Random Plasma Glucose Test
A random blood glucose level of 200 mg/dL or more, plus presence of the following symptoms, can mean that you have diabetes:
- Increased urination
- Increased thirst
- Unexplained weight loss
Other symptoms include fatigue, blurred vision, increased hunger, and sores that do not heal. Your doctor will check your blood glucose level on another day using the FPG or the OGTT to confirm the diagnosis of diabetes.
Newer guidelines use hemoglobin A1c as a screening tool or diagnostic test for prediabetes or diabetes . An HbA1c of 5.7% to 6.4% is consistent with prediabetes and marks a time when it can be reversed by lifestyle changes. An HbA1c of 6.5% or higher is consistent with diabetes.
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Is The A1c Test Used During Pregnancy
Health care professionals may use the A1C test early in pregnancy to see if a woman with risk factors had undiagnosed diabetes before becoming pregnant. Since the A1C test reflects your average blood glucose levels over the past 3 months, testing early in pregnancy may include values reflecting time before you were pregnant. The glucose challenge test or the oral glucose tolerance test are used to check for gestational diabetes, usually between 24 and 28 weeks of pregnancy. If you had gestational diabetes, you should be tested for diabetes no later than 12 weeks after your baby is born. If your blood glucose is still high, you may have type 2 diabetes. Even if your blood glucose is normal, you still have a greater chance of developing type 2 diabetes in the future and should get tested every 3 years.
How To Bring Down Blood Sugar At Home
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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 Do I Record My Blood Sugar Test Results
Keep good records of any blood, urine, or ketone tests you do. Most glucose monitors also have a memory. Your records can alert you to any problems or trends. These test records help your doctor make any needed changes in your meal plan, medicine, or exercise program. Bring these records with you every time you see your doctor.
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How Are Diabetes And Prediabetes Diagnosed
The following tests are used for the diagnosis of diabetes:
- A fasting plasma glucose test measures your blood glucose after you have gone at least 8 hours without eating. This test is used to detect diabetes or prediabetes.
- An oral glucose tolerance test measures your blood sugar after you have gone at least eight hours without eating and two hours after you drink a glucose-containing beverage. This test can be used to diagnose diabetes or prediabetes.
- In a random plasma glucose test, your doctor checks your blood sugar without regard to when you ate your last meal. This test, along with an assessment of symptoms, is used to diagnose diabetes, but not prediabetes.
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A hemoglobin A1c test can be done without fasting, and can be used to diagnose or confirm either prediabetes or diabetes.
Positive test results should be confirmed by repeating the fasting plasma glucose test or the oral glucose tolerance test on a different day. When first diagnosed with diabetes, your doctor may suggest a zinc transporter 8 autoantibody test. This blood test — along with other information and test results — can help determine if a person has type 1 diabetes and not another type. The goal of having the ZnT8Ab test is a prompt and accurate diagnosis and that can lead to timely treatment.
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The Big Picture: Checking Your Blood Glucose
Blood sugar monitoring is the primary tool you have to find out if your blood glucose levels are within your target range. This tells you your blood glucose level at any one time.
Its important for blood glucose levels to stay in a healthy range. If glucose levels get too low, we can lose the ability to think and function normally. If they get too high and stay high, it can cause damage or complications to the body over the course of many years.
The logging of your results is vital. When you bring your log to your health care provider, youll have a good picture of your body’s response to your diabetes care plan. To help keep track of your levels, we have a glucose log. We also have a blood glucose log available for purchase that is smaller so you can carry it with you.
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How Do Carbs Affect Blood Sugar
Carbs in food make your blood sugar levels go higher after you eat them than when you eat proteins or fats. You can still eat carbs if you have diabetes. The amount you can have and stay in your target blood sugar range depends on your age, weight, activity level, and other factors. Counting carbs in foods and drinks is an important tool for managing blood sugar levels. Make sure to talk to your health care team about the best carb goals for you.
Who Should Be Tested For Diabetes
Anyone who has symptoms of diabetes should be tested for the disease. Some people will not have any symptoms but may have risk factors for type 2 diabetes and need to be tested. Most pregnant women should also be tested for gestational diabetes. Testing helps doctors find diabetes sooner, so they can work with their patients to manage the disease and prevent health problems.
If you have Medicare, it may cover the cost of tests if you have certain risk factors for diabetes. If you have different insurance, ask your insurance company if it covers diabetes tests.
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Can I Check My Own Blood Sugar
You can do blood sugar level check by doing a finger-prick test, or by using an electronic blood sugar monitor called a flash glucose monitor or CGM. You can do this several times a day helping you keep an eye on your levels as you go about your life and help you work out what to eat and how much medication to take. Find out your ideal target range.
Not everyone with diabetes needs to check their levels like this. Youll need to if you take certain diabetes medication. Always talk to your healthcare team if youre not sure whether thats you theyll give you advice on whether to check them yourself and how often.
And theres also something called an HbA1c, which is a blood test to measure your average blood sugar level over the last three months. Everyone with diabetes is entitled to this check.
High blood sugar levels increase your risk of developing serious complications. However you manage your diabetes, stay in the know about your blood sugar levels
A1c Results And What The Numbers Mean
| Diagnosis* | |
|---|---|
| Diabetes | 6.5 percent or above |
When using the A1C test for diagnosis, your doctor will send your blood sample taken from a vein to a lab that uses an NGSP-certified method. The NGSP, formerly called the National Glycohemoglobin Standardization Program, certifies that makers of A1C tests provide results that are consistent and comparable with those used in the Diabetes Control and Complications Trial.
Blood samples analyzed in a doctors office or clinic, known as point-of-care tests, should not be used for diagnosis.
The A1C test should not be used to diagnose type 1 diabetes, gestational diabetes, or cystic fibrosis-related diabetes. The A1C test may give false results in people with certain conditions.
Having prediabetes is a risk factor for developing type 2 diabetes. Within the prediabetes A1C range of 5.7 to 6.4 percent, the higher the A1C, the greater the risk of diabetes.
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How To Use A Blood Glucose Meter:
- After washing your hands, insert a test strip into your meter.
- Use your lancing device on the side of your fingertip to get a drop of blood.
- Touch and hold the edge of the test strip to the drop of blood and wait for the result.
- Your blood glucose level will appear on the meter’s display.
Note: All meters are slightly different, so always refer to your user’s manual for specific instructions.
Small Changes In Temperature Equipment Or Sample Handling
Even when the same blood sample is repeatedly measured in the same lab, the results may vary because of small changes in temperature, equipment, or sample handling. These factors tend to affect glucose measurementsfasting and OGTTmore than the A1C test.
Health care professionals understand these variations and repeat lab tests for confirmation. Diabetes develops over time, so even with variations in test results, health care professionals can tell when overall blood glucose levels are becoming too high.
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What To Do To Lower Spiking Blood Sugar
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Prevent Type 2 Diabetes
If your test results show you have prediabetes, ask your doctor or nurse if there is a lifestyle change program offered through the CDC-led National Diabetes Prevention Program in your community. You can also search for an online or in-person program. Having prediabetes puts you at greater risk for developing type 2 diabetes, but participating in the program can lower your risk by as much as 58% .