Is Normal Blood Sugar Level?
Understanding blood sugar target ranges to better manage your diabetes As a person with diabetes, you may or may not know what your target ranges should be for your blood sugars first thing in the morning, before meals, after meals, or at bedtime. You may or may not understand what blood sugar ranges are for people without diabetes. You may or may not understand how your A1C correlates with your target ranges. How do you get a clear picture of what is going on with your blood sugar, and how it could be affecting your health? In this article, we will look at what recommended blood sugar target ranges are for people without diabetes. We will look at target ranges for different times of the day for people with diabetes. We will look at target ranges for Type 1 versus Type 2 diabetes. Is there a difference? We will also look at what blood sugars should be during pregnancy for those with gestational diabetes. We will look at other factors when determining blood sugar targets, such as: Age Other health conditions How long you’ve had diabetes for Stress Illness Lifestyle habits and activity levels We will see how these factors impact target ranges for your blood sugars when you have diabetes. We will learn that target ranges can be individualized based on the factors above. We will learn how target ranges help to predict the A1C levels. We will see how if you are in your target range, you can be pretty sure that your A1C will also be in target. We will see how you can document your blood sugar patterns in a notebook or in an “app,” and manage your blood sugars to get them in your target ranges. First, let’s look at the units by which blood sugars are measured… How is blood sugar measured? In the United States, blood sugar is measured in milligrams per deciliter (by w Continue reading >>

What Is A Healthy Blood Sugar Level?
If you don't have diabetes, a healthy blood sugar is less than 126, says Holly Anderson, Outpatient Diabetes Coordinator at Reston Hospital Center. Watch this video to find out the healthy level for someone with diabetes. A healthy blood sugar level, obtained in a fasting state, is less than 100. A fasting blood sugar of greater than 126 is diabetic. A fasting blood sugar between 100 and 126 is considered "prediabetic". Prediabetes can be associated with increased risk for heart disease and should lead to lifestyle changes. Trinity Health is a Catholic health care organization that acts in accordance with the Catholic tradition and does not condone or support all practices covered in this site. In case of emergency call 911. This site is educational and not a substitute for professional medical advice, always seek the advice of a qualified healthcare provider. According to the American Diabetes Association, normal blood glucose ranges between 70 to 99 milligrams per deciliter (mg/dL). In a person without diabetes, the body keeps its blood-glucose level between meals in a range of about 70 to 99 milligrams per deciliter (mg/dL). This level will rise after eating, depending on the type and amount of food consumed, but it will not exceed 139 mg/dL. It also quickly returns to the between-meal range. After you have fasted overnight or for an eight-hour period, your doctor can measure your blood glucose levels with a basic blood test. Blood sugar levels of under 100 are considered normal after an eight-hour fast. However, fasting blood glucose levels between 100-125 mg/dl could signal prediabetes. Continue reading >>

Understanding Fasting Blood Sugar
Among the most common questions people have about Type 2 diabetes is this: how can they lower their fasting blood sugar? To answer this question in a way that will help you lower your blood sugar we are going to have to first explain why doctors measure fasting blood sugar and what it does--and does not--tell us about our blood sugar health. WHAT IS FASTING BLOOD SUGAR? Traditionally, fasting blood sugar is the value you get when you test your blood sugar after an 8 hour long fast--which is usually immediately upon waking. In a normal person this fasting blood sugar would also be the "baseline" blood sugar--the level to which blood sugar returns a few hours after every meal all day long. However, for reasons we will discuss later on, this is often NOT the case for people with Type 2 diabetes, whose morning blood sugars may be much higher than the baseline level they achieve after meals for the rest of the day. Doctors have for decades relied on the FPG (fasting plasma glucose) test which measures fasting blood sugar to diagnose diabetes. The reason for this is NOT that FPG test results predict diabetic complications. They don't. Post-meal blood sugar tests are a much better indicator of whether a person will get the classic diabetic complications, and the A1c test is a better indicator of potential heart disease. But the FPG test is cheap and easy to administer, hence its popularity. The value most of us would find much more helpful in assessing our health is not fasting blood sugar but something else: the number of hours a day our blood sugar spends elevated over the level known to cause complications, which is roughly 140 mg/dl (7.7 mmol/L). A person can wake up with a FPG of 130 mg/dl (7.2 mmol/L), but if it drops after breakfast and most hours of the day are spent w Continue reading >>

What Is A Normal Blood Sugar Level?
The aim of diabetes treatment is to bring blood sugar (“glucose”) as close to normal as possible. What is a normal blood sugar level? And how can you achieve normal blood sugar? First, what is the difference between “sugar” and “glucose”? Sugar is the general name for sweet carbohydrates that dissolve in water. “Carbohydrate” means a food made only of carbon, oxygen, and hydrogen. There are various different kinds of sugars. The one our body uses most is called “glucose.” Other sugars we eat, like fructose from fruit or lactose from milk, are converted into glucose in our bodies. Then we can use them for energy. Our bodies also break down starches, which are sugars stuck together, into glucose. When people talk about “blood sugar,” they mean “blood glucose.” The two terms mean the same thing. In the U.S., blood sugar is normally measured in milligrams of glucose per deciliter of blood (mg/dl). A milligram is very little, about 0.00018 of a teaspoon. A deciliter is about 3 1/3 ounces. In Canada and the United Kingdom, blood sugar is reported in millimoles/liter (mmol/L). You can convert Canadian or British glucose levels to American numbers if you multiply them by 18. This is useful to know if you’re reading comments or studies from England or Canada. If someone reports that their fasting blood glucose was 7, you can multiply that by 18 and get their U.S. glucose level of 126 mg/dl. What are normal glucose numbers? They vary throughout the day. (Click here for a blood sugar chart.) For someone without diabetes, a fasting blood sugar on awakening should be under 100 mg/dl. Before-meal normal sugars are 70–99 mg/dl. “Postprandial” sugars taken two hours after meals should be less than 140 mg/dl. Those are the normal numbers for someone w Continue reading >>