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BloodSugarLevelRanges

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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)

Blood Sugar Levels

TRANSCRIPT

DownloadaFREEbloodglucoselevelchartforyourphone,desktoporasaprintout.
Emailaddress:

Whyaregoodbloodsugarlevelsimportant?
Itisimportantthatyoucontrolyourbloodglucoselevelsaswellasyoucanastoohighsugarlevelsforlongperiodsoftime
increasestheriskofdiabetescomplicationsdeveloping.
Diabetescomplicationsarehealthproblemswhichinclude:
Kidneydisease
Nervedamage
Retinaldisease
Heartdisease
Stroke
Thislistofproblemsmaylookscarybutthemainpointtonoteisthattheriskoftheseproblemscanbeminimisedthrough
goodbloodglucoselevelcontrol.Smallimprovementscanmakeabigdifferenceifyoustaydedicatedandmaintainthose
improvementsovermostdays.

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