Random Glucose Testing And Diabetes Management
In people without diabetes, blood sugar levels are controlled through the actions of insulin and the cells use of glucose for energy. Therefore, their random blood glucose test results would remain relatively stable over the course of the day. There are no significant changes even if they:
- Experience stress
- Eat at different times of the day
- Vary their diet
However, if you have prediabetes or diabetes, your random blood sugar levels can vary significantly throughout the day, especially if the disease is not managed well.
Random blood sugar tests are performed outside the normal testing schedule. If you have normal random blood sugar levels, you may not be suffering from diabetes. However, as mentioned earlier, your doctor may recommend additional tests to confirm the diagnosis. On the other hand, if you have diabetes and your random blood sugar levels are within the acceptable range, your management plan is probably working.
Wide variations in your random blood sugar levels typically suggest the need to change your strategy. It is essential to ensure that your random blood sugar levels are within the normal or acceptable range to avoid the complications caused by consistently high blood sugar levels.
When to test
If you have diabetes, testing your blood sugar levels at various different times over the course of the day is very important as it can help you manage your condition more effectively and lower the risk of serious diabetes complications.
Managing Type 2 Diabetes
Managing type 2 diabetes requires teamwork. Youll need to work closely with your doctor, but a lot of the results depend on your actions.
Your doctor may want to perform periodic blood tests to determine your blood glucose levels. This will help determine how well youre managing the disease. If you take medication, these tests will help gauge how well its working.
Because diabetes increases your risk of cardiovascular disease, your doctor will also monitor your blood pressure and blood cholesterol levels.
If you have symptoms of heart disease, you may need additional tests. These tests may include an electrocardiogram or a cardiac stress test.
Follow these tips to help manage your diabetes:
- Maintain a balanced diet that includes non-starchy vegetables, whole-grains fiber, lean proteins, and unsaturated fats. Avoid unhealthy fats, sugars, and simple carbohydrates.
- Achieve and maintain a healthy weight.
- Exercise daily.
- Take all your medication as recommended.
- Use a home monitoring system to test your own blood glucose levels between visits to your doctor. Your doctor will tell you how often you should do that and what your target range should be.
It may also be helpful to bring your family into the loop. Educate them about the warning signs of blood glucose levels that are too high or too low so that they can help in an emergency.
What Are The Risks Of Hyperglycemia
Hyperglycemia can be a sign that your body isnt getting enough insulin. It is normal for patients with T1D to get hyperglycemia, and most of the time this is simply treated with insulin. If the body does not have insulin for approximately 8 hours, you could develop a condition called diabetic ketoacidosis, or DKA.
In DKA, your body breaks down fat for energy because it doesnt have enough insulin to use the sugar in your blood. This produces chemicals called ketones, which make your blood more acidic.
DKA is dangerous. Too much acid in your blood can make you pass out or even cause death.
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What Are The Signs & Symptoms Of High Blood Sugar Levels
Signs of high blood sugar levels include:
- Peeing a lot: The kidneys respond by flushing out the extra glucose in urine. People with high blood sugar need to pee more often and in larger amounts.
- Drinking a lot: Someone losing so much fluid from peeing that often can get very thirsty.
- Losing weight even though your appetite has stayed the same: If there isn’t enough insulin to help the body use glucose, the body breaks down muscle and stored fat instead in an attempt to provide fuel to hungry cells.
- Feeling tired: Because the body can’t use glucose for energy properly, a person may feel unusually tired.
Do You Have To Fast For An A1c Blood Test
Unlike the fasting plasma glucose and the OGTT tests, there is no need to fast before having the A1C test. If A1C test results indicate a person has or might have diabetes, a healthcare provider might suggest one of these tests to confirm the results. Another test, the random plasma glucose test, which does not require fasting, can also be used. If the results are borderline or if the results of the different tests do not match, a doctor might suggest repeating the test in several weeks or months.
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How Do I Check My Blood Sugar
You use a blood glucose meter to check your blood sugar. This device uses a small drop of blood from your finger to measure your blood sugar level. You can get the meter and supplies in a drug store or by mail.
Read the directions that come with your meter to learn how to check your blood sugar. Your health care team also can show you how to use your meter. Write the date, time, and result of the test in your blood sugar record. Take your blood sugar record and meter to each visit and talk about your results with your health care team.
Take Things One Day At A Time
While you can understand how diabetes works on an intellectual level, the reality is that things can sometimes happen that feel out of your control. This can be a very stressful and scary time for the child but also for the parent, McCrudden says. The needles can be painful or anxiety-inducing at first. Or, maybe your child is embarrassed about dealing with the condition in front of other kids or feels like a burden.
Diabetes management is a balancing act, says Lisa Goldsmith, of Natick, Massachusetts, whose daughter was diagnosed at 7. You can do everything right and still get high or low blood sugars. It is not an exact science and you will not ever have perfection. But you will figure out a routine and develop a new normal. The more you all adjust to the condition, the more good days you will have.
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What Is A Dangerous Level Of A1c
When levels rise to 9.0, the risk of kidney and eye damage and neuropathy increases. Some people who are newly diagnosed could have levels over 9.0. Lifestyle changes and possibly medication can lower levels quickly. For someone who has long-standing diabetes, levels rise above 9.0 could signal the need for a change in their treatment plan.
Some labs estimate average blood glucose , which corresponds to home glucose meter readings , allowing patients to understand the results better.
What Are Blood Sugar Levels
Blood sugar levels, also known as blood glucose level, is the level of sugar/glucose present in the blood. Glucose is a simple version of sugar which comes from the food we eat. Therefore, the more food you consume with high sugar levels over a period of time, will typically increase your blood sugar level.
Glucose comes from the foods we eat and its sugar content. When a person consumes a food with high sugar content, that is turned into glucose. The glucose is then absorbed into the bloodstream with the support of insulin. This is then distributed between the bodys cells and used as energy.
Foods high in glucose include most carbohydrates and a handful of proteins and fats. Most foods contain glucose as it is simply a natural sugar that occurs in most dietary forms. However, it is carbohydrates that contain the most sugar and 100% of it turns into glucose, through the process mentioned above, once consumed. The concentration of glucose present in the blood will determine your blood sugar level.
Here is a quick video explaining Blood sugar levels chart :
Your blood sugar level can either be low, normal or high. Depending on what you eat and health conditions, it will vary from person to person. Here is a breakdown of how your blood sugar works and how low or high blood sugar levels happens:
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Why Am I Having Lows
If you are experiencing low blood sugar and youre not sure why, bring a record of blood sugar, insulin, exercise and food data to a health care provider. Together, you can review all your data to figure out the cause of the lows.
The more information you can give your health care provider, the better they can work with you to understand what’s causing the lows. Your provider may be able to help prevent low blood sugar by adjusting the timing of insulin dosing, exercise and meals or snacks. Changing insulin doses or the types of food you eat may also do the trick.
When To Seek Care
If youre concerned about managing your diabetes, the first step is to reach out to your doctor or care team to create a diabetes treatment plan. Depending on your diagnosis and personal needs, your treatment plan may include reaching out to:
- an endocrinologist, who can help you manage your blood sugar levels
- a dietitian, who can suggest dietary changes to help manage your blood sugar, blood pressure, and cholesterol levels
- a specialist doctor, like a dentist or ophthalmologist, who can help you manage potential diabetes complications
- a certified diabetes care and education specialist , who can provide education and support to better manage your condition
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What Is High Blood Sugar
If your blood sugar levels are chronically higher than normal, then this is referred to as hyperglycaemia. This is a common issue for those suffering from diabetes. The condition can also affect pregnant women who have gestational diabetes and occasionally those who are severely ill .
Some of the symptoms of hyperglycaemia include:
- Increased thirst
- Blurred vision
- Issues with concentration and/or thinking
If severe hyperglycaemia is left untreated the condition can lead to organ and tissue damage as the excess glucose present in the body can make it difficult for the organs and cells to function correctly. The disorder can also impair the immune system response in the healing of wounds and cuts.
How Can I Check My Blood Sugar
Use a blood sugar meter or a continuous glucose monitor to check your blood sugar. A blood sugar meter measures the amount of sugar in a small sample of blood, usually from your fingertip. A CGM uses a sensor inserted under the skin to measure your blood sugar every few minutes. If you use a CGM, youll still need to test daily with a blood sugar meter to make sure your CGM readings are accurate.
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Living With Type 1 Diabetes:
Life with type 1 diabetes poses lifelong challenges for every member of the family.
People with type 1 diabetes should:
- Test blood glucose levels three or more times per day and adjust their insulin through injections or an insulin pump.
- Ensure insulin doses are balanced with food intake and level of daily activity. People with type 1 diabetes may experience low and high blood sugar levels, which should be carefully monitored and managed.
While living with type 1 diabetes requires a certain amount of daily structure, newer pumps and insulin products have provided more flexibility in the management of this condition.
A healthcare provider can provide advice to help properly manage blood glucose levels.
Avoiding High Blood Sugar And Dka
No matter how well they take care of themselves, people with diabetes will sometimes have high blood sugar levels. But the best way to avoid problems is to keep your blood sugar levels as close to your desired range as possible, which means following your diabetes management plan. Checking your blood sugar levels several times a day will let you know when your blood sugar level is high. Then you can treat it and help prevent DKA from happening.
High blood sugar levels don’t always cause symptoms, and a person who isn’t testing regularly might be having blood sugar levels high enough to damage the body without even realizing it. Doctors may use the HbA1c test to find out if someone has been having high blood sugar levels over time, even if the person has not had obvious symptoms.
Here are some other tips for avoiding high blood sugar levels and preventing DKA:
- Try to eat all your meals and snacks on time and not skip any.
- Take the right amount of insulin.
- Check your blood sugar levels regularly and your ketone levels when your diabetes management plan recommends it.
- Stick to your diabetes management plan.
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Interpreting Random Blood Sugar Test Results
The amount of glucose in your blood is measured in milligrams per deciliter . Normal random blood sugar levels for a person without diabetes should be below 200 mg/dL.
According to one 2015 study, random glucose test results of over 100 mg/dL is a great risk factor for diabetes. A result of 200 mg/dl or more indicates that you may have diabetes. However, the doctor may repeat the random test on another day and recommend a different test for a reliable diagnosis.
Monitoring Blood Glucose Levels
Blood glucose levels can be measured easily at home or anywhere.
A fingerstick glucose test is most often used to monitor blood glucose. Most blood glucose monitoring devices use a drop of blood obtained by pricking the tip of the finger with a small lancet. The lancet holds a tiny needle that can be jabbed into the finger or placed in a spring-loaded device that easily and quickly pierces the skin. Most people find that the pricking causes only minimal discomfort. Then, a drop of blood is placed on a reagent strip. The strip contains chemicals that undergo changes depending on the glucose level. The glucose meter reads the changes in the test strip and reports the result on a digital display. Some devices allow the blood sample to be obtained from other sites, such as the palm, forearm, upper arm, thigh, or calf. Home glucose meters are smaller than a deck of cards.
Continuous glucose monitoring systems use a small glucose sensor placed under the skin. The sensor measures blood glucose levels every few minutes. There are two types of CGMs, with different purposes:
Professional CGMs collect continuous blood glucose information over a period of time . Health care providers use this information to make treatment recommendations. Professional CGMs do not provide data to the person with diabetes.
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Learn More About Treatment Approaches> >
Large studies of people with Type 2 diabetes have shown that only about 30% of people taking two oral medicines have an HbA1c level of less than 7% after three years. Insulin is usually recommended as the initial therapy for diabetes if a persons HbA1c level at diagnosis is greater than 10% or if someones fasting blood glucose level is consistently above 250 mg/dl.
Studies have shown that many doctors wait until someones HbA1c level is higher than 9% to start insulin therapy, which often results in months or years of high blood glucose and an increased risk of developing complications later on. One unfortunate reality is that many busy medical practices are not set up to address the needs of people who take insulin. Starting insulin requires education and easy access to health-care providers who are knowledgeable about insulin therapy, including diabetes nurse educators, pharmacists, and doctors.
Normal Blood Sugar Levels For Adults With Diabetes
But if you have diabetes, your body doesnât make insulin or doesnât respond to it normally . That can leave your blood sugar too high for too long. Over time, that can damage nerves and blood vessels and lead to heart disease and other problems.
If you have diabetes, your doctor may ask you to keep track of your blood sugar by testing it at home with a special device called a blood glucose monitor or home blood sugar meter. It takes a small sample of blood, usually from the tip of your finger, and measures the amount of glucose in it.
Follow your doctorâs instructions about the best way to use your device.
Your doctor will tell you when and how to test your blood sugar. Each time you do it, log it in a notebook or online tool or in an app. The time of day, recent activity, your last meal, and other things can all affect whether a reading will be of concern to your doctor. So try to log relevant information like:
- What medication and dosage you took
- What you ate, when you ate, or whether you were fasting
- How much, how intense, and what kind of exercise you were doing, if any
That will help you and your doctor see how your treatment is working.
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How Much Pineapple Can A Diabetic Have
Its hard to give a definitive answer as it depends on how much pineapple is eaten. However, many sources say that 100g of pineapple has about the same effect as a single slice of cake.
The whole pineapple has a lower glycemic index than just the pineapple juice, so it is better to eat an entire fresh fruit. However, if you dont have access to fresh pineapples then bottled or canned pineapple will do as well. Its important not to make this a daily habit though because canned or bottled pineapple contains more sugar content.
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