Wednesday, August 3, 2022

What Is Your Blood Sugar Level If You Have Diabetes

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Can You Get Ketones With A Normal Or Low Blood Sugar

What Is Type 2 Diabetes? | WebMD

Ketones can also be present when your blood sugar is normal or low. These are sometimes referred to as starvation ketones or nutritional ketones. During an illness or extreme diet change, if you have a significant decrease in carb intake, this can lead to the body using fat for energy because there are not enough carbs present to burn. Your blood sugar could remain normal or even be low in this case but your body could still be producing ketones.

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.

Insulin Blood Sugar And Prediabetes

Prediabetes can develop when the system goes awry and your blood sugar levels increase. This happens due to resistance to a hormone called insulin, which is produced by an organ called the pancreas. Your pancreas release insulin when your blood sugar levels rise after a meal. Insulin helps sugar get out of your blood and into your fat, muscle, and some other cells so that they can use the sugar for fuel, and so that the extra sugar leaves your bloodstream.

Prediabetes happens when your cells become less sensitive, or more resistant, to the effects of insulin. You progressively need more insulin to get the sugar out of your blood and into your cells. Eventually, possibly after years or decades, your body cannot produce enough insulin to keep up with demand.

This is when blood sugar rises to the levels that are seen in prediabetes. At this point, your doctor might diagnose you with prediabetes after taking a blood glucose test. Even higher levels, which can happen if you do not treat prediabetes, indicate diabetes.

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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.

When Should You Check Your Blood Sugar Levels

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Its important that people who suspect they have diabetes or pre-diabetes monitor their glucose levels regularly, checking at least once daily and charting the results in order to know what is normal for themselves. If it seems like something isnt quite right with ones blood glucose. It may be time to talk to a doctor about getting a diabetes diagnosis. Its also important that parents make sure their children are well aware of any symptoms of high or low blood sugar. So they know when they need to alert an adult about what might be going on if their parents are not around.

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What Is Diabetic Ketoacidosis

If you think you may have low blood sugar, check it even if you dont have symptoms.

When too many ketones are produced too fast, they can build up in your body and cause diabetic ketoacidosis, or DKA. DKA is very serious and can cause a coma or even death. Common symptoms of DKA include:

  • Fast, deep breathing.
  • Nausea and vomiting.
  • Stomach pain.

If you think you may have DKA, test your urine for ketones. Follow the test kit directions, checking the color of the test strip against the color chart in the kit to see your ketone level. If your ketones are high, . DKA requires treatment in a hospital.

DKA happens most in people with type 1 diabetes and is sometimes the first sign of type 1 in people who havent yet been diagnosed. People with type 2 diabetes can also develop DKA, but its less common.

Why The Test Is Performed

Your doctor may order this test if you have signs of diabetes . More than likely, the doctor will order a fasting blood sugar test.

The blood glucose test is also used to monitor people who already have diabetes.

The test may also be done if you have:

  • An increase in how often you need to urinate
  • Recently gained a lot of weight
  • Blurred vision

SCREENING FOR DIABETES

This test may also be used to screen a person for diabetes.

High blood sugar and diabetes may not cause symptoms in the early stages. A fasting blood sugar test is almost always done to screen for diabetes.

If you are over age 45, you should be tested every 3 years.

If you’re overweight and have any of the risk factors below, ask your health care provider about getting tested at an earlier age and more often:

  • High blood sugar level on a previous test
  • Blood pressure of 140/90 mm Hg or higher, or unhealthy cholesterol levels
  • History of heart disease
  • Member of a high-risk ethnic group
  • Woman who has been diagnosed with gestational diabetes
  • Polycystic ovary disease
  • Close relative with diabetes
  • Not physically active

Children age 10 and older who are overweight and have at least two of the risk factors listed above should be tested for type 2 diabetes every 3 years, even if they have no symptoms.

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Glucose Levels: What You Need To Know

Glucose levels will naturally rise and fall throughout the day. For example, after a meal they will rise, and you may experience a fall in glucose levels after an exercise.

Blood glucose can be low, normal, or high. A normal glucose level will be different based on how long someone has had diabetes, age, and other health conditions. However, the American Diabetes Association has standard blood glucose recommendations for people living with diabetes:

  • Before meals: 80 to 130 mg/dL
  • One to two hours after meals: Less than 180 mg/dL

Hypoglycemia, or low blood sugar, is defined as a glucose level of less than 70 mg/dL or slightly higher, while hyperglycemia, high blood sugar, is characterized as a glucose level of greater than 125 mg/dL while fasting . A person with a fasting blood glucose of higher than 125 mg/dL is said to have diabetes, and someone who has prediabetes will have a fasting blood glucose of 100 mg/dL to 125 mg/dL.

Frequently Asked Questions: Faqs

How To Test Your Blood Sugar Levels | 7 Simple Steps | Diabetes UK

Can diabetes go away?

Yes! Prediabetes and type 2 diabetes are reversible conditions for most people who commit to a combination of diet, exercise, and lifestyle changes.

What are the warning signs for prediabetes?

The primary indicator of prediabetes is a hemoglobin A1C level of 5.7% or greater. Other risk factors include being overweight, being 45 years or older, smoking, physical inactivity, or having a family history of prediabetes.

What level of A1C is dangerous?

An A1C level between 5.7 and 6.4% means your blood sugar is higher than normal. An A1C reading of 6.5% indicates diabetes, and an A1C level of 8% or above is a sign of uncontrolled diabetes, meaning you have a higher risk of developing complications such as kidney damage or stroke.

Whats the best way to reverse prediabetes?

The best way is a combination of 1) whatever way works for you and 2) whatever way is sustainable.

Some people can control their blood sugar with modifications to their diet and lifestyle, while others need medication as well. The most important thing is to collaborate with your doctor to find the treatment plan that gets your blood sugar in check and keeps it there so that you dont develop T2D.

Is diabetes curable?

No, but it is reversible. If you catch your prediabetes before it morphs into type 2 diabetes, you can turn back the process and avoid becoming diabetic. Even T2D can be kicked if it is caught before it is allowed to progress. So, take heart. You can do this!

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What Happens If Blood Sugar Level Is Too High

If your blood sugar levels are too high then you risk developing diabetes. You can develop cardiovascular disease and nerve damage. With diabetes, the glucose in your blood does not reach your cells and can lead to these and other complications. Adding exercise and eating healthy can help to control your diabetes and prevent secondary diseases.

You may develop diseases and disabilities in the future, such as cardiovascular disease and nerve damage, if you have diabetes.

If your blood sugar levels are high then you can develop diabetes and risk developing cardiovascular diseases and nerve damage. Doing exercise and eating healthy is important to control your diabetes and prevent secondary diseases.

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:

Non-diabetic Ranges

After eating : 5.0-10.0mmol/L

Bedtime: 5.0-7.0mmol/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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What Causes Blood Sugar To Be High

Many things can cause high blood sugar , including being sick, being stressed, eating more than planned, and not giving yourself enough insulin. Over time, high blood sugar can lead to long-term, serious health problems. Symptoms of high blood sugar include:

  • Feeling very tired.
  • Having blurry vision.
  • Needing to urinate more often.

If you get sick, your blood sugar can be hard to manage. You may not be able to eat or drink as much as usual, which can affect blood sugar levels. If youre ill and your blood sugar is 240 mg/dL or above, use an over-the-counter ketone test kit to check your urine for ketones and call your doctor if your ketones are high. High ketones can be an early sign of diabetic ketoacidosis, which is a medical emergency and needs to be treated immediately.

When Should I Check My Blood Sugar

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How often you check your blood sugar depends on the type of diabetes you have and if you take any diabetes medicines.

Typical times to check your blood sugar include:

  • When you first wake up, before you eat or drink anything.
  • Before a meal.
  • Two hours after a meal.
  • At bedtime.

If you have type 1 diabetes, have type 2 diabetes and take insulin, or often have low blood sugar, your doctor may want you to check your blood sugar more often, such as before and after youre physically active.

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What Is High Blood Glucose

People who do not have diabetes typically have fasting plasma blood glucose levels that run under 100 mg/dl.

Your physician will define for you what your target blood glucose should be identifying a blood glucose target that is as close to normal as possible that you can safely achieve given your overall medical health. In general, high blood glucose, also called ‘hyperglycemia’, is considered “high” when it is 160 mg/dl or above your individual blood glucose target. Be sure to ask your healthcare provider what he or she thinks is a safe target for you for blood glucose before and after meals.

If your blood glucose runs high for long periods of time, this can pose significant problems for your long-term increased risk of complications, such as eye disease, kidney disease, heart attacks and strokes and more. High blood glucose can pose health problems in the short-term as well. Your treatment plan may need adjustment if the blood glucose stays over 180 mg/dl for 3 days in a row. It is important to aim to keep your blood glucose under control and treat hyperglycemia when it occurs.

  • Increased thirst
  • Slow healing cuts and sores
  • Unexplained weight loss
  • Too much food
  • Too little exercise or physical activity
  • Skipped or not enough diabetes pills or insulin
  • Insulin that has spoiled after being exposed to extreme heat or freezing cold
  • Stress, illness, infection, injury or surgery
  • A blood glucose meter that is not reading accurately

Youre Getting Yeast Infections More Often Than Usual

Hyperglycemia may lead you to get more frequent genital yeast infections. The culprit is often a type of yeast known as Candida albicans, per the ADA. According to the Centers for Disease Control and Prevention, in females the symptoms can include: vaginal itching, redness or soreness pain during sexual intercourse pain or discomfort during urination and thick, abnormal vaginal discharge. While yeast infections are common in people who dont have diabetes, having more glucose in your blood puts you at higher risk of getting them. The yeast feeds off the glucose, and if your blood sugar is high theres more glucose in the urinary tract, explains Bandukwala. Uncircumcised men with hyperglycemia are also at risk, he says.

Were also seeing this happen a little more now with patients who take SGLT-2 inhibitors, which force the body to expel more glucose through the urine, the endocrinologist adds. The FDA has added a warning to the prescribing information for SGLT-2 inhibitors about a far more rare and potentially fatal genital condition, known as necrotizing fasciitis of the perineum, or Fourniers gangrene .

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When To See A Healthcare Provider

Getting professional medical advice from a healthcare provider like an endocrinologist is the best way to learn more about whether your blood sugar levels are where they should be. Not getting proper treatment for low or high blood sugar levels can be serious and lead to health complications, especially for those with diabetes. Diabetes complications include nerve damage, kidney disease, heart disease, or heart attacks.

If you see a healthcare provider about your blood sugar levels, be prepared to answer questions about risk factors like what you eat, how much you exercise, and about your family history. Some healthcare providers may want to take a blood sample to test your blood sugar levels. They may also order an A1C test, which is a blood test that measures blood sugar levels over several months. You may have to fast eight hours beforehand to get accurate test results, so its always a good idea to check before your appointment.

If your blood sugar level goes above 250 mg/dL, you should go to the ER for immediate medical attention, says Dr. Tarugu. Emergency rooms are equipped to handle high blood sugar levels and can administer treatments like insulin therapy and fluid or electrolyte replacement.

How Do I Test My Blood Sugar

WHAT IS A NORMAL BLOOD SUGAR LEVEL FOR DIABETES?

Consider testing your blood sugar at the same time as your ketones to get a more holistic perspective of whatâs happening in your body. For instance, is that new low-carb protein bar going to keep you in ketosis without spiking your blood sugar? Thereâs really only one way to find out: Testing both ketones and blood glucose.

You can even use both of these readings to determine where you sit on the Glucose Ketone Index .

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