Normal Vs Optimal Blood Sugar Ranges
Ive written extensively about the difference between normal and optimal blood markers here, and the same applies to your blood sugar ranges.
From the perspective of conventional medicine, a fasting blood sugar level of 100-125 mg/dL indicates prediabetes.
Two consecutive fasting glucose levels of 126 mg/dL indicates diabetes, as well as a random glucose reading of 200 mg/dL , and a 2-hour post-meal reading of 200 mg/dL .
But much of the data in conventional medicine comes from populations who are not enjoying optimal health.
So what does a healthy daily glucose response look like from the perspective of preventative medicine?
On waking: Research indicates that your optimal glucose after waking in the morning should be between 82-88 mg/dL . This level is associated with optimal aging, the lowest risk of chronic disease, and the lowest mortality risk.
After meals: Blood sugar peaks between 1 and 2 hours after the meal and should be back down to fasting levels by 3 hours post-meal. From the perspective of optimal health, you should avoid regularly eating foods that raise your blood sugar over 100 mg/dl .
One strategy to test the impact of your diet on your long-term health is to measure your blood sugar before and after meals.
Fasting Plasma Glucose Test
A fasting plasma glucose test is taken after at least eight hours of fasting and is therefore usually taken in the morning.
The NICE guidelines regard a fasting plasma glucose result of 5.5 to 6.9 mmol/l as putting someone at higher risk of developing type 2 diabetes, particularly when accompanied by other risk factors for type 2 diabetes.
Reduce Your Stress Levels Through Meditation
If you find your stress levels are high on a morning, you need to find a way to handle them. Stress is bad for you overall. Its known as a silent killer, as it raises your blood pressure and has no symptoms at all until you start to suffer from health problems seriously.
While exercise is a good way to reduce your stress levels, its not the only option. Nor is it the perfect option.
Meditation is a powerful way to keep your stress levels to a minimum. You can take in deep breaths, allowing your body to get all the oxygen it needs. Your mind focuses elsewhere, helping to release the tension and problems that are affecting your current levels of cortisol.
As your body can release more happy hormones, your stress hormones are suppressed. You can use breathing and meditation techniques regularly to keep your hormone levels balanced. Not only will you improve your morning glucose levels but youll find your overall health benefits considerably.
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Precautions To Keep The Above Two Conditions In Control
There are a few precautions that you should take under the expert guidance in order to keep the raised levels of fasting blood glucose under control.
The available treatments for controlling the dawn phenomenon include the following:
- Take your medicines as advised by your doctor
- You can take either a green apple or a resistant cornstarch food item just before bedtime under the supervision of a medical expert.
- You can also try to eat a protein snack before These shall include nuts as well as cheese products
- Most of the patients are even advised to take vinegar either in the form of a drink or in the form of a tablet.
The best available treatments for controlling the Somogyi effect include the following:
- Changing the insulin that you use while also trying to alter the time of taking the same
- When you take your dose of insulin in the evening, you should eat a snack along with it
- If you are used to taking insulin just before going to bed, you should try to reduce the total amount of dose that you take
- Monitoring of A1C levels from time to time also go a great deal in keeping the effect under control
How Do You Determine Which of the Two Phenomenons is Adversely Affecting Your Blood Sugar Level?
High Blood Sugar Symptoms
Hyperglycemia is the medical term for high blood sugar. Hyperglycemia happens when the body doesnt have enough insulin or when it cant use insulin correctly. Many things can cause high blood glucose levels like Type 1 diabetes, Type 2 diabetes, stress, illness, or the dawn phenomenon. If you have hyperglycemia or suspect you may have it, talking with a healthcare provider is always a good idea. A doctor can help you determine whats causing your high blood sugar levels and lower it to a healthy range.
Here are some of the most common symptoms that may indicate hyperglycemia:
- Vision loss
You should seek immediate medical attention if your blood sugar reaches 400 mg/dL or higher.
When patients experience any of these accompanied by elevated blood sugar levels, diabetic patients are advised to go directly to the ER to avoid diabetes-induced coma, says Vikram Tarugu, MD, a gastroenterologist and the CEO of Detox of South Florida. Patients who have elevated blood sugar may also present with frothy, ketone-like smelling breath.
Here are some lifestyle changes and medical treatments that can help treat hyperglycemia:
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What If Your Morning Blood Sugar Level Is High
Due to certain hormonal changes, it is quite natural to have a relatively higher blood sugar levels in the morning. If you do not have diabetes, your body will produce enough insulin to bring your blood sugar back to normal again. It may not happen though if you have diabetes.
Your blood glucose levels may stay elevated because of insulin resistance, which refers to a condition in which your body’s fat cells and muscles fail to use insulin effectively. The condition also affects the function of your liver and changes the way it processes and releases sugar, especially at night.
The situation is different when you have type-2 diabetes because the liver starts releasing more glucose than is needed into your blood. It means that your hormones are causing your blood sugar to go up and your liver is also making things worse by releasing more sugar into your system. This leads to a spike in blood sugar levels that stay elevated unless you pay attention to your diet and exercise. You may also have to take medications to manage your blood sugar better.
What Is Considered Normal Blood Sugar Levels
You can measure blood sugar levels with an at-home finger-prick test that gives you an instant reading of the mmol’s of sugar per liter of your blood. Generally, depending on the time of day and when you last ate, this can vary between 5.0-10mmol/L.
But what is a normal blood sugar level in Canada? Here is a handy blood sugar level chart based on the guidelines by Diabetes Canada:
After eating : 5.0-10.0mmol/L
Most diabetic adults: 4.0-7.0mmol/L fasted state, 5.0-10mmol/L after eating
Diabetics who are pregnant: < 5.3mmol/L fasted state, < 6.7mmol/L after eating
Gestational diabetics: < 5.3mmol/L fasted state, < 6.7mmol/L after eating
Children with diabetes: 4.0-8.0mmol/L fasted state, 5.0-10.0mmol/L after eating
The wide ranges in each group allow for individual differences. For example, we know that sugar regulation deteriorates with age and in pregnancy. So, if you are elderly you may find that you are on the higher end of each range.
However, each person is different and if you think your blood sugar is not in a normal range, it is important to seek medical advice.
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Q What Is The Blood Sugar Level For A 72 Year Old Woman
Answer:If you are aged but completely healthy, then you are likely to have your blood glucose at a standard level. But generally, aged people are more or less vulnerable to diseases. Though it is preferable to have blood sugar in between 100-120 mg/dl rising up to 140mg/dl is acceptable in certain conditions.
Signs Of High Blood Sugar In The Morning
High blood sugar is significant when its too high. Thats when its called hyperglycemia. Hyperglycemia is usually defined as above 126 mg/dL or 7.0 mmol/L in a period of fasting . This will be the clearest sign of high blood sugar in the morning.
Before breakfast, you usually would have had a period of at least eight hours without eating . As such, hyperglycemia during a period of fasting is particularly important here: youll know that the high blood sugar wasnt caused by any recent meals.
Other signs of high blood sugar in the morning will be the usual symptoms of hyperglycemia:
- Blurred vision
- Increased urination
Of course, its normal to feel somewhat groggy and thirsty when waking. Its important to distinguish between hyperglycemia and the I-hate-Mondays morning tiredness. And the best way to do that is to test your blood sugar.
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How A Continuous Glucose Monitor Can Help Control Morning Levels
Troubleshooting morning glucose levels can be tricky. As we have discussed, there are a lot of factors that influence overall glucose status in the body. Exercise, stress, circadian rhythm, macronutrient composition, nutrient timing, and more are continually affecting glucose management in your body.
If your morning glucose levels are higher than you would like, always start with the four fundamentals:
Of course, it can be difficult to tease out which specific factor is causing your issue, which is why it is crucial to track the data.
The gold standard for tracking glucose levels is with a continuous glucose monitor . When you use a CGM, you can see your glucose values in real time, 24/7. You donât have to wait for an annual blood test to determine whether the changes you made are working. Instead, you can troubleshoot solutions by trying different things out and seeing how they improve the numbers every single day.
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No More High Blood Sugar In The Morning
Its important to recognise that morning hyperglycemia is fairly normal: its usually your body trying to get you ready for the day .But you can help your body help itself by trying out some changes in your routine or medication. And Hedia wants to help you to help your body to help itself! Give yourself a good morning by visiting the App Store and
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More About Blood Sugar Levels
Our body requires glucose to get energy which is gained from the food we have. If you think that our body uses all the consumed energy in one go then you are wrong. Because of insulin, this energy is stored, and then it is released according to the needs of the body. When you have your meal, your blood sugar level goes up. Generally, it starts getting high after at least 60 minutes of having food.
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Diagnosing Prediabetes Type 2 And Type 1 Diabetes
Depending on which country or medical organization you ask, the qualifying numbers for normal versus prediabetes versus diagnosed type 1 or type 2 diabetes can vary slightly. The following blood sugar and A1c the general results are used to diagnosed prediabetes and diabetes according to sources including the American Diabetes Association and Diabetes UK:
- HbA1c: 5.7 to 6.4 percent
- Fasting: 100 to 125 mg/dL
- 2 hours after a meal: 140 mg/dL to 199 mg/dL
Type 1 or 2 diabetes
- HbA1c: 6.5 percent or higher
- Fasting: 126 mg/dL or higher
- 2 hours after a meal: 200 mg/dL or higher
Please note: Type 1 diabetes tends to develop very quickly which means that by the time symptoms are felt, blood sugar levels are generally well above 200 mg/dL all the time. For many, symptoms come on so quickly they are dismissed as the lingering flu or another seemingly ordinary virus.
By the time blood sugar levels are tested, many newly diagnosed type 1 patients will see levels above 400 mg/dL or higher. If you do suspect that you or a loved-one has type 1 diabetes, visit your primary care or urgent care immediately and ask for a urine test to measure ketones in addition to testing blood sugar levels and A1c.
Read more about ketones at diagnosis in Diabetes StrongsDiabetic Ketoacidosis Guide.
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Recommended Target Blood Glucose Level Ranges
The NICE recommended target blood glucose levels are stated below for adults with type 1 diabetes, type 2 diabetes and children with type 1 diabetes.
In addition, the International Diabetes Federations target ranges for people without diabetes is stated.
The table provides general guidance. An individual target set by your healthcare team is the one you should aim for.
*The non-diabetic figures are provided for information but are not part of NICE guidelines.
Switch Up Your Exercise Timing
As previously discussed, exercise done too close to bed can result in hypoglycemia. If you tend to exercise in the evening, try exercising in the morning or at lunch and see if it makes a difference in your morning glucose level.
If you are particularly stretched for time, you can also try splitting up your exercise into two smaller time-blocks. This has the added advantage of giving your body more time to recover.
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Why Is My Morning Blood Sugar So High
A complex array of factors affects blood sugar levels, including hormones, diet, and lifestyle.
Q: I have prediabetes and now eat minimal carbs and sugar. My doctor told me to monitor my sugar levels, morning and night. At night, two hours after eating, my sugar levels are between 112 and 130 mg/dL . But in the morning, my fasting sugar level is always higher than the night number. Why is that? What am I doing wrong?
There are a few reasons why your blood sugar may be elevated in the morning. First, its important to understand that certain hormonal changes that occur overnight may lead to high blood sugar levels in the morning.
Official Fasting Blood Sugar Ada Recommendation For Someone With Diabetes
The American Diabetes Association recommends a fasting blood sugar target of 80 to 130 mg/dl for most nonpregnant adults with diabetes. However, the fasting blood sugar target may need to be individualized for certain people based on such factors as duration of diabetes, age and life expectancy, cognitive status, other health conditions, cardiovascular complications, and hypoglycemia unawareness. Its important that people with diabetes discuss their target blood sugar goals with their healthcare provider.
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How Is It Determined If The Dawn Phenomenon Or Somogyi Effect Is Causing The High Blood Sugar Levels
Your doctor will likely ask you to check your blood sugar levels between 2 a.m. and 3 a.m. for several nights in a row. If your blood sugar is consistently low during this time, the Somogyi effect is suspected. If the blood sugar is normal during this time period, the dawn phenomenon is more likely to be the cause.
Some additional clues that the Somogyi effect may be the cause include nightmares, restless sleep and overnight sweating as these are all signs of low blood sugar levels.
Is Your Fasting Blood Sugar High Every Morning
I recently had an issue where no matter what I did, my fasting blood sugar levels were always high every morning. They were in the range of between 12 mmol/L to 16 mmol/L. At first I chalked it up to overdoing it around the holiday season. Eating way more carbs than usual, especially late at night and very close to bedtime. I figured that I was off with my bolus for the meals I ate at night. However, after I cut out the extra carbs and still got high readings in the morning, I knew something was off.
I realized that every morning religiously, I would wake up between 3 am and 4 am with a high blood sugar. Unfortunately if my blood sugar is above 8 mmol/L I cannot sleep. This problem prevented me from getting good quality sleep. I would often have to correct and monitor before I could go back to bed. I started to analyze my diet and my habits to see where I was going wrong. If you are experiencing a similar issue you can start with the below recommendations.
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Delayed Effects Of Fatty Foods
Blood sugar levels typically peak within an hour or so after eating. However, a high-fat dinner containing fried foods, pizza, or cheesy casseroles might delay this normal jump in blood sugar until the morning. Why? Large amounts of dietary fat can make it harder for insulin to do its job, explains Scheiner. Plus, fat slows down digestion and absorption, which could cause blood sugar to peak later than usual.
Possible solutions: Opt for fish, skinless poultry, beans, and vegetables sautéed in olive oil over foods high in saturated fat like fried foods and those covered in cheese. Filling up half your plate with vegetables can also help cut portion sizes of other foodsand your fat intake from those foods.