What Is Diabetic Ketoacidosis
If you think you may have low blood sugar, check it even if you dont have symptoms.
When too many ketones are produced too fast, they can build up in your body and cause diabetic ketoacidosis, or DKA. DKA is very serious and can cause a coma or even death. Common symptoms of DKA include:
- Fast, deep breathing.
- Nausea and vomiting.
- Stomach pain.
If you think you may have DKA, test your urine for ketones. Follow the test kit directions, checking the color of the test strip against the color chart in the kit to see your ketone level. If your ketones are high, . DKA requires treatment in a hospital.
DKA happens most in people with type 1 diabetes and is sometimes the first sign of type 1 in people who havent yet been diagnosed. People with type 2 diabetes can also develop DKA, but its less common.
Low Blood Sugar Levels Symptoms
Low blood sugar levels or also known as hypoglycemia can happen to anyone but is more common in people with diabetes. Low blood sugar levels can occur if you miss a meal, exercise too hard, or take too much insulin.
Signs and symptoms that your blood sugar might be on the low side include:
- Feeling shaky
- Anxiety or feeling of nervousness
If you have any of these symptoms, it’s important to check your blood sugar levels right away. You can use a home glucose meter to test your blood sugar levels. The ADA recommends that people with diabetes keep a fast-acting source of sugar like glucose tablets with them at all times in case they experience low blood sugar levels.
Fasting Blood Sugar Test
This test can be done in the lab or the healthcare providers office with a simple finger stickor your doctor may prescribe a meter and have you test regularly at home.
A fasting blood sugar level indicates what your blood sugar is when you havent eaten for at least 8 hours. For adults without diabetes, a normal fasting blood sugar is less than 100 mg/dL. A fasting blood sugar level of 100-125 mg/dL indicates prediabetes, and 126 mg/dL or higher indicates diabetes.
Also Check: Cost Of Insulin In Us
How Should Blood Sugar Levels Be Before And After Eating
Ideally, before eating , your blood sugars should be between 80-130 mg/dL. One to two hours after eating , your blood sugars should be below 180 mg/dL.
Blood glucose levels can be affected by the type of food consumed, how much, and when but also many other different factors like physical activity, taking other medications, having other medical conditions, stress, age, an illness, and even menstrual periods.
Normal Blood Sugar Levels After Eating For Diabetics
The American Diabetes Association recommends that the blood sugar 1 to 2 hours after the beginning of a meal be less than 180 mg/dl for most nonpregnant adults with diabetes. This is typically the peak, or highest, blood sugar level in someone with diabetes. Again, this target may need to be individualized for certain people based on such factors as duration of diabetes, age and life expectancy, cognitive status, other health conditions, cardiovascular complications, and hypoglycemia unawareness. Its important that people with diabetes discuss their target blood sugar goals with their health care provider.
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What Is A Good Blood Sugar Level For Type 2 Diabetes
Type 2 diabetes is a complex condition that can interfere with daily activities and well-being. Fortunately, researchers know more about type 2 diabetes now than ever, which gives those with the condition more treatment options and hope of living a long, healthy life.
One of the best ways to reduce the unpleasant symptoms that can accompany type 2 diabetes is by keeping your blood sugars at normal levels But what blood sugar readings are considered normal?
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Normal Ranges For Blood Sugar
People who dont have diabetes keep their blood sugars between 60 100 mg/dl overnight and before meals, and less than 140 mg/dl after meals. Although the ultimate goal of diabetes management is to return the blood sugar to the natural or non-diabetic level, this may be difficult without excessive low blood sugars or hypoglycemia.
Recommended Target Blood Glucose Level Ranges
The NICE recommended target blood glucose levels are stated below for adults with type 1 diabetes, type 2 diabetes and children with type 1 diabetes.
In addition, the International Diabetes Federations target ranges for people without diabetes is stated.
The table provides general guidance. An individual target set by your healthcare team is the one you should aim for.
*The non-diabetic figures are provided for information but are not part of NICE guidelines.
Do You Think You Can’t Afford Healthy Food
The No. 1 thing I often hear is its just too costly to eat healthy with diabetes, Nunlee-Bland says. But she says there are ways to follow a balanced diet on a budget.
- Eat dried beans for protein and fiber
- Choose frozen or canned fruits and vegetables
- Buy in-season produce
- Plan your meals ahead of time
Prep meals on the weekends, Nunlee-Brand suggests. That helps keep you on track for the week ahead.
You dont have to give up all your favorite foods. Ask a dietitian for tips. They can help you plan your meals so you can enjoy some of the things that you like to eat, she says.
Blood Sugar Levels For Adults With Diabetes
Each time you test your blood sugar, log it in a notebook or online tool or with an app. Note the date, time, results, and any recent activities: What medication and dosage you took What you ate How much and what kind of exercise you were doing That will help you and your doctor see how your treatment is working. Well-managed diabetes can delay or prevent complications that affect your eyes, kidneys, and nerves. Diabetes doubles your risk for heart disease and stroke, too. Fortunately, controlling your blood sugar will also make these problems less likely. Tight blood sugar control, however, means a greater chance of low blood sugar levels, so your doctor may suggest higher targets.Continue reading > >
Type 2 And Blood Sugar Checks
Blood sugar, or blood glucose, checks are a routine part of diabetes self-management, but for the nearly 75% of Americans with diabetes who dont take insulin, research suggests those checks might not be necessary.
But dont toss out your blood glucose meter and your test strips just yet. The question of whether routine self-monitoring of blood glucose , also known as blood sugar, has value remains unsettled. And it leads to other questions. For example: Even if self-monitoring does prove to be unnecessary for many adults with type 2 diabetes not on insulin, might there still be people in this group who would benefit or circumstances that would require self-monitoring?
What Is Blood Glucose
Blood glucose is the main sugar content in your blood. It comes from the food you eat, and it’s your body’s main source of energy. Blood glucose levels are a measure of how much sugar is in your blood. Blood sugar levels can fluctuate during the day and night because of various reasons. What we eat, how active we are, and even stress can all affect our blood sugar levels.
Low Blood Sugar Symptoms
Low blood sugar, also called hypoglycemia, is what happens when blood glucose levels drop too low. People who take insulin may have low blood sugar if they take too much insulin or mistime the insulin dose in relation to food, or if they exercise more than usual when there is fast-acting insulin on board .
Your healthcare provider will tell you when and how to check blood sugar, and when and how to treat low blood sugar. A low blood sugar is generally considered to be less than 70 mg/dL. A dangerously low blood sugar is below 54 mg/dL.
Low blood sugar can also be caused by many things including certain medications or combinations of medications, alcohol, endocrine disorders, eating disorders, and disorders of the liver, kidneys, or heart.
Here are some of the most common symptoms that someone with low blood sugar might experience:
- Tingling lips
If your blood sugar is low you might start to feel some of the first signs of hypoglycemia like dizziness, lightheadedness, or sweating. The only way to know for sure if your blood sugar is low is to test it with a glucose meter or monitor it with a continuous glucose monitor such as the Dexcom G6.
Normal Hba1c For Person Without Diabetes
For someone who does not have diabetes, a normal HbA1C level is below 5.7%. An A1C between 5.7% to 6.4% is indicative of prediabetes.
Its recommended that adults over the age of 45 or adults under 45 who are overweight and have one or more risk factors for diabetes have a baseline A1C checked. If the result is normal, the A1C should be checked every three years. If the result indicates prediabetes, the A1C should be checked every one to two years.
Lets Crunch Some Numbers
Ill give these numbers to you in a written, chart, and visual format because it will make sense to you depending how you read it.
Depending where you live in the world, numbers can vary slightly. And your numbers will either be mg/dl or mmol/l. Youll find the numbers for both of these readings below.
Normal Blood Sugar Levels
Fasting glucose 70-99 mg/dl or 4-6 mmol/l
2 hours post meal glucose Less than 140 mg/dl or less than 7.8 mmol/l
Pre-diabetes diagnostic ranges also called impaired fasting glucose or impaired glucose tolerance
Fasting glucose 100-125 mg/dl or 6.1-6.9 mmol/l
2 hours post meal glucose level 140-199 mg/ dl or 7.8-11 mmol/l
Type 2 Diabetes diagnostic ranges
Fasting glucose More than 126 mg/dl or more than 7.0 mmol/l
2 hours glucose level More than 200 mg/dl or more than 11.1 mmol/l
Techniques To Manage Your Blood Sugar In The Morning
Based on your glucose levels and trends, there are a few things you can do to manage your glucose levels so they dont run high in the morning. Some of these strategies focus on adjusting medications to better suit your needs. Other strategies include adjusting your exercise routine, as well as what and when you are eating before bed.
If your glucose levels are in range before bed, they may rise throughout the night without enough insulin. This can be especially true for people who take long-acting insulin in the morning, since it may be wearing off before your next dose.
Consider changing the time of day when you take your long-acting insulin. You may also benefit from switching to either twice-daily basal insulin or ultra-long-acting insulin, or from starting on an insulin pump. Read our article, Are You on the Right Kind of Insulin, to learn more.
Check your blood glucose during the night between 3 am and 8 am. If you are running high during these hours, you may be experiencing the dawn phenomenon.
Talk with your healthcare team about finding the best nighttime insulin regimen for you. If you take basal insulin, you may need to delay the timing of your dose to as close to bedtime as possible. Another option is to try an insulin pump or automated insulin delivery system. AID systems will automatically adjust your basal insulin doses throughout the night to help keep your glucose levels stable.
When Should I Check My Blood Glucose Level
When you should check your blood glucose levels and how often you should check varies depending on each individual, the type of diabetes and the tablets and/or insulin being used. Your doctor or Credentialled Diabetes Educator will help you decide how many checks are needed and the levels to aim for. Possible times to check are:
- Before breakfast
- Before rigorous exercise
- When you are feeling unwell
Even though your meter may have a memory, it is important to keep a record of your readings in a diary and to take this with you to all appointments with your diabetes health team. This will provide both you and your diabetes health team with important information in deciding if and how your treatment may need to be adjusted.
Most meters on the market have software which allows you to download your records in different formats such as graphs and charts. Even if you can do this, it is still helpful to keep a diary, not only for your checks but also details of your daily activities, the food you eat and other relevant information. There are some apps that record all of this information in one place. Ask your doctor or diabetes educator how you can use a diary to help you to better manage your diabetes.
Checking four times a day is usually recommended for people with type 1 diabetes. However many people check more often, such as those using an insulin pump .
Tips On Managing Blood Sugar Levels
The good news is that lifestyle changes can be combined with modern medicine to produce better blood sugar control than ever in those that suffer from type 2 diabetes. Some people may be able to manage their diabetes completely with lifestyle changes alone, though others may require medical interventions to better control blood sugar levels.
Here are some of the most common ways that people can keep their blood sugars at healthy levels:
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.
What Is Continuous Glucose Monitoring
Continuous glucose monitoring is another way to check your glucose levels. Most CGM systems use a tiny sensor that you insert under your skin. The sensor measures glucose levels in the fluids between your bodys cells every few minutes and can show changes in your glucose level throughout the day and night. If the CGM system shows that your glucose is too high or too low, you should check your glucose with a blood glucose meter before making any changes to your eating plan, physical activity, or medicines. A CGM system is especially useful for people who use insulin and have problems with low blood glucose.
How Do Carbs Affect Blood Sugar
Carbs in food make your blood sugar levels go higher after you eat them than when you eat proteins or fats. You can still eat carbs if you have diabetes. The amount you can have and stay in your target blood sugar range depends on your age, weight, activity level, and other factors. Counting carbs in foods and drinks is an important tool for managing blood sugar levels. Make sure to talk to your health care team about the best carb goals for you.
How Do I Check
People with diabetes check their blood glucose levels by poking their fingertips and using a blood glucose meter or a continuous glucose monitor to measure the blood glucose level at that moment. Read on to find out how to use a blood glucose meter. To find out more about CGMs, start by talking to your doctor.
Do You Get Too Little Exercise
Regular aerobic exercise can lower your blood sugar and help your body respond to insulin better. And dont forget about strength training. Think about muscle tissue like a sponge, Moreno says. It absorbs glucose.
To fit more activity into your day:
- Take a walk, especially 15 minutes after a meal.
- Ride a bike.
- Do bodyweight exercises.
- Lift weights.
No matter how you choose to get your heart pumping, do it for at least 20-30 minutes a day. Its OK to break up your activity into several 5- to 10-minute blocks if thats all the time you have.
Include at least 2 days of strength training each week. The more muscle you build, the more energy you burn, the less sugar is available” in your blood, Morton says.
Times To Check More Often
There will be times when you need to check more often, however you should first discuss this with your doctor or Credentialled Diabetes Educator. Example of these times include when you are:
- Being more physically active or less physically active
- Sick or stressed
- Experiencing changes in routine or eating habits, e.g. travelling
- Changing or adjusting your insulin or medication
- Experiencing symptoms of hypoglycaemia
- Experiencing night sweats or morning headaches
- A female planning pregnancy or are pregnant.
- Pre/post minor surgical day procedures
- Post dental procedures
Your Credentialled Diabetes Educator can help you work out self-monitoring approach especially for you.
What Is Blood Glucose Monitoring
People use blood glucose monitoring to regularly test glucose levels in the blood.
It is an essential part of effective diabetes control. Many people with diabetes must check several times each day to plan for activities and meals, as well as scheduling doses of medication or insulin.
A person can test their blood glucose levels with a glucometer. They usually come with lancets, or tiny needles, as well as test strips and a logbook to record results.