Why Doctors Order It
A fasting blood glucose test is done to screen for prediabetes and diabetes. It also helps doctors monitor diabetes and determine if medications and dietary changes are having an effect .
Your fasting blood glucose level is the lowest your blood sugar can be because the influence of recent meals is minimized .
Fasting blood sugar is often checked alongside HbA1c , which is a measure of your blood sugar levels over the past three months. The more sugar there is in the blood, the more it will attach to hemoglobin, raising HbA1c .
Taken together, the two offer more information than each test alone. For example, even if your blood sugar levels are very high at one random point, they may have been mostly low over the past couple of months . On the other hand, HBA1c could be higher but your glucose levels at the moment lower.
Apart from diabetes, abnormal levels can point out issues such as insulin resistance, hormonal imbalances, and pancreatic, liver, or kidney disease.
Keeping Track Of Blood Sugar Levels
Knowing when to call the doctor or seek emergency care is essential. Severe blood sugar spikes can lead to advanced health problems.
Anyone experiencing hyperglycemia symptoms should immediately check their blood sugar levels. They should contact the doctor if the reading is above 180 milligrams per deciliter within 2 hours of eating a meal.
It may also help to record blood sugar levels in a journal and look for patterns, such as blood sugar spikes occurring every morning. If this happens, it might be time to check with the doctor about adjusting the dosage of insulin. If blood sugar levels are consistently high after meals, a doctor may advise a person to take insulin during meal times.
A person should also be sure to bring this journal to medical appointments. The doctor can review the results and recommend any necessary adjustments to the management plan.
When Combining Keto And : 2 Intermittent Fasting On Fasting Days Do You Still Follow The Macro Guidelines For Keto
On the two days of fasting, should the 500 calories consumed be of the same macro proportions as followed on the normal keto days? Or can you consume 500 calories of any food without going out of ketosis?
I dont generally recommend people to count calories. Fasting means not eating anything at all, so there is no counting macros. Dr. Mosleys 5:2 diet allows 500 calories of whatever you like. But thats his diet, not mine. I advocate intermittent fasting, with no calories.
Dr. Jason Fung
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Check Your Blood Glucose Levels
For many people with diabetes, checking their blood glucose level each day is an important way to manage their diabetes. Monitoring your blood glucose level is most important if you take insulin. The results of blood glucose monitoring can help you make decisions about food, physical activity, and medicines.
The most common way to check your blood glucose level at home is with a blood glucose meter. You get a drop of blood by pricking the side of your fingertip with a lancet. Then you apply the blood to a test strip. The meter will show you how much glucose is in your blood at the moment.
Ask your health care team how often you should check your blood glucose levels. Make sure to keep a record of your blood glucose self-checks. You can print copies of this glucose self-check chart. Take these records with you when you visit your health care team.
Causes Of High Blood Sugar
The leading causes of high blood sugar or hyperglycemia include:
Diet: Glucose comes from food, so what you are eating causes high blood sugar. Carbohydrates are the most common culprit as they are broken down into glucose very quickly in the body. High-sugar foods, high-fat foods, and processed foods also cause blood glucose spikes and should be replaced with healthier options.
Stress: When you are stressed, more stress hormones and chemicals are released, which drives blood sugar levels up too. If the stress is only temporary, this is not a serious issue, but if you experience chronic stress or an anxiety disorder, you may experience high blood sugar levels more often.
Metabolic Syndrome: These are a collection of conditions that occur at the same time and increase your risk for type 2 diabetes. High blood pressures, excess fat around the waist, and high cholesterol or triglycerides are examples of these conditions. When these occur in the body together, your risk for diabetes increases as does your blood sugar and the risk for potential complications.
Physical Inactivity: A lack of physical activity contributes to elevated blood sugar. When you are physically active each day, insulin works more efficiently, and your blood sugar can be maintained.
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Causes Related To Lifestyle
Exercising prompts your body to burn more energy than usual, and, as a result, consume more glucose. Maintaining a low level of physical activity, on the other hand, means more glucose will remain in the bloodstream. This raises your overall blood glucose values in the process.
Exercise also makes our body more insulin sensitive, which means we will require less insulin for the rest of the day to control glucose levels.
Part of the bodyâs fight-or-flight response to stress is to produce additional glucose. Another facet of that response is an increase in the hormone cortisol. High cortisol can reduce the bodyâs sensitivity to insulin. As a result, blood glucose levels may also increase.
A lack of quality sleep can inhibit how much insulin your body can release. It can also cause the production of cortisol, which makes it harder for insulin to work. When your bodyâs insulin cannot properly metabolize the glucose in your blood, the glucose remains there and your glucose levels rise.
Practice Fasting With Caution
Diabetes patients have to follow some rules when they fast. You need to be aware of the potential dangers and avoid getting hypo or hyperglycemia. Break your fast with a small meal and take your medication during the eating window as a precaution. So, if you take insulin, take it during the 8 hours of eating rather than 16 hours of fasting. In addition to this, avoid heavy exercise during your fasting window.
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Why Is High Blood Sugar A Bad Thing
While glucose is a fuel for the cells that make up your organs, at high levels it can be toxic, causing internal damage over time. If blood sugar remains elevated for long periods without treatment, it can lead to several problems, including a higher risk of:
- Type 2 diabetes
- Poor circulation to your arms and legs which could ultimately lead to amputation of affected limbs
- Loss of vision or blindness
If you have symptoms of high blood sugar, you should contact your doctor or seek medical attention as soon as possible. Extremely high blood sugar levels can require urgent treatment.
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
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How To Prevent High Morning Blood Sugar
Do not fret, friends. There are ways to deal. Here are three simple ways:
1) Take insulin right when you wake up
If its 2 pm and you notice your blood sugar is shooting up for no apparent reason, youd take a correction dose of insulin to prevent that spike, right? .
The same concept applies here.
To determine how much insulin to take, wake up, record blood sugar values at 30 and 60-minute intervals, and record this for a few days . Then, you can use your insulin to carb ratio to determine a correction bolus.
2) Increase your basal rate around your wake up time
If you fight Dawn Phenomenon, whats a common strategy for success? Increasing basal rates in the wee hours of the morning to counteract that hormone-induced spike.
Well, if youre used to a particular morning routine and know itll take you a little while to prepare food and eat, consider increasing that basal rate during that time period. That additional insulin may overcome the liver dumping glucose and blunt your blood sugar spike, or ideally, prevent it in the first place.
3) If you skip breakfast, stop skipping it and EAT SOMETHING
As a registered dietitian, I can regurgitate all the information from the Academy of Nutrition and Dietetics about why breakfast is important. This isnt about that, but in all honesty here, try eating SOMETHING. Id love if it were healthy, but if youre just DYING to have Cinnamon Toast Crunch, by all means, have at it. If youre about the low-carb life, go for some eggs.
Tests For Gestational Diabetes
Gestational diabetes is diagnosed using blood tests. Youll probably be tested between 24 and 28 weeks of pregnancy. If your risk is higher for getting gestational diabetes , your doctor may test you earlier. Blood sugar thats higher than normal early in your pregnancy may indicate you have type 1 or type 2 diabetes rather than gestational diabetes.
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No Symptoms Be Alarmed
Surprisingly, the most dangerous episodes of hypoglycemia occur with little or no warning. When low blood glucose occurs on a regular basis, the body can become used to the warning signs and the person may stop noticing symptoms. This is a particularly dangerous condition known as hypoglycemic unawareness. People with this condition might not realize they have low blood glucose until it’s dangerously low seizures and coma are sometimes the first indication of a problem. The good news is that this condition can often be reversed allowing people to once again notice the signs of low blood glucose if hypoglycemia is avoided for a few weeks through careful monitoring of blood glucose.
What Are Normal And High Morning Blood Sugar Levels
The term morning blood sugar describes your blood sugar level after you wake up but before you eat anything. This fasting measurement shows how well your body controlled your blood sugar overnight.
When you eat, it leads to an increase in blood sugar. Insulin lets the sugar leave your blood and enter the cells in your body, converting it into useful energy.
If you dont regularly monitor your blood sugar to manage a condition like diabetes, you may not be aware of your fasting blood sugar level. But you might want to understand what your levels mean if you get a result back from your regular physicians checkup.
Consistently high blood sugar can cause tiredness and mental fogginess and can lead to serious health problems if untreated, but most mild cases cause no noticeable symptoms at all.
Most people learn they have high blood sugar after seeing a doctor about something else.
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Follow Your Diabetes Meal Plan
Make a diabetes meal plan with help from your health care team. Following a meal plan will help you manage your blood glucose, blood pressure, and cholesterol.
Choose fruits and vegetables, beans, whole grains, chicken or turkey without the skin, fish, lean meats, and nonfat or low-fat milk and cheese. Drink water instead of sugar-sweetened beverages. Choose foods that are lower in calories, saturated fat, trans fat, sugar, and salt. Learn more about eating, diet, and nutrition with diabetes.
Can Drinking A Lot Of Water Lower Your Blood Sugar Levels
Although feeling very thirsty is a symptom of a hyper, drinking a lot of water will not bring your blood sugar levels down. It will only help to reduce your risk of dehydration.
Its important that you take your diabetes medication to bring your blood sugar levels down. If you have consistently high blood sugar levels, you will need to follow the advice below and speak to your diabetes healthcare team.
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Think About What’s Going On
Irene Dunbar of Durham, NC, woke up one morning to discover that her blood sugar was at 119, which was high for her. “I had a cold and had had orange juice yesterday, and I normally do not drink orange juice,” Dunbar said, who also thought, “I better not do that.”
Sometimes, determining the cause of an elevated level may make you feel like a detective. But it’s important to ask yourself questions about potential causes, such as diet and exercise habits, changes in your treatment plan, or personal life adjustments. Determining the answers to these questions can help pinpoint what might be going wrong, according to MedlinePlus.
Think About Whats Going On
Irene Dunbar of Durham, NC, woke up one morning to discover that her blood sugar was at 119, which was high for her. I had a cold and had had orange juice yesterday, and I normally do not drink orange juice, Dunbar said, who also thought, I better not do that.
Sometimes, determining the cause of an elevated level may make you feel like a detective. But its important to ask yourself questions about potential causes, such as diet and exercise habits, changes in your treatment plan, or personal life adjustments. Determining the answers to these questions can help pinpoint what might be going wrong, according to MedlinePlus.
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Blood Sugar Spike Causes
Blood sugar levels fluctuate all day long. When you eat food, particularly foods high in carbohydrates like bread, potatoes, or pasta, your blood sugar will immediately begin to rise.
If your blood sugar is consistently high, you need to talk with a doctor about improving your diabetes management. Blood sugar rises when:
- youre not taking enough insulin
- your insulin isnt lasting as long as you think it is
- youre not taking your oral diabetes medication
- your medication dosage needs to be adjusted
- youre using expired insulin
- youre not following your nutritional plan
- you have an illness or infection
- youre taking certain medications, like steroids
- youre under physical stress, such as an injury or surgery
- youre under emotional stress, such as trouble at work or home, or with money problems
If your blood sugar is usually well managed but youre still experiencing unexplained blood sugar spikes, there might be an acute, or more recent, cause.
Try keeping a record of all the food and drinks you consume. Then check your blood sugar levels according to your doctors recommendations.
Its common to record your blood sugar reading first thing in the morning, before youve eaten, and then again 2 hours after eating.
Even a few days of recorded information can help you and your doctor learn whats causing your blood sugar spikes.
Common reasons for blood sugar spikes include:
How To Prevent Hyperglycaemia And Lower Your Blood Sugar Levels
Testing your blood sugar levels regularly can help you spot the signs of hyperglycaemia. But there are some steps you can take to either prevent a hyper from happening or to bring down your blood sugar levels.
You can start by making sure you are aware of your carbohydrate portions and how they may be affecting your blood sugar levels after eating. Carb countingis one of the ways you can manage this. Avoid foods that have a high glycemic index and choose low GI foods that can help manage your blood sugar levels more effectively. Increase the fibre in your diet. This can help slow down carbohydrate digestion, which can help limit the rise in your blood sugars.
Try to maintain a healthy weight as this promotes regular blood sugar levels in the body. Be as active as possible, regular exercise can help your body process more of the sugar.
Remember to take your insulin and other diabetes medication, and always take them correctly. Continue to take your diabetes medication even if you are ill and not eating.
Concentrate on your emotional wellbeing, get a quality nights sleep and find ways to manage your stress. Stress can cause hormones to be released, which keep your blood sugar levels high.
If your blood sugar levels continue to be high, or youre unsure of what to do, contact your doctor for further guidance.
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