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How Does Wine Help Control Diabetes
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A Comparison Of Hba1c And Fasting Blood Sugar Tests In General Population
Go to: Abstract Objectives: Early diagnosis of diabetes is crucially important in reduction of the complications. Although HbA1c is an accurate marker for the prediction of complications, less information is available about its accuracy in diagnosis of diabetes. In this study, the association between HbA1c and FBS was assessed through a cross-sectional population-based study. Methods: A random sample of population in Kerman city was selected. The total number was 604 people. Their HbA1c and fasting blood sugar were tested. The association between HbA1c and FBS and also their sensitivity, specificity and predictive values in detection of abnormal values of each other were determined. The association of HbA1c with FBS was relatively strong particularly in diabetic subjects. Generally, FBS was a more accurate predictor for HbA1c compared with HbA1c as a predictor of FBS. Although the optimum cutoff point of HbA1c was > 6.15%, its precision was comparable with the conventional cutoff point of > 6%. Conclusions: In conclusion, FBS sounds more reliable to separate diabetic from non-diabetic subjects than HbA1c. In case of being interested in using HbA1c in screening, the conventional cutoff points of 6% is an acceptable threshold for discrimination of diabetics from non-diabetics. Keywords: HbA1c, Blood glucose, Diabetics *The adjusted values were computed in a multivariable regression model with sex, BMI and age as independent variables.Continue reading > >
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What Should My Blood Sugar Level Be When I Wake Up
These are goal levels, according to The Joslin Diabetes Center:
- Under 100 mg/dl if you do not have diabetes.
- 70 to 130 mg/dl if you have diabetes.
The dawn effect can often lead to a high morning measurement in diabetes. This is your bodys tendency to get ready for the day by raising blood sugar by increasing levels of counter-regulatory hormones the ones that counteract insulin as in normal blood sugar. For people with diabetes, you do not have the capacity to counterbalance this rise in blood sugar, so levels can be dangerously high.
Ways to lower your morning blood sugar value include:
- Eating dinner earlier
- Checking your medications making sure you are taking them properly and asking your doctor if they are correct
- Going for a walk after dinner
How To Manage Blood Glucose Levels In The Morning For The Non
May 31, 2021
There are a lot of articles online that explain why high morning glucose levels occur and what to do about them if you are diabetic or insulin-dependent. But if you are non-diabetic, you might be wondering: how relevant are those recommendations for me?
For example, many in the diabetic/insulin-dependent community are excited if their levels get below 120 mg/dL upon waking. Mainstream recommendations are slightly more conservative and suggest a morning glucose level below 100 is normal.
But studies have shown that levels above 90 mg/dL are correlated with adverse outcomes in otherwise healthy, non-diabetic populations. Research papers have consistently shown that morning glucose levels even between 95-99 mg/dL are predictive of increased cardiovascular death, increased incidence of diabetes, and elevated cardiovascular disease risk.
This is why we recommend our non-diabetic customers to target a morning glucose level between 70-90 mg/dL.
If your morning blood glucose level is higher than you would like, then there are several strategies to lower it. But first, letâs look at why it is high in the first place. After all, as the cartoon G.I. Joe used to always say, âKnowing is half the battle.â
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What Is The A1c Test
The A1C test is a simple blood test that measures your average blood sugar levels over the past 2 or 3 months. The test is done at a lab or your doctors office in addition tonot instead ofregular blood sugar testing you do yourself.
A1C testing is part of the ABCs of diabetesimportant steps you can take to prevent or delay health complications down the road:
- A: Get a regular A1C test.
- B: Try to keep your blood pressure below 140/90 mm Hg .
- C: Manage your cholesterol levels.
- s: Stop smoking or dont start.
The A1C goal for most adults with diabetes is between 7% and 8%, but your goal may be different depending on your age, other health conditions, medicines youre taking, and other factors. Work with your doctor to establish a personal A1C goal for you.
This Isnt Dawn Phenomenon
Many people would blame this rise in blood sugar on dawn phenomenon , which has a similar endpoint, but a different mechanism. Dawn phenomenon is the result of hormones releasing in the body in the early morning predominantly growth hormone, cortisol, epinephrine, and glucagon which in turn increase insulin resistance. The current basal insulin from the pump or long-acting injections is no longer enough, and blood sugars rise.
That hormonal surge happens around 2 am-6 am, with most of it occurring in the middle of the night. Lets say you woke up at 7:30 am and arent in the DP zone. Its not DP. Then what?
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Avoid Excessive Exercise Late At Night
Try to avoid any exercise late at night before going to bed. If your blood sugar is less than 5.6 mmol/L or 100 mg/DL before sleeping and you do want to exercise make sure you double your food portion. If you do excessive exercise late at night this can lead to increased blood sugar during the next day.
What Happens If My Blood Glucose Level Becomes Too Low
Sometimes blood glucose levels drop below where they should be, which is called hypoglycemia. For most people with diabetes, the blood glucose level is too low when it is below 70 mg/dL.
Hypoglycemia can be life threatening and needs to be treated right away. Learn more about how to recognize and treat hypoglycemia.
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Determining The Right A1c Goal For You
Just because a normal blood sugar range of 70 to 130 mg/dL is considered the healthiest doesnt necessarily mean thats the appropriate goal range for you especially if you have type 1 diabetes, or take insulin as a person with type 2 diabetes.
The reason this may not be the right goal for you is that extremely tight blood sugar management in people taking insulin can potentially lead to frequent low blood sugars which can be dangerous.
Achieving extremely tight blood sugar management, like a range of 70 to 130 mg/dL, also often requires a strict nutrition plan, more frequent than usual blood sugar monitoring, precise medication management, and most importantly, years of experience studying your blood sugar levels.
What Number Should My Blood Glucose Be
Blood glucose is measured in mg/dl. The normal range for blood glucose for people without diabetes is 70 to 120 mg/dl.
The Diabetes Center has guidelines for blood glucose readings. This is called a target range. There may be times when your healthcare provider gives you a different target range, like for bedtime, with exercise, or after eating.
Nationwide Childrens Hospital Diabetes Center Target Blood Glucose Ranges
The goal is to keep the blood glucose within the target range most of the time.
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Target Blood Sugar Levels For Pregnant People With Diabetes
It’s possible for diabetes to cause problems during pregnancy. For example, according to the Centers for Disease Control and Prevention, people with type 1 and type 2 diabetes who have uncontrolled blood sugar levels could experience an increased risk of having a premature baby, needing a C-section and more.
Gestational diabetes â a type of diabetes that occurs in a pregnant person who has never been diagnosed with diabetes before â can also cause complications. These include giving birth to a baby who is larger than average and an increased risk of needing a C-section. The ADA suggests that pregnant people shoot for a target fasting blood sugar level of 95 mg/dL or less before a meal.
Keeping your blood glucose levels within the target range will help protect you and your baby.
âRead more:â Do Oranges Raise Your Blood Sugar?
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.
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Monitor Your Alcohol Intake
According to the National Institute on Alcohol Abuse and Alcoholism, drinking is considered âto be in the moderate or low-risk range for women at no more than 3 drinks in any one day and no more than 7 drinks per week. For men, it is no more than 4 drinks a day and no more than 14 drinks per week.â
If you still find your glucose levels are low, try cutting the NIAAAâs recommendation in half .
How Much Sugar Is High Blood Sugar
Here are the results of the fasting blood sugar test that determine whether you have diabetes or not:
A blood sugar level less than 100 mg/dL or 5.6 mmol/L rules out the chances of diabetes. It is the normal blood sugar level.If your fasting blood sugar level ranges between 100 and 125 mg/dL or 5.6 and 6.9 mmol/L, it indicates a prediabetic condition. It is slightly above the normal level of sugar.A blood sugar glucose of 126 mg/dL or 7.0 mmol/L or more after taking the test twice indicates that you have diabetes.
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How To Stay In Target
Eating healthy, exercising and taking medication, if necessary, will help you keep your blood sugar levels within their target range. Target ranges for blood sugar can vary depending on your age, medical condition and other risk factors.
Targets are different for pregnant women, older adults and children 12 years of age and under.
How To Test Your Blood Sugar Levels
After you wake up in the morning, check your fasting blood sugar levels using a blood glucose meter or continuous glucose monitor . Before you use a blood glucose meter, the ADA recommends washing your hands and using the lancing device to get a drop of blood. After you hold the test strip against the drop of blood, your blood sugar levels should appear on the meter.
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Normal And Diabetic Blood Sugar Ranges
For the majority of healthy individuals, normal blood sugar levels are as follows:
- Between 4.0 to 5.4 mmol/L when fasting
- Up to 7.8 mmol/L 2 hours after eating
For people with diabetes, blood sugar level targets are as follows:
- Before meals : 4 to 7 mmol/L for people with type 1 or type 2 diabetes
- After meals : under 9 mmol/L for people with type 1 diabetes and under 8.5mmol/L for people with type 2 diabetes
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Low Blood Sugar Symptoms
Low blood sugar, also called hypoglycemia, is what happens when blood glucose levels drop too low. People who take insulin may have low blood sugar if they take too much insulin or mistime the insulin dose in relation to food, or if they exercise more than usual when there is fast-acting insulin on board .
Your healthcare provider will tell you when and how to check blood sugar, and when and how to treat low blood sugar. A low blood sugar is generally considered to be less than 70 mg/dL. A dangerously low blood sugar is below 54 mg/dL.
Low blood sugar can also be caused by many things including certain medications or combinations of medications, alcohol, endocrine disorders, eating disorders, and disorders of the liver, kidneys, or heart.
Here are some of the most common symptoms that someone with low blood sugar might experience:
- Tingling lips
If your blood sugar is low you might start to feel some of the first signs of hypoglycemia like dizziness, lightheadedness, or sweating. The only way to know for sure if your blood sugar is low is to test it with a glucose meter or monitor it with a continuous glucose monitor such as the Dexcom G6.
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People With Gestational Diabetes
Gestational diabetes can occur during pregnancy. Often, it is a temporary condition, but it can lead to pregnancy complications.
The American Diabetes Association recommends that people with a diagnosis of gestational diabetes aim for blood sugar levels similar to those for people without diabetes, although individual targets may vary.
The ADA offers the following as a guideline:
|Blood sugar level|
- blood vessels
A wide range of complications can also result, such as slow wound healing and frequent infections. Other possible complications include:
What Should My Blood Sugar Level Be
When youre first diagnosed with diabetes, your diabetes care team will usually tell you what your blood sugar level is and what you should aim to get it down to.
You may be advised to use a testing device to monitor your blood sugar level regularly at home.
Or you may have an appointment with a nurse or doctor every few months to see what your average blood sugar level is. This is known as your HbA1c level.
Target blood sugar levels differ for everyone, but generally speaking:
- if you monitor yourself at home with a self-testing kit a normal target is 4 to 7mmol/l before eating and under 8.5 to 9mmol/l 2 hours after a meal
- if your HbA1c level is tested every few months a normal HbA1c target is below 48mmol/mol
The Diabetes UK website has more about blood sugar levels and testing.
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