Why You Still Need Ketostix/ketodiastix
While home testing blood with a meter can tell you what your pet’s blood glucose levels are, most can’t do blood ketone testing.
In a diabetic, any urinary ketones above trace, or any increase in urinary ketone level, or trace urinary ketones plus some of the symptoms above, are cause to call an emergency vet immediately, at any hour of the day.
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.
What Is Hemoglobin A1c
Hemoglobin A1C is a lab test. It indicates an average blood glucose reading for the last 90 days. It is done when you find out you have diabetes, and every 3 months after that at clinic visits. A person without diabetes has a Hemoglobin A1C of less than 5.6%.
Target Hgb A1C is 7.5% for all children and adults with diabetes.
The chart below shows the Hemoglobin A1C result compared with the blood glucose number.
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Levels In The Morning
The best time to check blood sugar levels in the morning is right when you wake up and before you eat anything. This gives you a glimpse of what may be happening overnight, and it gives you a baseline for the day.
These are goal levels, according to The Joslin Diabetes Center:
- Under 70 mg/dl if you do not have diabetes.
- 70 to 130 mg/dl if you have diabetes.
The dawn effect can often lead to a high morning measurement in diabetes. This is your bodys tendency to get ready for the day by raising blood sugar by increasing levels of counter-regulatory hormones the ones that counteract insulin as in normal blood sugar. For people with diabetes, you do not have the capacity to counterbalance this rise in blood sugar, so levels can be dangerously high.
Ways to lower your morning blood sugar value include:
- Eating dinner earlier
- Checking your medications making sure you are taking them properly and asking your doctor if they are correct
- Going for a walk after dinner
- Including protein with your dinner
Normal Blood Sugar Before And After Meals
Normal blood sugar levels vary from person to person, but a normal range for fasting blood sugar is between 70 and 100 milligrams per deciliter , according to the World Health Organization ).
Most people see the level of glucose rise in their blood after eating. According to the American Diabetes Association , the normal blood-sugar range two hours after eating is generally less than 140 milligrams per deciliter. However, people without prediabetes or diabetes typically have lower blood sugar than those guidelines suggest a 2007 study in the Journal of Diabetes Science and Technology that continuously measured people’s blood glucose found that most people averaged around 82 mg/DL during the night and around 93 mg/DL during the day, and spiked to a maximum of 132 mg/DL an hour after a meal.
Variations in blood-sugar levels, both before and after meals, are normal and reflect the way that glucose is absorbed and stored by the body. After eating, stomach enzymes break down carbohydrates in food into smaller parts, releasing glucose, which can be absorbed by the small intestine and eventually passed into the bloodstream.
Once glucose has reached the blood, the pancreas releases the hormone insulin, which shepherds the glucose from the blood into cells, feeding them an essential fuel.
Too much glucose over an extended time can result in the destruction of nerves, lowered resistance to infection, and heart and kidney disease.
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I Am 54 Years Old And Had A Blood Glucose Of 136 Mg/dl And 244 Mg/dl On My Friends Monitor My Mother And Grandmother Both Had Diabetes Is This Anything To Be Concerned About The Doctor Who Did The Test Said Everything Was Fine Maybe There Isnt Anything To Worry About
I am very glad you have asked this question because the answer could be very important to your long term health. As you well know, you are genetically at high risk of diabetes. The American Diabetes Association has stated that anyone at risk should be tested at least yearly for diabetes. A fasting blood sugar of 126 mg/dl or higher, on two occasions, is diagnostic of diabetes. A random blood sugar of 200 mg/dl or greater is also diagnostic. That challenge is that most people do not feel sick at these levels so no one takes it for as being important or serious it is.
I would highly recommend you discuss this immediately with your physician and have the fasting blood sugar repeated. There are many new treatments for diabetes that can help you keep your blood sugar in normal range. Waiting until you feel sick from high blood sugar is not the way to go and would be cause for worry. Finding diabetes early and keeping your blood sugar as close to normal as possible would have the opposite effect decreasing your worry from diabetes.
I wish you success in discussing this with your physician and taking a proactive approach.
Treatment For Low Blood Sugar Levels
For those with low blood sugar levels, management and treatment is a little easier to do yourself. If you find your blood sugar is too low and you notice symptoms, always seek medical attention. They will aid you with what necessary precautions to take if the reading is extremely low.
Most of the time, the following treatment methods are advised to do at home yourself. Having a sugary drink or snack can help increase blood sugar levels and balance out and improve any symptoms. Even a small juice of juice or sweets can improve weakness and similar symptoms.
After youve consumed a sugary drink or snack, it is recommended to test your blood sugar level again. If it has increased and you feel better then you should consume a carbohydrate containing meal, such as bread, biscuits or milk. It is advised to eat a small meal to prevent any further drop in blood sugar.
For normal people without diabetes, it is sometimes advised to consume daily supplements that are beneficial for increasing insulin sensitivity and balancing your blood, its sugars and pressures. You can seek medical advice for those from a doctor. Some options may include supplements such as Garcinia Cambogia, which has shown results for increasing insulin sensitivity.
You may be wondering exactly how you can read and calculate your blood sugar level, as it advised to do so for both treatments. If you wish to calculate your blood sugar level, here is how to do so:
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Low Blood Sugar Chart And Action Plan
Low blood sugar is also called hypoglycemia. The numbers below represent values in the hypoglycemic range and require action to bring blood sugar levels up into a normal range.
|Alert Level and Treatment Plan|
|50 mg/dL or under||Red Flag: Blood sugar is critically low and requires immediate treatment.|
If a person is unable to speak and/or is not alert, treat with glucagon via injection or nasal spray. Call emergency medical response if necessary. Do not place food or drink into the mouth.
If a person is alert and able to speak clearly, treat with 15 grams of rapid-acting carbohydrate such as glucose gel, 4 oz regular soda, or fruit juice. Re-test blood sugar in 15 minutes and repeat as needed to bring blood sugar within range.
|51-70 mg/dL||Red Flag: Blood sugar is below normal levels and requires immediate treatment.|
Treat with 15 grams of rapid-acting carbohydrate and re-test in 15 minutes. Repeat treatment as needed to bring blood sugar within range.
|71-90 mg/dL||Yellow Flag: Blood sugar levels should be watched and treated as needed.|
If youre having symptoms of low blood sugar, treat with 15 grams of rapid-acting carbohydrate and re-test in 15 minutes.
Repeat treatment or follow with a meal. If it is meal time, move forward with eating the meal. People often fall into this range when they are late for a meal or have been especially active.
When Is Blood Sugar Considered To Be Too High Or Too Low
Slight fluctuations in blood sugar levels are completely normal, and also happen every day in people who dont have diabetes, in response to the food they eat. Between around 60 and 140 milligrams of sugar per deciliter of blood is considered to be healthy. This is equivalent to a blood sugar concentration of between 3.3 and 7.8 mmol/l. Millimoles per liter is the unit that blood sugar is measured in. It describes the amount of a certain substance per liter.
If someone has readings over 7.8 mmol/l , they are considered to have hyperglycemia. These high blood sugar levels mainly occur if there isn’t enough insulin or the insulin doesn’t work properly. Without the effect of insulin, the organs can’t make good use of the sugar in the blood, so the sugar builds up. If type 1 diabetes is left untreated, blood sugar levels can increase to over 27.8 mmol/l . Such high levels tend to be uncommon in type 2 diabetes.
Blood sugar levels below 3.3 mmol/l are considered to be too low. But, as you can see in the illustration below, there are no clear-cut borders between normal blood sugar levels and too high or too low blood sugar levels.
Blood sugar: Normal range between hyperglycemia and hypoglycemia
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A1c Goals Should Be Individualized
A1c goals should be individualized based on the individual capabilities, risks, and prior experiences, explains Gary Scheiner, MS, CDE, founder of Integrated Diabetes, and author of Think Like a Pancreas.
For example, we generally aim for very tight A1c levels during pregnancy and more conservative targets in young children and the elderly.
However, Scheiner highlights important factors that could justify aiming for a higher A1c, like hypoglycemia unawareness, which is described as when a person with diabetes no longer feels the oncoming warning signs of low blood sugar. This can put you at significant risk for severe low blood sugars resulting seizures or death. To reduce that risk, you would aim for higher target blood sugar ranges.
Someone with significant hypoglycemia unawareness and a history of severe lows should target higher blood glucose levels than someone who can detect and manage their lows more effectively, adds Scheiner. And certainly, someone who has been running A1cs in double digits for quite some time should not be targeting an A1c of 6% better to set modest, realistic, achievable goals.
Learn how to lower your A1c in DiabetesStrongsA1C Guide.
Normal Blood Sugar Ranges In Healthy Non
For a person without any type of diabetes, blood sugar levels are generally between 70 to 130 mg/dL depending on the time of day and the last time they ate a meal. Newer theories about non-diabetic blood sugar levels have included post-meal blood sugar levels as high as 140 mg/dL.
Here are the normal blood sugar ranges for a person without diabetes according to the American Diabetes Association:
- Fasting blood sugar : under 100 mg/dL
- 1 hour after a meal: 90 to 130 mg/dL
- 2 hours after a meal: 90 to 110 mg/dL
- 5 or more hours after eating: 70 to 90 mg/dL
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High Blood Sugar Levels In The Morning
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A person usually has slightly higher blood sugar or glucose levels in the morning. But, in some people with diabetes, these levels are significantly high.
that get worse over time, due to these blood sugar spikes.
According to the National Institute of Diabetes and Digestive and Kidney Diseases,
- from 80130 milligrams per deciliter just before eating
- below 180 mg/dl 2 hours after eating
In addition, they note that:
- A low blood sugar level is under 70 mg/dl.
- A high blood sugar level is over 180 mg/dl.
There are two main causes of high blood sugar in the morning: the dawn phenomenon and the Somogyi effect.
This article explores these causes, including what they can mean for a persons health and when to see a doctor.
The dawn phenomenon relates to natural body changes that occur during the sleep cycle.
In the morning, everyone experiences a slight rise in blood glucose levels. A person without diabetes will not experience effects, as their body can adjust. For a person with diabetes, however, this rise can be significant, and it may need treatment.
Usually, the body has little need for insulin during sleep, and it produces less of this hormone. Toward the morning, the body starts to release stored glucose, or sugar, to provide energy for the coming day.
How Do I Check My Blood Glucose
Picture 1: Poke the side of the finger with the lancet
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How Does Blood Sugar Level Work
With a lack of nutrients and food that contain glucose, the blood sugar level will begin to decline. This is known as hypoglycemia.
After blood sugar becomes low, the pancreas releases a peptide hormone called glucagon. When this happens, the glucose that is stored in the body for energy is instructed to release due to the liver. This causes the glucose to turn into glycogen, known as the glycogenesis process. This is what can help a body to regain energy as the readily stored glycogen, in the liver and muscles, will release into the body.
On the other hand, the blood sugar can also rise and become too high which is known as hyperglycemia.
When the body does not produce enough of the insulin hormone, blood sugar levels begin to increase. This is because glucose relies on the insulin hormone to help it absorb into the bloodstream. Usually, this occurs when the body cannot produce enough insulin, known as type 1 diabetes, or does not respond to insulin correctly, known as type 2 diabetes.
Eating too many processed foods can also cause your blood sugar level to rise. If there is not enough insulin present in the body, too much bad food can cause your blood sugar level to build up.
For those with a normal blood sugar level, this will be due to eating the right foods and your body being able to produce and respond to insulin.
You may be wondering what exactly causes an imbalance in blood sugar levels, so here is a roundup:
How The Fasting Blood Sugar Test Is Done :
If your doctor wants Fasting blood sugar test on you, you may need a Fasting blood sugar blood test. During the Fasting blood sugar blood test, a pathologist will put a needle into your veins and take out a small quantity of blood. A pathologist is a physician in the medical field who thoroughly studies the causes and effects of disease. Within a few hours you will get your Fasting blood sugar Test report by your pathologist.
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Fasting Plasma Glucose Test
A fasting plasma glucose test is taken after at least eight hours of fasting and is therefore usually taken in the morning.
The NICE guidelines regard a fasting plasma glucose result of 5.5 to 6.9 mmol/l as putting someone at higher risk of developing type 2 diabetes, particularly when accompanied by other risk factors for type 2 diabetes.
What To Expect From Your Blood Sugar In The Morning
After an overnight fast, a normal blood sugar level is less than 100 milligrams per deciliter , according to the American Diabetes Association . But, according to Susan Spratt, MD, an endocrinologist and associate professor of medicine at Duke University School of Medicine, not everyone with type 1 or type 2 diabetes has to shoot for “normal” levels.
“If you’re young, the goal may be to get your fasting blood sugar levels to less than 120 mg/dL,” Dr. Spratt says. But if you’re older and have other health conditions, that number may be higher, she says.
The ADA points out that not everyone will have the same blood sugar level goals. Instead, your endocrinologist or doctor will calculate your target number based on your age, how long you’ve had diabetes, whether you have health conditions like heart disease and other factors.
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