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Blood Sugar Levels For Diabetes
Blood Sugar Levels For Diabetes
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Understandingbloodglucoselevelrangescanbeakeypartofdiabetesselfmanagement.
Thispagestates'normal'bloodsugarrangesandbloodsugarrangesforadultsandchildren
withtype1diabetes,type2diabetesandbloodsugarrangestodeterminepeoplewith
diabetes.
Ifapersonwithdiabeteshasameter,teststripsandistesting,it'simportanttoknowwhatthe
bloodglucoselevelmeans.
Recommendedbloodglucoselevelshaveadegreeofinterpretationforeveryindividualand
youshoulddiscussthiswithyourhealthcareteam.
Bloodglucoserangesforadults
andchildrendifferslightly
Inaddition,womenmaybesettargetbloodsugarlevelsduringpregnancy.
ThefollowingrangesareguidelinesprovidedbytheNationalInstituteforClinicalExcellence(NICE)buteachindividualstarget
rangeshouldbeagreedbytheirdoctorordiabeticconsultant.
Recommendedtargetbloodglucoselevelranges
TheNICErecommendedtargetbloodglucoselevelsarestatedbelowforadultswithtype1diabetes,type2diabetesand
childrenwithtype1diabetes.
Inaddition,theInternationalDiabetesFederation'stargetrangesforpeoplewithoutdiabetesisstated.[19][89][90]
Thetableprovidesgeneralguidance.Anindividualtargetsetbyyourhealthcareteamistheoneyoushouldaimfor.
NICErecommendedtargetbloodglucoselevelranges
TargetLevels
byType
Uponwaking
Beforemeals
(preprandial)
Atleast90minutesaftermeals
(postprandial)
Nondiabetic*
4.0to5.9mmol/L
under7.8mmol/L
Type2diabetes
4to7mmol/L
under8.5mmol/L
Type1diabetes
5to7mmol/L
4to7mmol/L
5to9mmol/L
Childrenw/type1diabetes
4to7mmol/L
4to7mmol/L
5to9mmol/L
*ThenondiabeticfiguresareprovidedforinformationbutarenotpartofNICEguidelines.
Normalanddiabeticbloodsugarranges
Forthemajorityofhealthyindividuals,normalbloodsugarlevelsareasfollows:
Between4.0to6.0mmol/L(72to108mg/dL)whenfasting
Upto7.8mmol/L(140mg/dL)2hoursaftereating
Forpeoplewithdiabetes,bloodsugarleveltargetsareasfollows:
Beforemeals:4to7mmol/Lforpeoplewithtype1ortype2diabetes
Aftermeals:under9mmol/Lforpeoplewithtype1diabetesandunder8.5mmol/Lforpeoplewithtype2diabetes
Bloodsugarlevelsindiagnosingdiabetes
Thefollowingtablelaysoutcriteriafordiagnosesofdiabetesandprediabetes.
Bloodsugarlevelsindiagnosingdiabetes
Plasmaglucosetest
Normal
Prediabetes
Diabetes
Random
Below11.1mmol/l
Below200mg/dl
N/A
11.1mmol/lormore
200mg/dlormore
Fasting
Below6.1mmol/l
Below108mg/dl
6.1to6.9mmol/l
108to125mg/dl
7.0mmol/lormore
126mg/dlormore
2hourpostprandial
Below7.8mmol/l
Below140mg/dl
7.8to11.0mmol/l
140to199mg/dl
11.1mmol/lormore
200mg/dlormore
Randomplasmaglucosetest
Abloodsampleforarandomplasmaglucosetestcanbetakenatanytime.Thisdoesntrequireasmuchplanningandis
thereforeusedinthediagnosisoftype1diabeteswhentimeisoftheessence.
Fastingplasmaglucosetest
Afastingplasmaglucosetestistakenafteratleasteighthoursoffastingandisthereforeusuallytakeninthemorning.
TheNICEguidelinesregardafastingplasmaglucoseresultof5.5mmol/las
puttingsomeoneathigherriskofdevelopingtype2diabetes,particularlywhen
accompaniedbyotherriskfactorsfortype2diabetes.
OralGlucoseToleranceTest(OGTT)
Anoralglucosetolerancetestinvolvestakingafirsttakingafastingsampleof
bloodandthentakingaverysweetdrinkcontaining75gofglucose.
Afterhavingthisdrinkyouneedtostayatrestuntilafurtherbloodsampleis
takenafter2hours.
HbA1ctestfordiabetesdiagnosis
AnHbA1ctestdoesnotdirectlymeasurethelevelofbloodglucose,however,the
resultofthetestisinfluencedbyhowhighorlowyourbloodglucoselevelshavetendedtobeoveraperiodof2to3months.
Indicationsofdiabetesorprediabetesaregivenunderthefollowingconditions:
Normal:Below42mmol/mol(6.0%)
Prediabetes:42to47mmol/mol(6.0to6.4%)
Diabetes:48mmol/mol(6.5%orover)
TRANSCRIPT
DownloadaFREEbloodglucoselevelchartforyourphone,desktoporasaprintout.
Emailaddress:
Whyaregoodbloodsugarlevelsimportant?
Itisimportantthatyoucontrolyourbloodglucoselevelsaswellasyoucanastoohighsugarlevelsforlongperiodsoftime
increasestheriskofdiabetescomplicationsdeveloping.
Diabetescomplicationsarehealthproblemswhichinclude:
Kidneydisease
Nervedamage
Retinaldisease
Heartdisease
Stroke
Thislistofproblemsmaylookscarybutthemainpointtonoteisthattheriskoftheseproblemscanbeminimisedthrough
goodbloodglucoselevelcontrol.Smallimprovementscanmakeabigdifferenceifyoustaydedicatedandmaintainthose
improvementsovermostdays.
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