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Wow, what a tremendous response to the new diabetes blog. You are showing the huge impact diabetes has on an individual's life, family, community, and society as a whole.
Peggy and I would like to thank all of you for sharing your stories about living with diabetes. As you all know, diabetes is a complex issue and there are many facets involved in managing and living with the disease.
In viewing the comments, we would like to thank you for sharing your personal experiences, challenges, burdens, and successes. This is your opportunity to share information and tips, and Peggy and I plan on choosing a couple items each week to respond to.
This week I would like to talk about the blood glucose target range. What should it be? A normal fasting blood glucose target range for an individual without diabetes is 70-100 mg/dL (3.9-5.6 mmol/L). The American Diabetes Association recommends a fasting plasma glucose level of 70–130 mg/dL (3.9-7.2 mmol/L) and after meals less than 180 mg/dL (10 mmol/L).
Individuals with hypoglycemic unawareness (limited or no awareness of low blood glucose symptoms) may require a higher target range. Your healthcare provider may personalize your blood glucose target for specific medical conditions. Blood glucose targets should be in a healthy range to prevent diabetes complications, but also keep you safe from serious low blood glucoses.
Remember, blood glucose targets are targets. Diabetes is a balancing acting and blood glucoses will fluctuate; even sharpshooters don't hit the bull's-eye every time.
Once again, thank you. Keep the comments coming. We will try to address some of your concerns in the upcoming weeks.
Nancy Klobassa Davidson, R.N.
Peggy Moreland, R.N.
Selecting "Submit" signifies that you have read and agree to our posting guidelines.
question- I always have been in a fasting range of between 90 and 120. In the last few months my fasting has been averaging around 160. There is no change in diet and I take Metform and glyburide 125/250 twice a day, plus 65 units of lantus at night. My question is Why the change and would going on insulan all the time the way to go .. Im 71 and Ive been diabetic for 11 years. thank you
Much has not been said or written about diabetes insipidus. I am a victim, a very serious one. Please can you educate me on all I need to know about this condition and how to safeguard myself from complications or to play it safe. Include suggested drugs and diets if possible.
Please I want to remain anonymous. Send the reply through my e-mail. Thanks.
If you and Peggy "would like to " thank me,why don't you just go ahead and do it ?
I'm frustrated being a diabetic I try really haedvti keep my sugar at normal range. But I loose control in evenings. I have started walking. please help. I need a refresher course in what amounts of meals to fix. Why do I lose control inmthe afternoon?
My blood sugar before eating lunch was 84 and 2 hrs later 89. I take 500 mg of metformin per day. Is this ok? I have just 2 carb exchanges per meal.
If someone has pancreatitis and their sugar is in the range of 82-124 is that good or low, I have been having little attacks where I get real sweaty (enough to dampen my hair) and shaky just trying to figure out what it is
I was diagnosed with Diabetes about three weeks ago. I went to a free blood sugar checking at a grocery store. Good thing I did, they told me to go directly to my doctor. I did and my A1c was of the chart. they guessed around 14. my blood sugar was at 474. I shouldn't be surprised. I used to drink a 2 liter coke and 2 gallons(yes gallons of kool aid a day plus I ate like a horse. I am 5'11" and did weigh 300 lbs.(down from 365lbs.). I am on 1000 mg. metforman and another pill that I can't remember the name of.I have dropped another 10 lbs. I have completely cut out sugar drinks. Thank God for Kool Aid water flavoring drops.I have cut out most carbs and only eat them when my sugar is low. I feel MUCH better now. But my blood sugar frequently drops to between 50 and 65 and I get dizzy and have to lay down. something sweet usually makes me feel better. Why does my sugar drop so low? I used to have to keep hard candy with me when I went hiking I thought to keep my energy up but now I wonder if my sugar has been dropping. I am 48 years old and the low sugar thing could have been going on for the last 25 years. Not really one for doctors.
Extremely informative. Thank you.
Why the difference between "normal" of 70-100 and American Diabetes Association recommended 70-130?
You learn more here than your Dr's office.
I have recently been told i have the onset of type 2 diabetes my blood sugars in the morning fasting are running around 130 to 135 but been told by my doctor that my after meal blood sugars are in the right range i do not understand this can you help me understand and I am watching what i eat and trying to loose weight but since i have a slow metabolism loosing weight is very hard without starving myself..I want to avoid having to take insulin if at all possible I have what the drs call a allergy (chemical sensitivity) to medications which is very bad . Looking for any ideas..Thank you
Hi. I don't have diabetes and my fasting levels are 110 to 130 and before bed time 120 to 130. Should I need concerned or am I within the range? Sincerely, Octavio
I am an RN and have been concerned about symptoms that I feel may be high blood sugar. I purchased blood glucose monitor and have been checking my blood sugars the last few weeks. My glucose levels are seemingly in good shape (less thant 100 fasting and less thantr 180 2 hour after meals). In fact my BS are ususally 96 2 hours after eating and my fasting is borderlien at aroucn 90-100. Wondering if I should have an A1G test done? I am scared to be labeled with a diagnosis of diabetes but my symptoms of excessive thirst and urination have me concerned (mostly at night). I am not overweight (5'7" 140lbs) no large belly and I eat a good diet. Thank you.
Hello fellow diabetics,
I am a 70 year old male with a 15 year history of type 2 diabetes. I lost a kidney to cancer in 2010, so managing my diabetes since then should have been a real priority for me. However, I have always eaten whatever I wanted and as much as I wanted. Cheeseburgers, pizza, chili dogs, and pasta for the most part along with breakfast taco's, sausage biscuits, and pancakes. As you might imagine, I am overweight, tired all the time, irritable a lot of the time, and generally feeling sleepy and prone to taking mid-day naps.
Well at my last check up my hemoglobin A1C came back at 9.4!!! The nurse practionier I am now seeing and had no prior history with, looked at me and said,
"You knew you had diabetes and just how have you been trying to manage it?"
I answered, with diet and exercise. She said, and I quote, "Well I'd say you're doing a p--- poor job of it!!! If you want to be on kidney dialysis or a kidney transplant list, just keep doing exactly what you are doing!!! She turned on the light for me. She actually got mad at what I was doing to MY body, and that made me realize if I wanted to have a normal life, if I wanted to not be a burden on my family, if I wanted to live a little longer, then I must take on the responsibility of eating properly balanced meals and getting exercise everyday.
I am very happy to say that I have started on the journey down that road to recovery. I am on day 13 of a 90 day trip to a healthier life. I have admitted to it, and I have committed to it, and my fellow diabetics that's the first and the hardest step to take! I am extremely grateful for that nurse, she is my hero.
If you are a diabetic and you are laying back on your a-- , eating whatever you want whenever you want it, well, take it from me, you're gonna have to pay!!!
And you ain't gonna like the PRICE!!!!!!!
I started a transition lifestyle solution program for weight loss and after the first week of detox my fasting blood sugars dropped from the mid 300 to 95-100 !! I asked my doctor if I can stop my insulin which was from 38 units once a day to gradually reducing and after 1 month stopped. My A1C went from 7.5 to 5.5 after my 3 month checkup. Just wanted to share my story.
my sugar level is -fasting is 101 and pp is 119 .i am 58 yrs old female.is it ok?
Does neuropathy and arthritis pain affect glucose levels?
In Sept. 2013, my blood test results showed cholesterol at 201 and glucose 105; I am a 62 yrs male. So, I stopped eating 2+ hamburgers weekly along the many sodas/sweeten drinks. On Feb. 14, 2014, total cholesterol dropped 53 pts to 148, HDL 51, LDL 87, TC/HCL 29, glucose dropped 25 pts to 80; TRIs 52. I was amazed and blessed. Before I thought my hard fitness program would always keep these levels at acceptable ranges; I was wrong.
I am now a diabetic w/family history. Age 75. A1c went from 5.9 to 6.1, fasting check is great but 2 hr is 207. Just took my strip 2 hrs after breakfast and it was 123. I've never had it to go past 180 after a meal. I also have just started metformin today and am a little concerned. Is there a difference in the time released and regular metformin. I have family who says it makes their bowels loose. Very nervous about taking this. Thank you for any help.
i'm 60 yrs old, Chinese, fasting plasma glucose is 6.1 mmol. Can i reduce my glucose handicap by exercising as soon as i get up in the morning bf breakfast? ( 40minit, non stop aerobic exercise to bring pulse rate up to 150 per minute)? my bp is 120/80at noon, resting pulse rate 60 per minute.twh
I am a 40 year old female. I weigh about 250 and I am 5'3" tall. Diabetes runs in my family. I don't have diabetes as far as I know. But it has been awhile since I have been to the doctor. I tested my level today after I ate lunch. Which consisted of a chicken breast and 1 20oz Coke. I tested a 63. Shouldn't it be higher than that? Especially since it was after I ate.
My dad has type 2 diabetes and weights 200 lbs. He is only 5'5. He eat very little during the day, but at night he piles on the calories. His blood sugar is right at 200 (high) and he is starting to have memory loss. What do you suggest that he do differently to improve his overall health.
I have been type 2 diabetic for 12 years with A1C's every 4 months between 5.9 and 6.2. Why should a doctor be so concerned. I have friends who are always in the 6.8 to 7.3. I am 77 years old.
Tony; I'm pretty sure you shouldn't be getting 338 unless you just ate an entire cake.
See your doctor, especially if it keeps being that high.
Is a level of 338 excessively high?
I found an Awesome video about reversing your diabetes and I am willing to try anything. I have type 2 diabetes and I am tired of taking medications for everything and if I can reverse my diabetes naturally I am excited to begin. Please review this FREE Video and I hope it gets you as excited to reverse your Diabetes as I am.
I am wondering if a 70 blood glucose reading before a meal is to low for a person without diabetes? I feel numbness in my face when I think my blood sugar is going low.I won't go to the doctor because I can just eat and I am fine. Is there any medicine the doctor can give if you have low blood sugar?
I have been a type 1 since 1956, they didn't even know what was wrong when I went into a coma in the hospital. I would have died if a young student doctor had not leant over me and smelled the bitter aloes scent. I have been on insulin for the last 58 years and found that only quick acting animal insulin does not cause imbalance in my blood sugars. Not sure why big pharma, other than for profit reasons were allowed to demolish the factories where it was refine from beef and pork pancreases. However, thankfully Wockhardt is still maintaining production. Don't think I haven't tried the other insulins I did for a year and it nearly killed me. I maintain my blood sugars as much as possible to 4-6 mmols, if I have an infection, I adjust my insulin according to cope. This is how I maintain this fine balance. I have had successful pregnancies where unusually my blood sugars have dropped substantially. For instance, when I was carrying my son, my long acting went from 96 units to 16 units. When told the doctors when I had my son that my insulin requirements would increase after delivery, they reduced it further and changed the type. I had to get my husband to bring my own insulin in and I injected theirs into the sheet and did mine later in the bathroom. As the hospital I was at was not where my specialist was, they ignored his instructions. My specialist was Professor Alberti a world reknown expert in the field.
I disagree with the exhortation for diabetics to have higher than normal BG. That causes complications. Just be watchful and carry a testing kit in your bag especially before you drive and eat. If you sugars are fairly high normal then eat less carb for the meal if on the low side then have an extra potato or a veg with low glycemic index and lots of roughage.
To date I have no complications neither retinopathy nor neuropathy. All diabetics need to know that they can adjust their insulins as needed, not too much of course but balance is the word.
This is my first time on this blog. I am so happy I found it, because the more informed we are about our diabetes the healthier we can become.
I was diagnosed with ketoacidosis now my blood/glucose levels are controlled still expericing blurred vision how long will this last
Thank you for caring enough to keep this blog current for all.
That was feeling I'll and throw up for last comment from Ann....sorry....
Newly diagnosed type 2 ....my glucose is now 58 after eating ....feeling I'll and the need to throw dizzy and light head all at once is this normal and what home remedy can I use
Hey I have a quick question is 175 okay for a 350lb man with diabetes..
My whole family is diabetic including my parents, brothers and sister. I am 35 and around 20 pounds overweight. I did my fasting blood glucose today and it came out to be 114. According to your article target should be between 70-100 but American Diabetes Association set the fasting target to be 70-130. Can you please explain the difference and what should be the standard glucose level before and after meal. Thank you for your help.
Did you mean 180 TWO HOURS AFTER meals? Thank you.
why does my doctor want my glocose levels between 70 and 100. he scolds when i an over 100. The hospitle he works with requires these limits.
I am a non diabetic parent to a newly diagnosed T1D 12 yr old daughter. Why am I very symptomatic at 79? I have read that down to 70 is a good number; however, I get very shaky and have limb weakness and jello legs at 79?
My fasting blood glucose between 100 to 120but my glucose 2 hours after meal is always below 130 . Is that means I am prediabete? Thank you
Hi, I have been recently diagnosed with diabetes, Type 2. I am on zero meds and doctor feels that we may be able to control or put into remission by diet with me. Pray so. I am a little confused as to blood sugars I get. My fasting been below 120 for the most part, sometimes 124 and sometimes it will be 131 or as low as 70...on average, it been 109-120. After meals 2 hours I am 130, 124, 137, all numbers he said he is not concerned. I had two high numbers because I was curious and took my blood within 1 hour of meal and I was like 211 232 and was like wow, waited another hour so be like 2 hours as told to do two hours after meal, my sugar will be 130, 150 or less... Do I need to worry about the immediate after eating?
The ADA recognizes the need for preventive treatment in the management of pre-diabetes which includes lifestyle modification, and some pharmacological treatments; "Metformin and Acarbose" for those at high risk for developing Type 2 diabetes.
Just trying to find the numbers is difficult. I have no doctor as none will accept new medicare patients. I have a meter so I'm trying to get my numbers below 130 - now its 170.
I recently had my yearly physical and blood work done. My fasting blood test number was 109 My Dr said he wants me to take Metformin 500 ER The pharmacist was surprised that with such a low number he would put me on this. He has not said to me that I have Diabetes. He also said Metformin is known to prevent Type 2 . Is that true?Dr has alway erred on the side of caution but I really don't want to take medication if I don't really need it. Can you give me some advice.
To begin, I've never been diagnosed with diabetes. I'm 53 years old. Had acute pancreatitis in June and had my gall bladder removed at that time. I developed a pancreatic pseudo-cyst which I still have. I recently had a fasting blood test prior to a CT for a follow up with my gastro doctor. My glucose level was 213! I don't have any of the symptoms identified for Type I or Type II diabetes. Anyone else seem atypical like I do?
Hi, I just wanted to update since my last post a few weeks ago. I have lost 14 pounds since Aug 11th and have maintained my fasting BG between 79-100. No Metformin but exercise daily for 60 mins or more (fast pace walking). I am looking forward to my next appt to see what my AC1 levels are now.
One year ago I was diagnosed as type 2 with my BG hitting in the 200's. Fasting was hitting around 150. Doc wanted me to take metformin but it just killed me with side effects. She then wanted me on insulin. I said "no thanks" and went on a no sugar, no carb diet with 20 mins exercise every day. I lost 25 lbs and my post meal readings are now 110 - 120. Today my fasting glucose was 99. Similar to what Natalie said, it can be done without drugs.
My blood glucose levels have been in the 100s these last 10 days. I have cut back on sweets and am only drinking water and sometimes milk. I dont know how to lower my levels below 100 any advice? My doctor said i was pre diabetic. I have been exercising and eating better now but the numbers are just high now. In the morning i get between 100 to 106.
where have you been long ago. Many thanks indeed
My doctor says I have type 2 and my fasting was 139.is that high without meds though?
About a month ago my doctor diagnosed me as a type 2 diabetic. She immediately started me on 500mg of metformin once a day and prescribed me a meter to test daily. my first prick of my finger I was at 163 so i took first dose of metformin and instantly felt awful. I was dizzy and had a bad migraine and overall felt like I need to throw up. I was a bit confused as to why the doctor didnt ask me about my eating habits which were awful and just go straight to the meds. Well i decided not to take them after that first dose and decided to try to challenge it. 1 month and 1 day later, I have lost 11 pounds, no longer eat anything containing white flour.. I portion my meals, cut down dramatically on rice, pasta and breads and if i do it eat its only whole grains, whole wheat. I power walk about 1 hour daily. Oct 10th will be my next appt which will be the 3 month mark and I want to see what my levels are than. As I cannot imagine it has not gone down alot. Ive also maintained my levels anywhere between 85-105(mostly in the 90's). Its my belief that with diet and exercise Type 2 can be controlled without meds.
Thank you for a short, concise answer. Other sites make a scavenger hunt out of finding information you posted in a clear manner.
Continuing from previous post starting with free one touch ultra mini.We hydrate with water .Drinking 1/4 our body weight by noon then 1/4 again by dinner.Stress management is imperative.A good 8 hours of rem sleep is important.We are learning more every week.just a reminder when you have the a1c test done that is a reflection of your last 3-5 months of eating.It detects glucose molecules that have attached to your blood cells.So if your numbers are off it may take up to that many months to have a consistant baseline glucose.Ths is a lifetime project and it begins with each thought ,drink,bite,workout.I was glad to find this blog.Most of us are vitamin and mineral deficient.I know most responses are I take vitamins.Well are they balanced for your body's needs and do your absorb them.I have begun making us a whole body complete nutrtion filled shake instead of fortified oatmeal.Our blood glucose levels show our body loves it and we are at 128 1 hour after we eat/drink them.We don't get hungry for 2.5-3 hours afterwards.Thanks for reading.we continue the journey.VtAe6c
One touch ultra mini glucose meter was offered free a few years ago.I filled out a form to get one for my husband.Everyone has diabetes in his family.I believe it to be lifestyle choices more than genetic although his family may have a pre disposition gene.I read over 20 reports from colleges and more.The monitor laid there for a year.My husband saw no need.Finally he began testing his morning glucose.Then I put him on cinnamon.ordered organic from the web.He was doing well then it spiked up to 200. When it usually was 90-107 before eating then 130-168 1 hour later.The cinnamon had brought it down.This time it didn't.I had a drink mix of magnesium,calcium boron and potassium on the shelve called Calm Plus Calcium.after over dosing him on cinnamon( Ceylon )not cassia as that has hightoxins for you liver, I mixed him 3 teaspoons in 4 oz of water.an hour later it had dropped from 205 to 168. Then in 2 hours it had dropped to 136. We began taking the drink 2 times a day with dividing the 3 tsp in half 5 hours part.We raised our fiber level.Changed to ezekial flax bread.Cut out all simple carbs kept limited complex carbs,added an hour of exercise every day.We are testing new foods alone while blood glucose is between 90-109 before we introduce it then test one hour later and if it's in a good range of 100-128 we don't bother testing again.H just turned 65 so Medicare is paying for lancets and strips to allow us to be this diligent with testing.looks like I'm at character limit...
First of all thanks for such a benefiacial blog, this really helps a lot living with diabetes.
This i regarding my Dad, just wanted to understand his blood sugar levels, can you please help me understanding it so that i can understand his usgar levels in a better way.
Blood Glucose Fasting (Pre Meal): 118 mg/dL
PP (Post meal): 177 mg/dL
Thanks in Advance for all your help
Great Job! Thanks..
Hi, I'm a 56 year old male, still obese but have already knocked off a lot of weight and working on losing the rest. My question is regarding the fasting glucose range of 70-130. Mine without meds (can't afford them) averages 124-127. I was encouraged to see the ADA listing as normal, but other forums say that 127 is dangerous.
I didn't note the credentials of the authors, but one forum listed the history of the Glucose Range Tables, and cited that at times 127 was considered safe but now it is considered dangerous. Can you clarify? I saved the link to the article that cited the information if you would like it.
Thanks in advance for your help.
Carmen: You really need to be evaluated by a medical provider. Do you have a public health agency in your county? Often they have free or reduced cost clinics.
I am 74 year old female. I took LIPITOR since 2004/2005
Found out the drug causes diabetics. Was diagnosed with diabetics in 2008 or 09. Stopped taking the pill
in April of 2013. Went on a serious diet to loose weight. My glucose level is now 74.
I suggest with doctors approval GO ON A LOW CARB, NO SUGAR DIET. I don't eat red meat.
My Dr. Did a fasting test, 14 hours, only water to drink, the results were 150. I know nothing about Diabetes. I can't see my Dr. Until pay day. No insurance. I bought a monitor an all the testing paraphernalia. My levels are actually dropping after eating. I get real jittery and hungry a half an hour after eating, always Hungary. I don't know what I am doing on this page. Just looking for others who might tell me anything to help, or others with similar symptoms. I'm a bit afraid right now.
I had gestational diabetes. My son is 10 months old now and I am still breastfeeding. I checked my blood sugar and it was 150 while fasting. Does breastfeeding increase the blood sugar or is it possible that I have diabetes?
I was told by my doctor I have Type 2. My AC1 is 13.9. Since I cannot afford to see a Dietician I am totally lost as to what I'm to do.
Ruth: We understand your frustration. For obvious reasons we are not able to give out medical advice on this blog as we are diabetes educators. In most cases we do not get enough medical information to even answer an inquiry.We highly encourage readers to work with their healthcare team. Request an appointment with a certified diabetes educator near you. mmols vs mg/dl? That depends what country you live in. We try to put both numbers up when discussing blood glucose. We don't believe scare tactics is the answer either!
Godwin: Diabetes is progressive. You are to be commended for your healthy lifestyle. Continue to work with your provider for further treatment.
My Doctor claims that I am diabetic and my 12 hour fasting is anywhere from 106 to 116 and the other test is at 6.5 I do not take any of the meds he has prescribed and he has caused my life insurance rates to go through the roof. My Question is "Am I Diabetic?"
I am 73 and have only now started receiving this newsletter. When I was diagnosed with diabetes I was given Amaryl. Now I read that prescribing sulfonlureas does more harm than good. I am now taking a 500mg metformin daily. Despite daily testing and careful eating I seem to have lost balance. Fasting glucose now often is 8 mmol/L plus. I am also taking a chromium tablet a day (200pg). This keeps post-pradial readings low but it seems that chromium and other supplements too have their side effect. I am at my wits' end for I walk regularly as well so what the cause is of the new readings I do not know. Thank you
I applaud your reader comment openness. Individual diabetes patients may be different; but our shared experiences help all of us learn in the discussion. My own experience since TypeII diagnosis at age 57, 12years ago, indicates changing standards for Blood Glucose AND A1C. I feel my best when Blood Glucose is in range 70-130 and under 180 after meals. I'm pleased to see that's considered normal now; GenPractitioners, for me, have pressed for no higher than 120 with 160 after meals and a flat 5.0 A1C for years. I've learned to enjoy my baked potato but not eat the whole potato. My, age 85, brother influenced my beef intake; we both have the butcher carve out, usually, 6 to 10 servings of 4-5oz steaks from a tenderloin. This cut survives freezing very well when individually wrapped; that lets me enjoy occasional beefsteak without the temptation to eat a larger, packaged, cut. I buy grass fed beef; it's good to taste the flavor I remember from the time before feedlots changed this food.
I follow www.foodnews.org info to buy low pesticide and organic foods. Who knows, pesticide treated foods may just be one origin of my TypeII. There was zero diabetes in four generations of my family until my own and my nephew's diagnosis about the same year. Nephew Dave likes his beer and beef and has been about 30lbs overweight most of his adult life; but I've been slim, active and athletic all my life.
My doctor wants my fasting blood glucose under 100 mg/dL and one hour after a meal 140mg/dL or under.
Thanks for your info on the newsletter about blood glucose targets. Could you tell me what the target is for an individual WITH diabetes type 2? My levels are always within 125 to 130 (mg/dl) My doctor wants me to bring it down to atlease 120. advise?
Totally and utterly fed up with the doom and gloom attached to diabetes. Some one make it simple: eat these foods, do not eat these foods, blood sugars should be...AND in mmls not huge figured other way. When some one posts and asks for help and I read to find the answer, there is nothing, just more and more people begging for help. So all we do is look and look and look and look and get stressed...darn, there go the blood sugars, through the roof because we get threatened with dire consequences and little factual help. I have decided that my diabetes is under my control and my ways.....no carbs, gentle regular exercise, natural hormones, fish oil and vitamin d, a multi vitamin and mineral and no mega-dollar supplements, just cinnamon and green teas.
So many people are peddling miracle cures that cost a fortune, the obscene price of strips and lancets is enough gouged out of my pocket!
Yes I am cross and frightened, have been ever since an ad came on tv showing a lady in a swimming pool who then got out of the water and swung her stump up onto the side of the pool to the smarmy voiceover telling us to contact a certain diabetes group ( not yours!).
I cried out, felt sick and from then on, doomed, and I can't shake it. My sons and husband then watched like hawks and changed channels quick smart, needless to say, I dont donate to them! That ad was taken off very quickly but the damage was done, what a rotten way to scare people into donating. Grrrrr!
I have type 2 diabetes and take metformin. My greatest challenge is keeping my morning wake up glucose level under 130. Do you have any suggestions?
I'm never sure when I see guidelines such as the ada guidelines for glucose levels in your article whether they refer to serum glucose or whole blood glucose (fingersticks)? There is a 15% difference between wb and serum glucose is there not?
I am a 81 years old. My doctor tests always my glucose ,was normal.One
day I was very thirsty and going very often, next morning I was not waking up and rush to the hospital. My glucose was 903 and I was in coma.The diagnosis wan Diabetes 1 , gastroparesis and esofagitis .I am doing better.Before this episode I was in a hospital with a pain on my right side and they were taking blood test . How do they not discover my diabetes? Thanks
My son is 15 yo, weighs 205 pounds,6 ft 3 in, and very athletic. I noticed last night that he was clammy and hard to wake up.he hadn't eaten in 9 hours after football practice so I thought maybe he was hypoglycemic. After he ate his dinner he went to bed.this morning I checked a fasting glucose which was 91.his dad is type 2 diabetic.is my son pre diabetic
Michael: You are correct! Good catch and thank you.
Michael, I most definitely typed that wrong. Good catch, it will be corrected immediately.Thanks, Nancy
I am just discovering that I fall into the prediabetic range and am taking steps NOW to change things. I have lost 10 lbs and am finding the monitoring numbers to be going slowly but steadily down. I had pneumonia about the same time I discovered this so exercise for me has just resomed. My question is this: Why would my glocose levels be higher in the morning after an all night fast, with lots of water during the night and a GOOD night's sleep than they were 3 or so hours after my last meal of the day before bedtime? Is this normal - what is it? Thanks for any help AND this website
I am a type 1 diabetic with hypoglycemic unawareness. Your article states "Individuals with hypoglycemic unawareness (limited or no awareness of low blood glucose symptoms) may require a lower target range." I believe we require a HIGHER target range,...at least that's what my endocrinologist told me.
Other than that, thank you for providing this information!!!
I found this blog helpful but also am very surprised about how uninformed people are about type 1 or type2 diabetes. People if you are concerned about your sugar please just go see your doctor.
I am a 43 y/o diabetic since 1994, but was dx in 2002 with type 1 by a positive GAD antibody test. I have always - ALWAYS had an A1c of 6.8 or less. My insurance recently changed and they required a fasting blood sample to check for general health. All my lab levels are great except my fasting that particular day was 136. The lab reference interval is 65-99! They have one reference for any insured individual whether they have diabetes or not...This puts me in a higher paying bracket if I do not do a minimum of 40 days wellness program for diabetes management program on the computer. To me this a slap in the face and a waste of my time. I am very educated in diabetes management and feel this is discrimination. What are your thoughts on this?
Hello everyone. This piece was really helpful to me. My grandmother was diabetic, my mother is diabetic and my sister too. I have been really worried about what my blood sugar reading should be. I'm happy to know now that my blood sugar is normal and in good range, I am pretty informed now and am very grateful. Thanx a lot
I was diagnosed a few years ago with hypoglycemia and I still get these after I eat bottom out and it feels awful. Now my fasting glucose was 110 I am so confused. I have other auto immune problems like RA and Crohns. Could these also affect my blood sugar? Not sure how much more bad news I can take. Can't eat anything without it effecting one of my problems.
I am a diabetic I was told that levels range from 50 to 300. Is there a chart that has the different levels and a description like 50 or less near death call 911. Or a high of 300 or more critical too high call doctor. And all the ranges between?
Richard: When your blood sugar levels are in goal range this means that your cells ARE getting the food energy transported into it as there is enough insulin to carry the glucose into the cells.
Julie: Most people do not appreciate unasked for advice regarding their diabetes management. Your boss is correct in that he can eat whatever the average person eats as long as he covers the carbs eaten with insulin. Respect your boss's privacy. We ALL should eat healthy so I wouldn't single out a person and tell them what they can and cannot have just because they have diabetes.
I want to make it absolutley clear that you are wrong to say a person's diabetes is "under control" when their blood sugar levels have been brought into normal ranges. The problem is one in which the cell is not getting the food energy transported into it, and blood sugar levels are only half the equation, the less important half I daresay. This attempt to focus on blood sugar levels is a marketing device, and displays basic ignorance.
My boss is a Type I diabetic and wears a pump. He vehemently insists that he can eat anything he wants because his pump can compensate. Is that true? He goes through a vile of insulin a day. Is that normal? He gets very angry if you remark about his eating habits. Is there anything I can say/do to encourage him?
Linda: Great job making lifestyle changes and bringing your blood glucoses under control! Your doctor is correct. You do have diabetes but it is under control.
Karen Lewis: Per the American Diabetes Association guidelines: "•Normal FPG is below 100 mg/dl. A person with prediabetes has a fasting blood glucose level between 100 and 125 mg/dl. If the blood glucose level rises to 126 mg/dl or above, a person has diabetes." and "•An A1C 5.6% or below is normal. In prediabetes, A1C levels range between 5.7%-6.4%. If the A1C is 6.5% or above, a person has diabetes".
15 months ago my fasting sugar was 285 and my A1c was 12.8. My doctor tried to get me to take medication and I refused. Since that time I have changed my diet, exercise regularly and have lost 20 pounds. I do not want to take medication. My fasting sugar is now in the 100-130 range and my A1C is 6.3. My doctor still says I am diabetic. She says I am using exercise to control my diabetes. Would you consider me a diabetic?
A normal blood glucose target range for an individual without diabetes is 70-100 mg/dL (3.9-5.6 mmol/L)even if they ate a meal. Fasting was at this level in 1996? The American Diabetes Association recommends a fasting plasma glucose level of 70–130 mg/dL (3.9-7.2 mmol/L) and after meals less than 180 mg/dL (10 mmol/L).
Jan. 20, 2013
I am 65 years old, female and was diagnosed with type 2 diabetes 15 years ago. My fasting blood sugar was between 103 to 125. I've been prescribed Metformin (500mg 2x a day) and last year, Glipizide (5mg).
Eight months ago, I quit smoking and started walking less than 3 miles 3 to 4 times a week. I also started watching what I eat.
I really thought I was doing good until few months ago, my fasting blood sugar is between 150 to 230. I also gained 10 lbs., this when I am really watching my food intake.
Am I doing something wrong?
hi today i check my sugar and it read 181 1 hr later i check it it read 111 then some hour later it read 85 tonight i check it again it read 161 am i becoming a diebete
Joanne, continue your good efforts with the life style modifications and check with social services in your area for special medical clinics that provide free or financial assistance for the uninsured/working poor.
Was on Metphormin and Glyburide and had to stop because of severe side effects (pancreatitis). Then my husband and I were both unemployed with no health insurance so there was nothing medically that I could do (no funds). My fasting glucose was running in the 90's but lately it's been 130 to 138 - I've removed all carbs but it's not going down - anything else I can do?
Within 2 hours after eating a small cheeseburger and drinking a large "half-Cut" iced tea, my glucose measured 76, but the last time I did a fasting test, it was 103. What do you think is happening? I've not been diagnosed as diabetic, but tend to have higher triglycerides, and take a beta blocker for a heart syndrome. Any connection?
you know i am diabetic and i get so sick of hearing about the diabetic i am on insulin have been for years i have it in the family and now i have it and what you tell me then it chances so many times do this do that and i ham tired the kids are over weight well the reason they dont excerise that has been taken away then the fast food well excuse me but they get money and then the fast food places please so you say their fat now its big bone and i am sick of the diabic some times i just want to close it all out.
Typical blind adherence to ADA guidelines like this have put people with true indications of pre diabetes in a "normal" range. That is why so many people on doctor's advice (based primarily on ADA guidelines) are never diagnosed properly. True normal fasting glucose should be <86, NOT 130! And post meal levels should be <120, NOT 180!
Keep up the good work Harold.
I am a type I diabetic and have been for 52 years with no damage to organs, however, my blood sugar is very brittle and I have trouble keeping it above 70 in the morning, and trouble keeping it below 200 after meals. I also have litle warning of low blood sugar after all these years. I am trying to eat more protein at meals, and less starch, such as in potatoes or pasta, but it is still a challenge, and I have had to take time off work (elementary teacher) due to adrenal fatigue, with the difficulty I have in maintaining blood sugars and managing stress in this profession.
I test my blood in the morning when I get up and about 2 to 3 hours after dinner just before I go to bed. My meter readings are around 130 to 140 in the morning and 140 to 155 at night. Is this OK
A diagnosis of diabetes is made if an individual has two fasting blood glucose readings greater than 120 mg/dl (6.6 mmol/L) or an A1c greater than 6.5. If you are only testing your blood gluose at a particular time of day it may be running higher at another time of day. Generally, people don't have the symptoms of diabetes until the blood glucose is above 180 mg/dl and then some people don't have much for symptoms, even with higher bg readings. If you have frequent urination, thirst, fatique see your doctor.
Generally, after eating your blood glucose is at it's peak in 70-90 minutes and will come down to baseline in four hours. A larger amount or higer fat content will slow down the absorption of the food and it will take longer for the blood glucose to return to baseline/target range.
Unfortunately, Peggy and I are unable to respond to everyone comment. Like any blog, people are able to share ideas and stories. Peggy is not available for the next few months, so presently I am on my own. If you are generally able to keep your blood glucose consistently below 130 mg/dl then you can control your diabetes with diet and exercise. Blood glucoses are variable and on occasion you will have readings above your target. Adult ADA target is 90-130 mg/dl or 5-7.2 mmol/L.
I guess I'm confused with the purpose of the blog. I posted on the 17th and it is the 24th and I still haven't received an answer. Do you post once a week, once a month?
how long after eating?to stay around this #, half a hour, one hour, hour and a half. I find this impossible to find.
I ask this because I have all the syptoms and both of my parents are diabetics and so are my aunts.
My doctor prescribed Metformin. I do not like the side effects and the negative articles I read about Metformin. I have found doctors online who say to stop the medication and treat it with diet, exercise, and natural supplements. I have stopped taking it and am taking a natural cinnamon. I'm changing my diet and want to stay off the Metformin. My meter read 117 this morning and 125 before I went to bed last night. When she prescribed Metformin, my fasting read 144. Am I ok not taking the Metformin?
My doc was ready to dignose me with a a1c of 7.5 and fasting of 126the and at 327pounds. I told him to give me a chance to lower my a1c and to lose some weight. Right now i stand at 275the if a fasting level of 107 and a post meal of 132 i am glad to say i beat diabetes
Had A urine test and my GLU was >=1000 m9/dL..concerned! should I be??
my body under arms was itching and still itching then i went to skin doctor she said you have fungal problem and prescribed some medication but not beneficial and also asked me about sugar to check when i checked fasting blood sugar level was 160 .so i have checked my blood sugar level yesterday by portable machine it was 6,3 and today it was 6,8 .i do not understand weather i have diabetes or not if it is high what should i eat and do .thank you in advance if you kindly please advise me about this problem
My husband who is 81 and has pretty decent health (needs to lose a few pounds, takes meds for cholesterol and blood pressure and glaucoma) just had his sugar tested at 121. The doc put him on a low dose of medicine. Why?
My glucose is about 135-145 first thing in the morning. before i go to bed it is about 115-130. I started On apple cider vinegar and this seems to be working real well and since. What esle can I do to try lower my morning readings.
My Glucose test reading is 106 considered H . Should I make any changes at this time in Diet?
I'm glad I found this blog. I want to recommend Stevia and Agave Syrup if you REALLY need to sweeten anything. Artificial sweeteners like Splenda and others are poison to your liver. Be careful with diabetes meds because Diabetes is very lucrative for doctors and the Pharmacology business. Keeping you dependent on meds makes everyone rich, but keeps you sick. Combine them with Reading a lot about natural alternatives that help control blood sugar like regular exercise, cinnamon, lemon juice, ginger, and others. Get plenty of antioxidants through blueberries and strawberries, get Omega 3's and get more info. I notice that many bloggers are worried about their glucose readings. Combining natural remedies with your meds may be the answer. I'm vexed because I was recently diagnosed with metabolic syndrome (I have my blood pressure controlled now, thank God) and no doctor told me any side effects of the meds. I never took any meds for chronic conditions for 54 years, so I am new in the market. We should be informed. I didn't dare take Zocor after reading them, and I really think they were unnecessarily recommended. I was borderline, I'm working that through diet. Thanks for the opportunity to share here.
I am not diabetic. But my glucose level was 128 at my last blood work at the doctors office. He said that since my A1C is good at 5.4 I shouldn't worry. What say you? Thanks.
diabetes for some reson seems to be an illness that most people dont mind having like to know all about and happily manage ourselves. my problem is understanding the difference between to much blood suger and to little? ie to mars bar or not to mars bar? love. tony. x.
is there such a rx to prevent diabetice,a friend is on a medication and she isnt even borderline- a nurse pract. perscribed the rx and she is losing more hair than normal her taste buds are compromised and she is loosing weight.
I've been able to keep my Haic at apx 6 on a very low carbo control.....included in my diet is a product called Dreamfields , a pasta that some how digests only 5% of the carbs. After 2hrs my blood sugar is around 140 where my doc. says it should be......any comments to the effacy of this product..thanks
I'm so glad to get your thoughts on Diabetic Range. I know now that I am within that range. I thought for awhile I was too high.
I have read that low iron in the body can give abnormally HIGH blood glucose readings, will iron supplements help?
Ed and those who use mmol vs mg/dl for blood glucose readings:
In the United States, blood glucose is measured in milligrams per deciliter (mg/dL). In many other western countries, blood glucose is measured in millimoles per liter (mmoles/L) (such as England, Canada, and Australia).
You can do your own conversion as follows:
Divide the (USA)blood glucose mg/dl value by 18 to get the metric value: (mg/dl / 18 = mmol/L).
Multiply the metric value by 18 to get the decimal value: (mmol/L x 18 = mg/dl).
7.2 mmol/L = 130 mg/dl
Your figures appear to be the ones you use in the US. Here above the frost line we seem to use a different scale. My reading after a meal is usually 7.2 Where does that sit against your scale. Is there any way to convert from the US figures to those used in Canada????
I have had type II for approximately 15 years. At 69 years of age, 5'10" and 200 lbs, all of a sudden my morning readings are above 300 (this morning 345). I do not eat late in the evenings and my breakfast usually consists of ceral (sweet-n-low) and soy milk,sometimes a small apple or bananna. During my average day I eat light and often (good food) & my sugar is always above 200. I recently went to my doc and my AIC was over 7. I take glocofage(850)-two pills
twice a day. MY MAIN QUESTION is how do I get my sugar down when it is well over 300?? Just more pills does not work...
My husband is going through throat cancer surgery and treatment. My emotions are on a roller coaster. One night I woke to find that my blood sugar had dropped to 57. I took sugar and a banana and brought it back up, but now I live in fear every night that it will drop again so I wake once or twice a night and take readings. I don't know what caused it or how to be sure it doesn't happen again. A nurse practitioner told me to have a glass of milk and a few crackers with peanut butter before going to bed. Also to take only half of my 5mg oral medication. Should a type 2 diabetic have a light snack before bedtime? How can I calm myself and go back to a restful nights sleep. Does extreme emotional distress cause unstable blood sugar readings?
I have had tow fasting BG of 107 since menopause occurred 5 months ago. The tingling in my legs has improved since I began counting carbs and testing to keep BG numbers down. My A1C is 5.7. I am concerned with BG readings of 178 an hour to hour and a half after meals at times. Fruit and any bread..even whole grain..shoots it up. A Glucose tolerance test showed 170 at 2 hours...wasn't checked at one hour or three. Can I have hidden diabetes?
I am age 48, a recent addition to the diabetic population. I have always been healthy, eat right, however I was not very active. I weigh 150 pounds and I am Five Feet & 1.5 Inches tall, so I am overweight for my height. I have had high blood pressure since I was 26 years old. I am on medicine for my blood pressure, but was totally unprepared for the news of being a diabetic. My doctor's nurse called me with the news. It has been 1 week and no phone call has been received yet from the Diabetic Nutritionist to inform me as to what diet I need to follow. I looked up the diabetic info. and found your web site. Thank you. It has helped me.
Lou, I wouldn't get too involved in frequent testing of your blood glucose through out the day. See your health provider and ask for a fasting blood glucose and A1c test. This will tell you if you need to be concerned or if you are in fact pre diabetic. Metering is not an exact science and results will vary from test to test; not uncommonly by 15%. We tell our newly diagnosed diet controlled diabetics or prediabetics to test a fasting blood glucose once a week. If you are concerned about diabetes, try to maintain a healthy weight and do regular excercise.
I have not been diagnosed as a pre or full blown diabetic but family history is not on my side. My father was diagnosed in his fifties (I'm 55) and I think it's my turn. I have a test meter and my fasting level this morning (13 hours since my last meal) was 125 (left middle finger) and 113 (right middle finger). These were the first tests and I will continue to monitor throughout the day, any suggestions?
slow carbs may become sugar in the mouth for your dementia patient who seems to chew her food (whole grain cereal) till it must be powder mixed with saliva. This was our breakfast spike!
I have three sisters and three brothers with type2 diabetes. My fasting sugar (more than 12 hours fasting) runs between 101 to 104 I eat healthy exercise 5 days a week. What else can I do to reduce it to 85..thanks alicia
I have been controlling my blood sugar thru excercise and varing amounts of metformin. I am now per my Dr. taking 1000 mg twice a day. My morning readings before eating are creeping up-especially if I fall off the wagon and eat something loaded with carbs. I work out almost daily and am close to normal range in weight. I seems as time goes on it can take days for my morning readings to lower. I really watch my diet-ideas for someone like me that has high readings in the morning before eating anything?
jackie, have your husband see his medical provider soon. Any changes in skin color is a concern.
My husband thinks that controlling his blood sugar is using insulin. He takes 164 units a day! exercise is riding on the lawn mower and he eats constantly and has food hideen everywhere including the trunk of his car. I noticed his big toe is turning black below yhe nail and his other toes are turning light brown. I see nothing about this in your info, he has no infections that are noticable. Help
Kristi, you are having hypoglycemia. The blood glucose meter is generally accurate within 15%, so in reality the blood glucose could be below 70 mg/dl or 3.8 mmol/L. How quickly the blood glucose is dropping, if you have been consistently running higher blood glucoses or frequent low blood glucoses can make a difference to when you feel the symptoms of hypoglycemia. It sounds like your insulin/diabetes medication should be adjusted to a lower dosage to prevent hypoglycemia. Please discuss this with your health care provider.
I am often shaky and weak and panicky-hungry in the morning when I first wake and usually again a couple hours after lunch and sometimes dinner as well. I just started testing my glucose levels.. I woke up shaky and panicky-hungry so I tested my glucose and had 78 (but that is considered normal) then I tested it after work because I was feeling funny again and it was 74 (which is also considered normal). So I was wondering if "normal" changes for each individual??
6 years ago I was diagonised with type 2 diabetes, I used my diiet and some exercise to help control my sugar, no meds. Then 5 months ago my numbers were going up, my dr put me of Metformin 500 mg 2x a day. I cannot seem to get my morning numbers down below 115 sometimes higher. Could the reason that I cannot get my morning numbers down be due to me waiting for 6 years before going on metformin??
I have recently started testing my glucose level four times a day, fasting, before lunch, dinner and before going to bed. My fasting over the last thre days was between 108 and 124. Before meals I seem to be averaging less than 120, even in the 90's. Today I tested before lunch it was 108. I had a big lunch that included a pepsi (I should not have I guess) Then I tested around 20-30 mins after lunch because I felt very tired and was curious. I tested 246. I haven been reading about these sugar spikes that can occur after meals. How concern should I be? I am a male, 40, about 10-15 lbs overweight. Thanks.
I am concerned about taking Januvia and so I quit taking it now I am running high BG and would like to take something else. What do you suggest BG 229 fasting in the morning.
I am 58 yrs old,overweight and my last two glucose readings were 131 and 130 six months apart. My previous readings were 83,120,85 and 93 also 6 months apart. My doctor wants to start me on meds. Would it be possible to try and loose weight and exercise more to bring the numbers back down?
I am 46, normal weight, hypothyroid with good diet and exercise habits. Strong family history of diabetes. I started testing my own blood sugar, after a random test from the doctor came back a little high. My fasting blood sugar is 105-133. A spike after a baked potato, for example is 200. My a1c is 5.7, which is in the normal range. Do I need to be concerned about the fasting blood sugar numbers? My doctor says diet and exercise, which I've been sticking to, but the fasting continues to slowly climb. When is medication in order?
I'm 21.5 wks pregnant & haven't been diagnosed w/ Gestional Diabetes, yet. I'm a military dependent & go to the Army hospital for my care. I am also 35yrs, over weight...I'm wheelchair bound do to an extensive injury to my leg from 2 yrs ago. I have been 'labeld' & had to get a 1hr test done at 13 wks. That number came back 151. I requested to be given a meter to test myself so that I could stay on top of anything that may be wrong.
The highest over night fasting number I had was 95 & stupidly ate the worst fast food combination @ 9pm. I normally average between 72 and 83, when I eat normal stuff at normal times.
During the day, I can eat just about anything & 2hrs after my numbers have never been higher than 117.
I asked if stress played a roll in my blood sugar, since after all my husband is deployed & I help out with our family readiness group.
If sickness palyed a roll, I'm having pain that could be a possible gallstone or kidney stone. I got an ultrasound of that area done yesterday, I will know that answer soon. I have also been having low grade fevers & have lost 4 lbs snce last month so I have only gained 3 lbs this pregnancy.
I have given you a little backround, so I guess my questions would be:
What are the standard blood glucose ranges for pregnant women?
Does stress, sickness, or fever play a roll in the numbers?
Where can I get those answers on paper to take with me to the DR?
I have been stressing over this for we
Josheph's mom: We recommend that you report Joseph's after meal blood sugars to his physican for more testing for type 2 diabetes. As stated above his blood sugars 2 hours after a meal should be less than 180 mg/dl (10 mmol/L).
my son's a1c is 5.6 and his fasting bg is 86 or so, but 2 hrs after eating his bg was 255, and 30 min after drinking a soda it was 401. since his a1c is within normal range, should I be concerned? other random checks were 128, 119, and 182 over the past several days.
MaryAlice, first I would like to commend you on controlling your diabetes all these years with diet and exercise. Type 2 diabetes is a progressive disease and with time the pancreas function decreases and medication is necessary. If exercise or diet control are not effective in controlling your blood glucoses and the BG continues to be above 180 mg/dl (8 mmol/L) 2 hours post meal, contact your health care provider about starting medication.
Rico, remember a a diagnosis of diabetes is made if there are two fasting blood glucoses above 126 mg/dl or 7 mmol/L. Follow up with your health care provider in 6-12 months with a fasting blood glucose or if you experience symptoms of diabetes: increased thirst or urination, blurred vision, weight loss, or numbness/ tingling in hands and feet.
Lalit, I would give the diet and exercise behavior changes a trial first and if the fasting blood glucose continues above 140 mg/dl or 7.7 mmol in 3 months, contact your physician about starting medication.
I am 42 years of age and overweight. My mother & father are diabetic so I started checking my sugar levels once every 2 months. Till 2 months ago, my blood sugar levels very perfect even though I was eating sugar and junk food in moderation, however, recently I noticed that my sugar level have risen. My fasting is 147 but my sugar level after meals are low than my fasting.
I have now completely given up sugar and junk food. I have made a routine to exercise atleast 45 min a day ( 30 min brisk walk + 15 minutes stretching)
Now my confusion is that my fasting says that I am diabetic, as my fasting is 147 but my post meals is perfect 130 to 150.
Anyway, as a precaution I have started exercising and given up sugar compeletly. Do I need to start medicine or should exercise and try to bring the fasting sugar down.
I RECENTLY GOT A BLOOD TEST TO CHECK MY GLUCOSE LEVEL AND IT CAME BACK AT 105. IN THE PAST IT WAS ALWAYS BETWEEN 80 TO 100. HOW CAN I LOWER MY GLUCOSE LEVEL AND SHOULD I BE WORRIED ABOUT A GLUCOSE LEVEL OF 105
I have had Type 2 for 21 years. I went in to menopause in January and my A1C has gone up and my readings 2 hours after eating is 170-200. The sad thing is I am exercising more than ever. What can I do with out changing my Janumet 50/1000mg?
Sara: Your doctor wants test you for type 2 diabetes. A normal fasting blood glucose target range for an individual without diabetes is 70-100 milligrams per deciliter (mg/dL) or 3.9-5.6 millimoles per liter (mmol/L). The American Diabetes Association recommends a fasting plasma glucose level of 90-130 mg/dL (5.0-7.2 mmol/L) and after meals less than 180 mg/dL (10 mmol/L).
I have had two blood sugar readings the first was 150 the second was 166, I fasted for both, the Dr wants me to come back for a 3rd finger stick, he said these are high readings, how high are they and what would be normal, I have not been diagnosed with diabetes.
I've asked this question of everyone....no one seems to have a good answer. Why do I get such different readings when testing my blood from one finger to another. One says 97, the next finger reads 138. How can a person control their diabetes with such wide ranges in the numbers? Sometimes the same drop of blood will give me two readings 40 pts apart. HELP!
This blog really helps! I have had II for about 3 years and am still learning my way. A1C is good 5.7, average fasting runs from 94-114 average in the a.m. Concerned because management seems very much like a 'crap shoot' - try this, try that, etc. Have lost 30 lbs (yea!), limit carbs, am doing more walking, take 750 mg metformin daily. Worried about the future, however...percentages of II people with eye/nerve/other problems? When do they show up? What to look for? It's a jungle of info - much and little at the same time. I feel great - readings are good - but worried about an eventual downward spiral. Scary.
My blood glucose level after 12 hours of fasting a year ago was 88. This year it is 99. Should I be alrmed at the trend even if the absolute is within the "safe" range? My mother had diabetes. If the trend is a wake up call, what should I do to arrest it?
Sarita, it sounds like your diabetes has been out of control and you are currently working with your health care team to control the diabetes. I would continue to work with your health care providers. Initially, it may take a few weeks to get the blood glucoses under control and also find the right medication treatment for you. I generally tell people; if the blood glucose has been under control and you are suddenly getting blood glucose readings greater then 300 mg/dl (16.6 mmol/l twice in a row and there is no reason for the higher blood glucose readings and or you are ill, contact your health care provider immediately.
Bob, check out www.CalorieKing.com
I have looked at at least 10 web sites to see if there is a 'recommended' Type 2 Diabetes food planner, to no avail. What I would like to see is a listing of foods and portion sizes recommended to be consumed on a daily basis for a week. Is there anyplace that publishes a 'simple' listing to be used as a guide? That doesn't seem to me to be such a huge problem, but Mayo, ADA and lots of others talk in generalities or couch their recommendations so convoluted that the ordinary person is pressed to find help - unless you have a professional chef preparing meals. I need something that I can follow on a daily basis that gives me some specific foods and portions such as - for breakfast on Monday - eat an egg, or lunch each 1 slice of bread, etc. Is such a plan anywhere for a 1500-2000 calorie per day plan?
I was just diagnosed w/ type 2 and I have been trying to get an answer... I cant reach my doctor by phone, and er's wont answer questions. In blood sugar levels.... what number for high blood sugar says go to the hospital? When I was at the doctor my level was 484... no hospital trip.... when would I go? One article I found on a website said if you are ( puking AND its over 300) my blood sugar hasnt been under 350 since the doctor appt 2 days ago, I'm not puking... now what? I started taking metformin 2 nights ago.
my blood glucose reading was 129 before fasting. is that in the normal range
LAST MONTH MY 15 YEAR DAUGHTER WAS DX WITH PCOS. SHE WAS PERCRIBED "METPHORMINE" 500MG PER DAY. I HAVE REFILLED HER MED AND THE DOC STILL INSISTS SHE DOESN'T NEED TO MONITOR HER LEVELS CAUSE HE SD THE PCOS CAUSES HER HIGH LEVELS. TONIGHT 2 HRS AFTER HER MED WAS TAKEN SHE TESTED AT 219. I WOULD LIKE TO KNOW WHAT RANGE SHE IS IN?
Kathy: Hormonal fluctuations during menopause can either increase or decrease your blood sugar. Not everyone will have the same experience.
In July I requested a fasting glucose test. My family has no history of diabetes but I had yrs of increased work related stress & 2 yrs of general fatigue, thirst, wt gain. Results: 1st test-169. 2nd-159. A1C-7.8.
For about 3 wks I reduced carbs, increased veggies & protein, walked more. I lost some wt & the fatigue went away. Began testing fasting bg in the morning: 124 then 110-118. More diet changes. l continue to lose 1lb/wk. Now my #s are 83-99.
For me it is easier to eat 'new' foods than modify old ones. No more potatoes & white bread. 1 serving of whole wheat low carb bread in the morning-but more nuts, V8, gelatin cups...I replaced bread w/ muffins (1C whole wheat flour, 1C ground almond & ground coconut in place of white flour, Stevia & applesauce for sweeteners & 'bulk'). Also fish 3x wk & I discovered spaghetti squash!
Weirdly, larger portions are followed by an urge to eat more. Small meals & snacks feel more satisfying so I do not feel deprived & I can stick with it.
how about menapause vs hypoglycemia! Here's the question...can hot flashes ( more like surges, than flashes)lower your blood sugar?
RN in correctional setting. We hear you. The American Diabetes Association (ADA) is the guideline for standards of care. Rapid insulin is a parandial insulin (to be taken with meals) It starts working in 5-15 minutes and peaks in one hour. If food is not given within (15 minutes) the individual is in danger of (low blood glucose reaction) hypoglycemia.
Renee, 198 is high but is not considered a dangerous number. This number is only one number (or point in time) You may have higher readings during the night you are not aware of. Question, what is the blood glucose on waking? Discussed this with your healthcare provider. Your diabetes management program can be adjusted to your blood glucose patterns.
I am an RN in a correctional setting. Recently the nursing management of my institution changed the glucose measurement for our inmates from preprandial to postprandial measurement. They cited the possibility of hypoglycemia if aroit took place if the inmates received their insulin and if they were unable to eat their meal within one hour. My concern is this, our patients are not being given treatment for a disorder in the manner that is the standard of care in the community and thereby endangering their health. In addition, our licenses are at risk should some legal challenge be initiated on behalf of the inmates. We are currently under a federal receivership and are obligated to furnish constitutionally mandated healthcare, using evidence based medicine and nursing procedures/protocols to accomplish this goal. My understanding is that preprandial BG measurements provide the baseline figure for the basic insulin administration, usethe postprandial BG to check effects of exercise or food on BG and the HgbA1C as the indicator of long term BG control. I believe our licenses as RNs and LVNs to be at risk. I believe our patients' health to be at risk. Could you provide guidance on the validity of my understanding of the standards of care in insulin dependent diabetes? Tahnks
I was diagnosed with type 2 over a year ago. Everything was fine for a while but then I let go of myself didn't take care of me for about a month. Have been back on plan (taking meds/eating well balanced diet) since July...I am waking up in middle of night with lighheaded, far away feeling, very scarey for me. When I checked my blood sugar tonight it was 198. Is this number dangerous during sleeping hours? How can I bring it down? I feel a headache and a constant lightheadedness, feel like I am floating, can't sleep
Jane - A normal fasting blood glucose target range for an individual without diabetes is 70-100 milligrams per deciliter (mg/dL) or 3.9-5.6 millimoles per liter (mmol/L). The American Diabetes Association recommends a fasting plasma glucose level of 90-130 mg/dL (5.0-7.2 mmol/L) and after meals less than 180 mg/dL (10 mmol/L). If your doctor feels that you are pre-diabetic it would be okay to check a fasting blood sugar at home once a week or so.
John - You take as much insulin as you need to bring your blood sugar down. You need to learn how to adjust your insulin doses. We recommend that you see a local endocrinologist to see a diabetes educator. The diabetes educator will teach you how to adjust your insulin dose based on a 3 day pattern.
Diabetic, taking 50units of lantus daily at night time, 30 units of novolog before each meal, and 40 mlg of glipizide and my blood sugar does not goes down under 235 any time of day.
5.11 183 lbs 55yo do exercise every day, and super healthy diet.
I have ask my doctor and staff diabetic nurses I'm concern with how much i can take, they dont know
5' 4", 110 pounds, 66 years old.
110 not fasting reading and 95 fasting reading. Doctor thinks I am pre-diabetic.
Father was diabetic.
Should I start checking my blood levels at home?
My sister was put in the hospital over night because she had a blood sugar level of 295 she is 5'4 and weighs between 250-3oo pounds. How dangerous is this reading to her health? Michelle S.
Beth and Lexie, I would strongly recommend taking your daughter to an endocrinologist and soon.
My daughter is 9 years old, normal height, but weights 52 lbs. She eats non stop, frequent urination and we have some some emotional issues that fall in line with type one diabetes. I have taken this to my Dr. several times and this spring he asked that I "borrow" a tester and test her blood twice a day. I bought one and I have been doing so, once in the morning and once two hours after dinner. Of course, when we have emotional issues, or she complains of other behavior that is in line with a diabetic, I test then too. Mothers day, her blood sugar was 252 two hours after dinner and playing in the yard the whole time. She complained of a headache, a stomach ache and "weird" feeling. I woke her up a couple hours later and it was 178. The next morning, she was 64. We tend to get more low numbers than high, on average her numbers are 70 first thing in the morning and not much higher after eating. We talked to the Dr. and asked that we find out more, so he reluctantly is sending us to a childrens hospital, but only to a nutritionists. There has never been an A1C done, nor has there been a urine dip. Should I be pushing to have her tested. I should say, she is adopted and bio family had a lot of folks with diabetes. She recently has had to wear glasses for vision issues and has lost a pound,that she can't afford to lose, this past year. I just need to know if I should pursue this or let it go. I am trying now to monitor her food intake. Please
Mac, your healthcare provider will instruct you on the best times to check your blood glucose. That will be according to the treatment program you are on. American diabetes Association (ADA) recommends a fasting reading target of 90-130 mg/dl (5-7.2 mmol/L) and a 2 hour post meal target of below 180 mg/dl or below (10 mmol/L).
When do you check after meals? 2 hours after eating or 2 hours from when you started evening meal?
I had thyroid tumor and take replacement med (Levothyroxine @ 125 MCG in AM) and (Hydrocortisone @ 10 MG 1 AM - 1/2 PM). My weight is high since (5' 8 @ 245lb).
what should my reading be and when to take?
diagnosed diabetic a year ago. Chose to lose weight rather than inslin. Now down from 176 to 129. Blood sugar within normal range but concerned about ache in my limbs. Is this a diabetic complication?
Joe, remember a blood glucose target is only one part of the total picture of diabetes management. The ADA recommends a target of 90-130 mg/dl or 5-7.2 mmol/L fasting or before meals. The A1c is also part of the equation. Since blood glucoses fluctuate and diabetes is a balancing act; if you are in target range 75% (great)!
I was diagnosed with Type 2 diabeties in November of 2008. I have attended 2 diabetic counseling sessions at one of our local hospitals and the Dietician assigned me target glucose levels of 80 - 110mg fasting. I have been charting my readings and with the assigned levels, I am over range 72% of the time (reading done fasting before breakfast). If I change the range to 80 - 120mg (as you recommend) I am over range 27% of the time. Since I am still learning to cope with this condition, it is mentally stressful to me to be over the target so much of the time when using the 110mg upper limit. I am 5'7" and 184 lbs. Would you recommed using the 120 upper limit just for my mental well being, or stick with the 110 as my dietician assigned?
Jo, your grandson's blood glucose reading, was it fasting? If so, it was probably related to the stress of the ear infection which pushed the reading into the pre-diabetes range short term. Have your grandson's fasting blood glucose retested to make sure it was just the stress of the ear infection. If he has any symptoms of diabetes (increased urination, increased thirst, weight loss, blurred vision) have him seen by his healthcare provider immediately.
I have a grandson who had a testist on the blood. his glucose came back as 113. is that good or bad. he is 17.and had a middle ear infection. but is over it.
Puzzled by meter readings, Again I say, metering is not an exact science. There are many variables that affect the glucose results, the timing, a rapidly changing blood glucose,the amount of blood on the test strip, wrong code, damaged test strips or an inaccurate meter. Meters are more accurate now then they used to be, but some will run on the low or high side consistently. The best way to test your meter would be fasting first thing in the morning and compare your meter results to a plasma blood glucose reading done in the laboratory.
The difference should not be more than 15%. At Mayo Clinic we generally recommend that our patients check their meters twice a year against a fasting plasma glucose. The time period between the lab draw and the meter test should not exceed 10 minuutes.
This was some great information for me. I'm 45 years old and I've just been diagnosed with diabetes this week and finding it difficult to keep my ranges down. This is so hard for me, but I know I have to do it for my health. Any suggestions for a newbie, I welcome the advice?
I am puzzled by two different fasting blood sugar levels taken at about the same time. On the same morning, the reading from the blood drawn from my arm vein at my doctor's office was 116, but the reading drawn at about the same time from a finger prick was 83. Both readings were done using the same meter and test strips, which were functioning properly. Can someone tell me why the readings were so different? Was it because the blood from the two readings came from different sources, one from a main vein and the other from a small capillary?
I am 52, 5' 3'' 122 lbs and active (gym, hiking, walking to work 1.5hrs, etc, etc.). Diabetes runs in my family and my fasting blood sugar two years ago was 99 and I was told I had pre-diabetes. This year I went to a new physician because my previous dr. (who I liked) doesn't take insurance anymore, and my FBS was 109...she tells me it's perfectly normal. From what I've read...I'm prediabetic and it's not going in the right direction. I don't know what else to be doing. I don't eat a lot of meat and overall eat pretty healthily - even my friends comment. I even lost 13 lbs through Weight Watchers since the physical 2 years ago so that I could be going in the right direction. Maybe I eat too many carbs? Should I be worried? What can I do to ensure that I don't get diabetes?
I have had type 2 diabetes since 2003.i am 47 years old,my reading in the morning is between 80-120.most evening after dinner it is 150-200.i am also going through menopause,could this be why the evening reading is so high? i would like if you could send me some guide line of what to eat and what not to. thanks
I have had type 2 diabetes since 1999. Lately about an hour or so after I eat I get this strange feeling in my head like a tunnel or some kind of echo effect. I'm also 60 years old and taking metformin 2xdaily. Just wondered if that could be caused by a blood sugar spike and is it dangerous. Thanks
I am type 1. Diagnosed over 31 years. My a1cs are also around 7. I too have low sugars in the 40's and still am awake. I have read that the longer you are diabetic your body gets more use to highs or lows. Would love to hear from a few more that have had diabetes for over 20 years or more.
Dear Nancy and Peggy,
I am a 67 yr. old, caucasian woman. I am, by nature, a thin person, never ate sweets, snacked, etc., my whole life. However, Diabetes is rampant in my family...seven uncles, aunts; father; sister, two brothers.
Was diagnosed about 2 1/2 yrs. ago. After 18 mos. on Humalog 25/75, and the loss of 10 lbs., I then had normal blood sugar for about 18 mos.
Recently, blood sugar levels have begun to climb again. Especially after dinner, readings are from 190's to 200+; breakfast, 160's; fasting 95-110.
Since I am now literally skinny, watch carbs very carefully, my doc thinks I should resume insulin regimen for evening meals, at least. I am SO reticent. Are consistent readings of 200 high enough to cause 'down-the-road' damage?
My father died of d-related heart failure, etc. He maintained excellent control, but still became blind and had one amputation.
I am just sick over all this. Thank you for any input.
Sincerely, Jo Ellen
I am taking Byetta twice a day.
when I don't eat in 15 min. my blood sugar go low.
When I do eat later my sugar goes back up.
Thanks, Choi Biermeier
Nancy and Peggy, thanks for the info. I am finding that there are every day challenges including work stress that add up. I remind myself daily about the possible consequences of going back to the old lifestyle. I find myself fretting about weight gain as this is not the first time I have lost weight, but this time I have tried to incorporate changes that I can live the rest of my life with. I have work to do to keep on the path. Anyone have suggestions about ways to keep on track for the long haul? My husband is great but doesn't always "get it" and friends find it awkward to deal with. Frequently they are apologizing for offering food and it strains the relationships. I try to tell them to just be themselves and I will make my own choices, but it changes a lot of what we do to socialize. What works for those of you out there reading this?
Thanks a a bunch. Julie B
Julie B, Congratulations on your life style changes. Yes, its possible that you may go off the medication. Continue to monitor your blood glucose and follow with your health care provider. Generally, type 2 diabetes is a progressive disease but you can slow the progression with your current life style changes.
Hi N. Garrett, It sounds like you have a conscientious doctor. He or she was probably screening for pre-diabetes. You may have predisposing factors for the disease.
Reese, good question. Steroid induced diabetes improves with the reduction of the dose and may fully reverse when the medication is stopped.
Why would a a doctor use A1C to test the blood sugar when there has been no diagnosis of diabetes?
When I was first diagnosed with Type 2 in March 2008 my fasting was about 146. I started on Metformin and soon my fasting checks were around or slightly below 100. Now with a 62 pound weight loss, daily exercise and a healthier diet my fasting blood sugars are around 75-80. I have two questions. I currently take Metformin. Is it possible that I the readings will continue to go down and the medication will not be necessary? Second question is, is it ever possible to have the diagnosis of diabetes removed, or do I have it forever?
recently diagnosed with steroid induced type 2 diabetes. My A1c was 6.5%, if you stop taking steroids, will the type 2 go away?
I had a kidney transplant 5 yrs ago, due to diabetes, I am having a hard time losing wt. I have to limit my protein and eat more carbs, I am not able to find a good diet to bring down my sugar, is there any suggestions?
I was diagnosed type 1 back in March of '08. my sugar level was at 545. i started taking an insulin shot every morning at 45 units. i did this up till july when my sugar levels started reading 80-95 every morning and within an hour of eating it would be back to the same levels as if i didn't eat. Now, my levels are anywhere from 94-160. i am still not taking any insulin. the only things i have changed in my diet (since being diagnosed) is that i have stopped drinking sugar drinks(coke) and eating sweets. was i miss-diagnosed or is this normal?
Bev, thanks for raising the question about conversions. We've adjusted the ranges listed above to include mmol/L.
Mary 1/6/09 10:42 pm.
We would suggest that you see a registered dietitian in your area. The two most important factors in helping to prevent diabetes, are achieving a healthy weight and regular physical activity.
Jeff K 1/6/09 10:08 pm
Blood glucose readings persistently above a healthy target range might indicate that your medication needs to be adjusted or, if you're not on medication you may need to be. Contact your health care provider soon, persistent high blood glucoses put you at risk of complications of diabetes. Physical and emotional stress can affect blood glucose readings, but with any persistent blood glucose patterns high or low, contact your health care provider. Nancy and Peggy
Barbara 1/8/09 11:13 am
What you are describing Barbara is called "hypoglycemia unawareness" Some people who have had diabetes for years don't experience the early signs and symptoms of a low blood glucose(shaky/sweaty)until the blood glucose is quite low. Work with your health care team to identify circumstances that may put you at risk and ways to deal with hypoglycemia unawareness.
I'd like to hear from Type 1's living with insulin therapy for more than 25 years. I am a complication-free diabetic after 30 years. My A1C's for a year have been around a 7%. Recently numbers like 64 and 71 have been making me have symptoms of a 30 or 40. (Yes! I'm still awake at those numbers.) Is anyone else experiencing these symptoms at low-average blood-sugar numbers? Barb
I appreciate the info on this site however, being from Canada we don't use mg/dl. How do I convert?
I would like information on what types of food to avoid when in Prediabetes so you don't go into diabetes. I read labels but everything has sugar of some amount. I can't take sugar substitutes they give me diarreah. My recipes are old and need a way to adjust them and reduce the sugar????
I was diagnosed with type 2 diabetes 2-3 years ago and for most of that time my blood sugar readings have been a little high, but within reasonable limits. However over the last 6 months they have deteriorated significantly, and I have been getting non fasting readings averaging around 250, with my non-fasting readings frequently going over the 350 mark. This at a time when I have been more scrupulous than ever about my diet.
As I also have sleep apnoea and have noticed a similar deterioration in this over the same period, I am wondering if this can account for the increase in blood sugar levels. Are the two things possibly connected?
I was diagnosed with type 2 diabeties in September 2008. I have not had much problem keeping my sugar level within the target range, but this morning, 2 hrs. after breakfast my level was 76, which really shocked me. I ate basicly the same thing I eat every morning. Usually I am in the 110 to 120 level after breakfast. This has really thrown me for a loop, any insight as to why?
Suzy M.: "I don't know my glucose fasting level; however my non fasting level is almost 400 which seems very high. Is this something to be concerned about."
Yes, Suzy, a glucose reading of almost 400 is high, even non-fasting. You should immediately contact your health care provider for evaluation.
I have difficulty with my fasting blood sugar in the morning. Whether I've eaten a ton of carbs or nothing the night before, whether I'm on med or not, my reading is always in the high 200s. I've read about this "dawn phenomenon" but it's very frustrating not being able to get ahold of this problem. I'd love to see even a 140 reading on occasion.
I don't know my glucose fasting level; however my non fasting level is almost 400 which seems very high. Is this something to be concerned about.
Thank you for this information and I'm looking forward to much more! I am a recently diagnosed diabetic and have had a hard time knowing what to eat and how it will effect me. It seems that even when I've eaten well, (low carbs) my blood sugar can still spike. I can't understand why. Can something I ate yesterday effect my glucose levels, today-24 hours later? That is a puzzle I would love to solve. Thanks again!
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