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How Do I Check My Blood Glucose

Picture 1: Poke the side of the finger with the lancet

Is A1c Supposed To Be The Same As My Blood Sugar Average

A1C measures your average blood sugar over the past 3 months.

You can have your A1C measured with a blood draw in your doctors office or lab. Some doctors can also perform a fingerstick blood test to check your A1C level.

When sugar enters your bloodstream, it binds to a protein called hemoglobin. People with high blood sugar have a higher percentage of the hemoglobin protein coated with sugar. Your A1C result will give you an indication of what percentage of your hemoglobin is bound to sugar.

• Standard : Less than 5.7%
• Prediabetes: 5.7% to 6.5%
• Diabetes: 6.5% or higher

In general, the ADA and other clinical guidelines for people with diabetes is that you should work closely with your diabetes care team to determine whats best for your A1C goal. Generally, clinicians advise for an A1C of being safely 7.0%, though that can vary depending on ones individual care plan.

Its important to keep in mind that A1C levels do not reflect all of the nuances of ones diabetes management, meaning it doesnt always reflect your glucose variability, meaning that A1C doesnt offer insight into high or low blood sugars, and it can be manipulated if your blood sugars fluctuate regularly.

As a result, many diabetes professionals have moved away from considering the A1C the sole gold standard for someones diabetes management. Instead, they use that A1C in addition to time in range figures, showing how often your glucose levels are in your individualized target range.

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Hba1c Test For Diabetes Diagnosis

An HbA1c test does not directly measure the level of blood glucose, however, the result of the test is influenced by how high or low your blood glucose levels have tended to be over a period of 2 to 3 months.

Indications of diabetes or prediabetes are given under the following conditions:

• Normal: Below 42 mmol/mol
• Prediabetes: 42 to 47 mmol/mol
• Diabetes: 48 mmol/mol

Check Your Blood Sugar Often

Checking your blood sugar levels often and writing down, or using an app to track the results will tell you how well you are managing your diabetes. Talk to your doctor and diabetes educator about how often you should check your blood sugar.

• Not everyone with diabetes needs to check their blood sugar every day. But some people may need to check it many times a day.
• If you have type 1 diabetes, check your blood sugar at least 4 times a day.

Usually, you will test your blood sugar before meals and at bedtime. You may also check your blood sugar:

• After you eat out, particularly if you have eaten foods you don’t normally eat
• If you feel sick
• Before and after you exercise
• If you have a lot of stress
• If you eat too much
• If you are taking new medicines that can affect your blood sugar

Keep a record for yourself and your provider. This will be a big help if you are having problems managing your diabetes. It will also tell you what works and what doesn’t work, to keep your blood sugar under control. Write down:

• The time of day
• The amount of carbohydrates or sugar you ate
• The type and dose of your diabetes medicines or insulin
• The type of exercise you do and for how long
• Any unusual events, such as feeling stressed, eating different foods, or being sick

Many glucose meters let you store this information.

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How Is The Rbs Test Performed

A random blood sugar test is performed as an outpatient procedure. It is a safe, minimally invasive and quick test. No sedation is given. The test can be carried out in a doctors office or at a diagnostic center. If you are already admitted to a hospital, this test will be carried out in a hospital setting itself. The test involves the following simple steps-\ You will be escorted to the collection site . You will be asked to sit on a comfortable chair or lie down on a hospital bed. A technician will apply a tourniquet proximally to the site chosen for venipuncture. This makes the veins more prominent, allowing easier access. The area is cleaned with a disinfectant. A sterile needle is used to puncture the vein and draw blood. The pressure is applied to the vein with sterile gauze after the needle is withdrawn. The tourniquet is released. The blood sample is collected in a vial. A small bandage is applied over the site from where blood has been drawn. An RBS can also be safely performed in the home-setting by the patient using a simple kit which includes a finger prick device and a glucometer.

Random Blood Sugar Level Chart

Random blood sugar testing is done at any time of the day. This test is done outside the regular testing timetable. It confirms diabetes, during and after the treatment of diabetes. A level of 200 mg/dl or greater indicates diabetes mellitus.

The major objective of an RBS test is to check random blood sugar levels. An Random Blood Sugar range of 200mg/dl or above clearly shows the presence of diabetes. The test helps to timely treat the disease via monitoring during and after treatment. The random blood sugar level test is recommended if an individual complains of the following signs:

• Recurrent urination

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How Does Cinnamon Work To Lower Blood Sugar

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High Blood Sugar Levels

If you have diabetes, you can find out if your blood sugar level is high by having a blood sugar test.

You may have regular tests by your care team or GP surgery, or you may have tests you can do at home.

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Understanding Your Diabetes Diagnosis

Diabetes can cause major health problems if you do not keep your blood sugar in check. However, you can stay healthy and feel good despite your diagnosis if you follow your doctor’s recommended treatment plan and maintain a healthy lifestyle. By choosing foods wisely, exercising regularly, maintaining a normal weight, reducing your stress level, and making other modest lifestyle changes, living with diabetes will be easier.

Show Sources

SOURCES:Centers for Disease Control: National Diabetes Statistics Report, 2014. American Diabetes Association: “All About Diabetes.” Woerle, H. Archives of Internal Medicine, 2004. Forouhi, G. Diabetologia, 2006. Phillips, LS. Diabetes Care, 2006. News release, FDA.

When Does A Person Need To Have Their Blood Glucose Measured With This Test

Prediabetes, Type 2 diabetes and gestational diabetes often have no symptoms at first. A person can have the condition and not know it. Healthcare providers usually order a fasting blood sugar test:

• As part of a standard annual physical examination to monitor a persons blood glucose over time.
• For pregnant women to ensure that pregnancy hormones are not causing diabetes.
• When a person has symptoms of diabetes, a family history of diabetes or risk factors for diabetes .
• When a person has had a previous blood glucose level that was higher than normal.

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How To Do A Finger

Your healthcare team will show you how to do it the first time, but these are the key steps:

• Wash your hands with soap and warm water. Dont use wet wipes as the glycerine in them can affect the test result. Make sure your hands are warm so its easier to get blood and wont hurt as much.
• Take a test strip and slot it into the meter to turn it on. Some meters will have tests strips built in.
• Remove the cap from your finger prick device and put in a new lancet. Then put the cap back on and set the device by pulling or clicking the plunger.
• Choose which finger to prick but avoid your thumb or index finger . And dont prick the middle, or too close to a nail. Place the device against the side of your finger and press the plunger. Use a different finger each time and a different area.
• Take your meter with the test strip and hold it against the drop of blood. Itll tell you if the test strip is filled, usually by beeping.
• Before you look at your reading, check your finger. Use a tissue to stop bleeding, then use it to take out the lancet and throw it away in your sharps bin.
• You can use the same tissue to take out the test strip and throw that away too. Taking out the strip will usually turn the meter off.

Language Matters In Diabetes

Words make a difference when youre talking about diabetes. Thats especially true in the context of blood sugar levels and how someone manages their health.

Here are some suggestions on language choices when talking with someone about their blood sugars and glucose levels.

• Try to avoid using terms like good or bad for higher or lower blood sugars.
• Instead, try to not tie value judgments to these numbers. Think about them as just numbers, in range or not, and pieces of data to help make a decision in diabetes care. Sometimes glucose numbers are too low or too high, and its helpful for the person with diabetes to understand why those glucose fluctuations are happening.

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Blood Sugar Testing At Home

A person can test their blood sugar levels at home.

In most cases, doctors ask people to measure fasting blood sugar immediately upon waking and before they have anything to eat or drink. It may also be appropriate to test blood sugar before eating or 2 hours after a meal, which is when blood sugar returns to normal levels.

The right time to test depends on treatment goals and other factors. For example, most people with diabetes do not need to test between meals unless they are using a diabetes drug that can lower blood sugar. Other people may test between meals if they feel their sugar levels may be low.

Because people with type 1 diabetes do not make enough insulin, they need to test their blood sugar levels several times a day so they can adjust their insulin doses.

A person will test blood sugar levels by:

• preparing the testing strip and glucose monitor to be ready for the blood sample
• using an alcohol swab to clean the testing area, which is usually the side of a fingertip
• lancing the testing area and bracing against a firm surface to help resist the impulse to pull away
• squeezing the testing area around the wound to maximize blood flow
• squeezing a drop of blood onto the test strip
• putting the strip into the monitor
• recording the time, blood sugar reading, and recent food intake in a log

What Are The Recommended Targets For Blood Glucose Levels

Many people with diabetes aim to keep their blood glucose at these normal levels:

• Before a meal: 80 to 130 mg/dL
• About 2 hours after a meal starts: less than 180 mg/dL

Talk with your health care team about the best target range for you. Be sure to tell your health care professional if your glucose levels often go above or below your target range.

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How Is Diabetes Diagnosed

A diagnosis of diabetes is usually made when fasting blood sugar is above 126 mg/dL or the A1Cc is above six percent.

If your fasting blood sugar levels are between 100 and 126 mg/dL you can be diagnosed with prediabetes.

Diabetes develops quite quickly and this can cause even higher blood sugar levels and range between 200 mg/dL and 400 mg/dL or above.

If you have any of the following symptoms, it’s important to speak to your doctor:

• Increased urination
• Numbness or tingling in the hands or feet
• Slow-healing cuts and bruises

A diagnosis of diabetes is a serious matter, but it doesn’t mean your life has to change dramatically. There are many treatments available that can help you manage your condition and live a long, healthy life. Treatment usually involves a combination of medication, diet, and exercise. You’ll work with your healthcare team to create a treatment plan that’s right for you.

There are two types of diabetes, type one and type two. Type one diabetes is when the pancreas does not produce insulin. Insulin is a hormone that helps the body to process glucose from food. Type two diabetes is when the body does not use insulin properly. People with either type of diabetes need to control their blood sugar levels through diet, exercise, and medication.

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