Still Frustrated With Your Blood Sugar And A1c Results
Your blood sugars and your insulin or medication needs never stay in one place. If you gain weight or lose weight, your insulin and medication needs will change. If you become more active or less active, your needs will change. If you make drastic or even small changes to your nutrition, your needs will change!
Working with your diabetes healthcare team, and diabetes coaches who can teach you how to make changes in your overall diabetes management plan are essential. Diabetes is a lifelong learning process.
Take a deep breath and be patient. If you dont like what youre seeing on your glucose meter, dont get madget studying! Take good notes and work with your team to make changes to reach your goals.
What Should My Blood Sugar Levels Be
Your blood sugar level changes depending on what you’ve eaten, whether you’ve exercised and other factors but we have some general guidelines to determine what levels are healthy.
For generally healthy individuals who haven’t eaten for eight hours or more, a normal blood sugar level is between 70-99 mg/dL. When you’ve eaten in the past two hours, it should be no higher than 140 mg/dL. To refresh your chemistry knowledge, that unit is milligrams per deciliter and it’s measuring the amount of glucose present in your blood.
Only a medical professional can diagnose diabetes or another issue with your blood sugar, so if you’re concerned about your blood sugar levels, check with a doctor.
What Should I Do If My Glucose Levels Are Too High
You should establish a treatment plan with your doctor. You may be able to manage your glucose levels through diet and other lifestyle changes, like weight loss. Exercise can also help lower your glucose levels.
Medications may be added to your treatment if needed. Most people with type 2 diabetes will start on metformin as their first medication. There are many different types of diabetes medications that act in different ways.
Injecting insulin is one way to quickly reduce your glucose levels. Your doctor may prescribe insulin if you need help managing your glucose levels. Your doctor will determine your dosage and go over with you how to inject it, and when.
Let your doctor know if your glucose levels are consistently high. This could mean you need to take regular medication or make other changes to your diabetes treatment plan. Working with your doctor to get your glucose levels under control is important. Consistently high levels can lead to serious complications, like diabetic neuropathy or kidney failure.
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What Should My Blood Sugar Be When I Wake Up
Checking your blood sugar first thing in the morning is important. In fact, fasting blood sugar readings really help you determine how to approach the rest of your day. You have to take steps considering how low or high your fasting blood sugar is, and understand how to set your morning target and what to do to achieve it. Let’s find out more about it.
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What Is An Hba1c Test And How Does It Relate To Blood Glucose
HbA1c tests show average blood glucose levels over a sustained period of time. HbA1c is glycated haemoglobin and more of it is produced in the body by high blood glucose levels.
Different scores of HbA1c show good, fair, poor and bad control of diabetes. Increasing HbA1c levels indicate greater risk of complications.
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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Ways To Control Your Blood Sugar Levels
Ways individuals with diabetes can balance their blood sugar include keeping their weight in check, exercising regularly, following their medication and diet plans, and checking their blood sugar levels regularly. For some individuals, taking insulin shots may be necessary to keep glucose levels in check. Sticking to a schedule is important for individuals with diabetes. As it can help them regulate their blood sugar level.
However, just eating healthy and exercising regularly can help to a great extent. High fiber food, green vegetables, low GI fruits are all good food choices for people with diabetes. And exercises like Zumba, yoga, or just walking for 30 minutes every day can be very beneficial for bringing the blood sugar level back to normal.
What Can Affect My Results
If you consistently see results that arenÃ¢t expected, recalibrate your meter and check the strips.
The chart below shows you the ideal blood sugar ranges for most adults except for pregnant women. Your ideal range may be different from another personâs and will change throughout the day, so check with your doctor for your targets.
Time of Test
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What Is Normal Blood Glucose
There is no one blood glucose level that defines a person as normal. The table of blood glucose levels below gives the appropriate values at different times and in different states, according to the American Diabetes Association. For example, insulin-dependent diabetics often use an upper limit of 7 mmol/L or 140 mg/dL, while non-insulin-dependent diabetics may aim for less than 6 mmol/L or 108 mg/DL.
The blood glucose levels range between less than 100-180 mg/dL for adults from 20 years or older. Depending on your age this may vary.
- Fasting: Less than 5.6 mmol/L or 100 mg/DL
- Before meal: 3.9-7.2 mmol/L or 70-130 mg/DL
- 1-2 hours after eating: Less than 10 mmol/L or 180 mg/DL
- Bedtime: 5.6-7.8 mmol/L or 100-140 mg/DL
Be aware that the above numbers might be different for everyone depending on your doctor’s recommendations.
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What Other Tests Might I Have Along With This Test
Your healthcare provider may also order other tests to look at how well your heart is working. These tests may include:
- Electrocardiogram, or ECG, which tests your hearts electrical impulses to see if it is beating normally
- Stress test, in which you may have to exercise while being monitored by ECG
- Echocardiogram, which uses sound waves to make pictures of your heart
- Cardiac catheterization. For this test, a healthcare provider puts a tube into your blood vessels and injects dye. X-rays are then done to look for clogs in the arteries of the heart
Your provider may also order tests for high blood pressure or blood sugar, or glucose.
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Treatment For High Blood Sugar Levels
For those with high blood sugar levels, it is vital to keep track of your blood sugars at home on a daily basis. This can be done with a glucose meter. These test monitors are often provided to diabetic patients so that they can manage their blood sugar levels at home everyday. They are available to purchase online if you are non-diabetic but wish to check on your levels regularly for safety.
Diabetic patients can be prescribed medications to help with insulin levels when their blood sugar is high. Those with type 1 diabetes will be prescribed medication which needs to be taken several times daily. This type of diabetes has no cure but can be managed with the right medication.
Those with type 2 diabetes or gestational diabetes can treat their high blood sugar with a change in diet or exercise. A healthier balanced diet is usually advised and sometimes, insulin medication is also prescribed if the blood sugar level becomes abnormally higher than the high reading for diabetic patients.
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How Diabetes Affects Insulin Production
Each diabetes type affects insulin production in a different way. Type 1 diabetes causes damage to the beta cells in your pancreas that make insulin. As a result, your body cant produce enough of this hormone. Type 2 diabetes gradually makes it harder for your beta cells to work, and also makes all the cells of your body less able to pull in and use insulin.
In both types of diabetes, sugar from the foods you eat builds up in your blood. Constantly having high blood sugar damages your blood vessels. Over time, diabetes can cause problems with your nerves, eyes, kidneys, heart, and other organs.
Everyone with type 1 diabetes and some people with type 2 diabetes take a lab-made form of insulin to control their blood sugar.
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Achieving Normal Blood Sugar/blood Glucose Levels
For most people with diabetes, keeping blood sugar levels in check is all about being mindful of what and how much they eat and drink. Making healthy choices and watching portion sizes can help you control your weight and your blood sugar levels.
But dont worry, you dont have to navigate this road alone. When you have nutritionists who specialize in managing diabetes by your side, you can learn to choose the right foods, such as:
- Smart carbohydrates Instead of white or flour-based bread, rice or pasta, choose whole grains, barley, brown rice, non-starchy vegetables and fresh fruit. These foods can be efficiently converted to energy.
- Lean proteins Limit or avoid red meats and go for chicken, turkey, low-fat dairy, fish and shellfish.
- Healthy fats Skip the cream sauces, butter, lard and processed foods, and start cooking with canola or olive oil. Like to snack? Munch on nuts like almonds, cashews, pecans and peanuts.