Should You Take Your Insulin Or Antidiabetic Medication Before Going For Your Fasting Blood Tests
No. You should never take your insulin or antidiabetic medication prior to having a fasting blood test.
The first reason is because the injected insulin will lower your glycemia and you could find yourself in a state of hypoglycemia. The second reason is that your test results will be skewed, their interpretation inaccurate, making your glycemic control difficult because the insulin will have already begun to act when your blood test was done.
You should book your appointment for as early in the morning as possible. Once your blood test is done, check your blood glucose levels and give yourself your injection, or take your antidiabetic medication, and then eat breakfast. You should eat within minutes of taking insulin. If you dont, you risk becoming hypoglycemic.
Adapted from: Tremblay, L., Nurse, Prise de sang : Quand prendre son insulin, Plein Soleil, Diabète Québec.
Revised August 2014
Leave Sugary Beverages On The Shelf
Sugar-sweetened beverages are a one-way ticket to high blood sugar. Eliminating or drinking fewer of them can lower blood sugar, as well as helps with weight loss and maintenance, says Asterino-McGeean. Save soda pop and juice for when you need to treat low blood sugar.
Drinks high in sugar include:
Whats The Optimal Carb Intake For People With Diabetes
The ideal carb intake for people living with diabetes is a somewhat controversial topic, even among those who support carb restriction.
Many studies found dramatic improvements in blood sugar levels, body weight, and other markers when carbs were restricted to 20 grams per day (
The optimal amount of carbs may also vary by individual, since everyone has a unique response to carbs.
According to the American Diabetes Association , theres no one-size-fits-all diet that works for everyone with diabetes. Personalized meal plans, which take into account your dietary preferences and metabolic goals, are best .
The ADA also recommends that individuals work with their healthcare team to determine the carb intake thats right for them.
To figure out your ideal amount of carbs, you may want to measure your blood glucose with a meter before a meal and again 1 to 2 hours after eating.
As long as your blood sugar remains below 140 mg/dL , the point at which damage to nerves can occur, you can consume 6 grams, 10 grams, or 25 grams of carbs per meal on a low carb diet.
It all depends on your personal tolerance. Just remember that the general rule is the less carbs you eat, the less your blood sugar will rise.
And, rather than eliminating all carbs, a healthy low carb diet should actually include nutrient-dense, high fiber carb sources, like vegetables, berries, nuts, and seeds.
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What Abnormal Results Mean
If you had a fasting blood glucose test:
- A level of 100 to 125 mg/dL means you have impaired fasting glucose, a type of prediabetes. This increases your risk of developing type 2 diabetes.
- A level of 126 mg/dL or higher usually means you have diabetes.
If you had a random blood glucose test:
- A level of 200 mg/dL or higher often means you have diabetes.
- Your provider will order a fasting blood glucose, A1C test glucose tolerance test , depending on your random blood glucose test result.
- In someone who has diabetes, an abnormal result on the random blood glucose test may mean that the diabetes is not well controlled. Talk with your provider about your blood glucose goals if you have diabetes.
Other medical problems can also cause a higher-than-normal blood glucose level, including:
- Overactive thyroid gland
- Swelling and inflammation of the pancreas ( pancreatitis
- Stress due to trauma, stroke, heart attack, or surgery
- Rare tumors, including
- Weight loss after weight loss surgery
- Vigorous exercise
Some medicines can raise or lower your blood glucose level. Before having the test, tell your provider about all the medicines you are taking.
For some thin young women, a fasting blood sugar level below 70 mg/dL may be normal.
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Random Blood Sugar Test
This measures your blood sugar at the time youre tested. You can take this test at any time and dont need to fast first. A blood sugar level of 200 mg/dL or higher indicates you have diabetes.
|140 mg/dL or below||N/A|
*Results for gestational diabetes can differ. Ask your health care provider what your results mean if youre being tested for gestational diabetes.Source: American Diabetes Association
If your doctor thinks you have type 1 diabetes, your blood may also tested for autoantibodies that are often present in type 1 diabetes but not in type 2 diabetes. You may have your urine tested for ketones , which also indicate type 1 diabetes instead of type 2 diabetes.
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What Is The Best Time To Test For Blood Sugar
Doctors usually do a fasting blood sugar test in the morning, after fasting for 8 hours . People can do a random test or an OGTT at any time, without fasting, but the OGTT takes 2 to 3 hours to complete.
A post-prandial test is specifically for use after eating or drinking. An A1C test shows how glucose levels have fluctuated over the last 3 months.
How Does Blood Glucose Work
Blood sugar, or glucose, is the main sugar found in your blood. When you eat or drink, your body breaks down carbohydrates in the food or liquid into sugar for energy.
Then your pancreas produces a hormone called insulin, which helps blood sugar enter your bodys cells. It also helps your body store blood sugar for later use. As the cells use the blood sugar, glucose and insulin levels in the blood decrease.
But with diabetes, your body has trouble regulating glucose. Either your pancreas doesnt make enough insulin, or your body doesnt process insulin effectively. Therefore, the amount of sugar in your blood is higher than normal. And a lot of glucose in your blood is bad for your body.
A fasting blood glucose test measures the amount of glucose in your blood when it should be at its lowest. That happens in the morning and when you havent had anything to eat or drink for a while.
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Whats My Target Range
You might be asking, what’s the normal range for blood sugar levels? The answer is, there is a healthy range that you should ideally be aiming for. The infographics above show the general guidelines, but your individual target range for your blood sugar levels may be different. Youll healthcare team will agree with you what it is.
Youll get different readings at different times of the day, depending on things like what youve eaten and how much you are moving around. Heres a guide to help you get started on finding your target range:
If youre a child with type 1 diabetes
- when you wake up and before meals: 4 to 7mmol/l
- after meals: 5 to 9mmol/l
If youre an adult with type 1 diabetes
- when you wake up and before meals: 5 to 7mmol/l
- before meals at other times of the day: 4 to 7mmol/l
If you have type 2 diabetes
- before meals: 4 to 7mmol/l
- two hours after meals: less than 8.5mmol/l
How Much Apple Cider Vinegar Should I Drink A Day To Reduce Blood Sugar
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Eat The Right Carbohydrates
Sugars and starches raise blood sugar levels, but fiber does not cause a blood sugar spike, as the body is unable to absorb and break down this type of carb. As such, people may consider including carbs that are richer in fiber in their diet.
People may also refer to sugars and starches as simple and complex carbs. Simple carbs primarily consist of one type of sugar. The body breaks these carbohydrates down very quickly, which causes blood sugar to rise rapidly. Complex carbohydrates consist of three or more sugars that are linked together. They result in a more gradual release of sugar into the body, meaning that blood sugar levels do not rise rapidly after a person eats them.
Some people may use the glycemic index to help them monitor how much sugar and carbohydrate they eat, which will, in turn, help them manage their blood sugar levels. The GI measures and ranks various foods by how much they cause blood sugar levels to rise.
Evidence notes a link between obesity and type 2 diabetes. Research also highlights the relationship between obesity and insulin resistance. Insulin is the hormone that is responsible for allowing glucose in the blood to enter cells. Losing 510% of body weight can help those with excess weight improve their blood sugar levels.
What Do The Results Of A Blood Glucose Test Mean
Blood test reports, including blood glucose test reports, usually provide the following information:
- The name of the blood test or what was measured in your blood.
- The number or measurement of your blood test result.
- The normal measurement range for that test.
- Information that indicates if your result is normal or abnormal or high or low.
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Be A Glucose Detective
If youve been diagnosed with diabetes or prediabetes, monitoring your sugar levels can help you problem-solve when you have a blood sugar spike. It can also shine a light on your overall blood sugar trends and their causes.
Use a glucometer to make sure youre in the targeted range your healthcare provider recommends. Asterino-McGeean says to check with your insurance to see if these monitors are covered. You can also buy inexpensive ones over the counter at most grocery stores and pharmacies, she adds.
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How Does Hypoglycemia Occur Without Diabetes
Hypoglycemia usually happens to people living with diabetes, but its possible to have low blood sugar without diabetes.
Blood sugar, or glucose, is what your body uses for energy. After eating a meal or drinking a beverage, the hormone insulin allows sugar to enter your bodys cells, where its used for energy. Insulin is a hormone produced by your pancreas.
Hypoglycemia occurs when you have too much insulin in your bloodstream. This might happen if you dont eat for several hours, such as 8 hours or more. A drop in blood sugar means there isnt enough glucose in your bloodstream to fuel your brain and body.
Low blood sugar without diabetes can also occur if you take a medication that lowers your blood sugar. These include pain relievers like:
- some antibiotics
Other causes of low blood sugar without diabetes include binge-drinking and increased physical activity.
Plus, some medical conditions can increase the amount of insulin your pancreas produces. These include a pancreatic tumor, adrenal gland disorders, and hepatitis.
You could also experience low blood sugar if you have prediabetes, or if you eat a lot of refined carbohydrates, such as white bread, pasta, and pastries.
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