Work With Your Health Care Team
Most people with diabetes get health care from a primary care professional. Primary care professionals include internists, family physicians, and pediatricians. Sometimes physician assistants and nurses with extra training, called nurse practitioners, provide primary care. You also will need to see other care professionals from time to time. A team of health care professionals can help you improve your diabetes self-care. Remember, you are the most important member of your health care team.
Besides a primary care professional, your health care team may include
- an endocrinologist for more specialized diabetes care
- a registered dietitian, also called a nutritionist
How Can I Pay For Tests And Diabetes Supplies
Medicareexternal icon, Medicaid, and most private insurance plans pay for the A1C test and fasting blood sugar test as well as some diabetes supplies. Check your plan or ask your health care team for help finding low-cost or free supplies, and see How to Save Money on Diabetes Care for more resources.
What Is A Normal Blood Sugar Reading
A normal blood sugar reading for the A1C test is 5.7%. Your doctor will diagnose you with prediabetes if your A1C is between 5.7% and 6.4%, or with diabetes if your A1C is 6.5% or higher.
If you take the random blood sugar test, you will be diagnosed with diabetes if your blood sugar level is 200 milligrams per deciliter or higher.
Dr. Raja says, A normal fasting blood sugar reading should be < 200 mg/dL.
A normal blood sugar reading for the fasting test is less than 100 mg/dL. A reading between 100 and 125 mg/dL may be diagnosed as prediabetes, and a reading of 126 mg/dL or higher may be diagnosed as diabetes.
If you take the oral glucose tolerance test, a normal reading is anything lower than 140 mg/dL. A reading between 140 and 199 mg/dL is prediabetes, and a reading of 200 mg/dL or higher is diabetes.
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What Are Blood Sugar Targets
A blood sugar target is the range you try to reach as much as possible. These are typical targets:
- Before a meal: 80 to 130 mg/dL.
- Two hours after the start of a meal: Less than 180 mg/dL.
Your blood sugar targets may be different depending on your age, any additional health problems you have, and other factors. Be sure to talk to your health care team about which targets are best for you.
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Eat More Fruit And Veg
We know eating fruit and veg is good for you. Its always a good thing aim to eat more at meal times and have them as snacks if youre hungry. This can help you get the vitamins, minerals and fibre your body needs every day to help keep you healthy.
You might be wondering about fruit and if you should avoid it because its sugary? The answer is no. Whole fruit is good for everyone and if you have diabetes, its no different. Fruits do contain sugar, but its natural sugar. This is different to the added sugar that are in things like chocolate, biscuits and cakes.
Products like fruit juices also count as added sugar, so go for whole fruit instead. This can be fresh, frozen, dried or tinned . And its best to eat it throughout the day instead of one bigger portion in one go.
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Anaerobic Exercise Or High Intensity Interval Training
Anaerobic exercise and a high intensity interval training session can be initiated with a lower starting blood glucose because glucose concentrations tend to remain relatively stable and fall to a lesser extent than with continuous aerobic exercise, or they may rise slightly.
Blood glucose targets should always be individualized for your own needs. Check with your diabetes healthcare team before you start a new exercise program to determine your appropriate blood glucose targets.
What To Know About Diabetic Macular Edema
Fiber plays a preventative role, too. Studies have found that high-fiber diets can reduce the incidence of type 2 diabetes by 15 to 19 percent compared to low-fiber diets, according to a March 2018 study published in the Journal of Chiropractic Medicine.
Youll find fiber in plant foods such as raspberries, peas, and whole grains, according to the Mayo Clinic. Beans are another good source of fiber. People with type 2 diabetes who ate at least a cup of legumes daily for three months had lower blood glucose levels as measured by the A1C test, according to a study published in the Archives of Internal Medicine. Beans also are an excellent source of folate, which is linked to a lower risk of cardiovascular disease, a common diabetes complication, according to the National Institutes of Health.
Men should aim for 30 to 38 g of fiber per day, and women should eat 21 to 25 g per day, according to the Mayo Clinic.
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Carbohydrates And Blood Sugar
When people eat a food containing carbohydrates, the digestive system breaks down the digestible ones into sugar, which enters the blood.
- As blood sugar levels rise, the pancreas produces insulin, a hormone that prompts cells to absorb blood sugar for energy or storage.
- As cells absorb blood sugar, levels in the bloodstream begin to fall.
- When this happens, the pancreas start making glucagon, a hormone that signals the liver to start releasing stored sugar.
- This interplay of insulin and glucagon ensure that cells throughout the body, and especially in the brain, have a steady supply of blood sugar.
Carbohydrate metabolism is important in the development of type 2 diabetes, which occurs when the body cant make enough insulin or cant properly use the insulin it makes.
- Type 2 diabetes usually develops gradually over a number of years, beginning when muscle and other cells stop responding to insulin. This condition, known as insulin resistance, causes blood sugar and insulin levels to stay high long after eating. Over time, the heavy demands made on the insulin-making cells wears them out, and insulin production eventually stops.
What Are Normal Blood Sugar Levels
Before we get started, letâs review some definitions of what ânormal blood sugarâ means for people without diabetes:
- A normal âfastingâ blood glucose taken first thing in the morning after waking up is 99 mg/dL or lower.
- A random blood glucose test taken anytime of the day without regard to the last time youâve eaten should be under 200 mg/dL.
If you have diabetes , your doctor will discuss specific blood sugar goals with you. These goals can vary based on a variety of factors.
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What Else Can I Do To Help Manage My Blood Sugar Levels
Eating a healthy diet with plenty of fruit and vegetables, maintaining a healthy weight, and getting regular physical activity can all help. Other tips include:
- Keep track of your blood sugar levels to see what makes them go up or down.
- Eat at regular times, and dont skip meals.
- Choose foods lower in calories, saturated fat, trans fat, sugar, and salt.
- Track your food, drink, and physical activity.
- Drink water instead of juice or soda.
- Limit alcoholic drinks.
- For a sweet treat, choose fruit.
- Control your food portions .
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Eat Fewer Refined Carbs
Refined carbs, otherwise known as processed carbs, are sugars or refined grains.
Some common sources of refined carbs are table sugar, white bread, white rice, soda, candy, breakfast cereals and desserts.
Refined carbs have been stripped of almost all nutrients, vitamins, minerals and fiber.
Refined carbs are said to have a high glycemic index because they are very easily and quickly digested by the body. This leads to blood sugar spikes.
A large observational study of more than 91,000 women found that a diet high in high-glycemic-index carbs was associated with an increase in type 2 diabetes .
The spike in blood sugar and subsequent drop you may experience after eating high-glycemic-index foods can also promote hunger and can lead to overeating and weight gain .
The glycemic index of carbs varies. Its affected by a number of things, including ripeness, what else you eat and how the carbs are cooked or prepared.
Generally, whole-grain foods have a lower glycemic index, as do most fruits, non-starchy vegetables and legumes.
Summary:
Refined carbs have almost no nutritional value and increase the risk of type 2 diabetes and weight gain.
Go For Whole Fruit Over Juice
A glass of orange juice is not the same as eating a whole orange. “People generally drink more juice and therefore consume more calories and sugar than they would by just eating fruit,” says Wylie-Rosett. Plus, you get more fiber from the whole fruit. For instance, there’s about 4 grams in a large orange, compared to less than 1 gram in 8 ounces of juice. A small amount of juice is OK, but it shouldn’t be your go-to beverage, she says. When you do drink it, make sure you’re serving it up in an actual juice glass rather than a large cup.
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Drink Water And Stay Hydrated
Drinking enough water could help you keep your blood sugar levels within healthy ranges.
In addition to preventing dehydration, it helps your kidneys flush out any excess sugar through urine.
One review of observational studies showed that those who drank more water had a lower risk of developing high blood sugar levels (
34 ).
You can do so at home using a portable blood glucose meter, which is known as a glucometer. You can discuss this option with your doctor.
Keeping track allows you to determine whether you need to adjust your meals or medications. It also helps you learn how your body reacts to certain foods .
Try measuring your levels regularly every day and keeping track of the numbers in a log. Also, it may be more helpful to track your blood sugar in pairs for example, before and after exercise or before and 2 hours after a meal.
This can show you whether you need to make small changes to a meal if it spikes your blood sugar, rather than avoiding your favorite meals altogether. Some adjustments include swapping a starchy side for non-starchy veggies or limiting them to a handful.
Summary
Checking your blood glucose and maintaining a daily log enables you to adjust foods and medications when necessary to better manage your blood sugar levels.
What Is High Blood Sugar
Your blood sugar level can be determined by taking a blood sample, either in a fasted state, or two hours after eating.
- If your blood sugar is less than 100 mg/dL after an eight-hour fast or less than 140 mg/dL two hours after eating, youre in the normal range.
- If you conduct a test in the morning, after sleeping for eight hours, and your blood sugar is at 126 mg/dL or higher, youve got high blood sugar.
An estimated 29 million people in the U.S. have type 2 diabetes, which is the result of blood sugar levels being consistently high. Another 86 million have prediabetes, which can lead to type 2 diabetes and cardiovascular disease. Prediabetes, however, can be reversed by finding ways to naturally lower blood sugar.
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Keep An Eye On Your Carb Intake
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Paying attention to carbohydrates is important for people with type 2 diabetes. Carbs are what cause your blood sugars to potentially fluctuate, Crandall Snyder says.
How many carbs per meal is ideal? Its tailored to each individual, says Weisenberger. How much you exercise, your weight, and your age can all affect how long sugars stay in your system, according to the CDC. A typical starting point for people with diabetes is to limit carb intake to 200 to 245 grams per day, which amounts to about one-half of your daily calories coming from carbs, according to the CDC. From there, make adjustments according to your blood glucose readings or as recommended by a dietitian, Crandall Snyder says.
And keep in mind that carbs arent only found in the usual culprits, like bread, potatoes, and pasta. They are also in fruits, vegetables, sweets, and dairy, so you have to take all of those into consideration as well, Crandall Snyder says.
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