Blood sugar (glucose) control is crucial when you’re living with type 2 diabetes. Dips and spikes can not only make you feel cranky and sluggish, but they can also wreak havoc on your personal health. (No wonder your primary care doctor was on you about your last A1C checkup.)…..CONTINUE READING
The most serious effects of blood sugar swings are a higher risk for diabetes-related health complications such as stroke, heart disease, and nerve damage (neuropathy).
For the record, the American Diabetes Association (ADA) notes that you have diabetes if one of the following applies to you:
- Your blood glucose after fasting (and before a meal) is 126 milligrams per deciliter (mg/dl) or higher.
- Your blood glucose two hours after eating a meal is 200 mg/dl or higher.
- Your hemoglobin A1C (a two- to three-month average measure of how much glucose attaches to the hemoglobin in your red blood cells) is 6.5 percent or higher.
One tricky part with type 2 diabetes is that you may not feel it when blood sugar levels are too high, according to the ADA. It feels different for everyone. “Not everyone will have the same symptoms, and some individuals will have no symptoms at all,” says Lori Zanini, RD, CDE, a Los Angeles–based and dietitian and author of The Diabetes Cookbook and Meal Plan for the Newly Diagnosed.
Because blood sugar management is so important to your overall health with type 2 diabetes, you need to take action if you think your levels may be out of control, even if you’re feeling totally fine.
“Symptoms of uncontrolled diabetes may not appear until prolonged hyperglycemia (high blood sugar) has been present,” says Mary Ann Emanuele, MD, an endocrinologist, professor, and medical director of inpatient diabetes at Loyola University Medical Center in Maywood, Illinois. She adds that if your healthcare team determines your glucose isn’t well controlled, adjusting your medication with their help can make a difference.
‘Controlled’ Means Different Things to Different People
There’s no one-size-fits-all recommendation for blood sugar control.
The ADA says that a “reasonable” goal for many nonpregnant adults is to aim for an A1C level of less than 7 percent. Yet some patients may be given a more stringent goal by their healthcare providers, such as 6.5 percent, if that’s reachable without harmful side effects, including hypoglycemia.
On the other hand, if you are elderly, managing other health complications, or reliant on insulin, you may be given less stringent goals. “It really becomes more important to just keep [levels] in the same place,” says Rahil Bandukwala, DO, an endocrinologist at MemorialCare South County Kidney and Endocrine Center in Laguna Hills, California. “Keeping A1C between 7.5 and 8.5 may be very reasonable for such a patient,” Dr. Bandukwala adds, echoing the ADA’s recommendations.
Because elderly people are more likely to have blood sugar that swings too far downward, with fewer warning signs, managing their glucose too tightly can put them at greater risk for hypoglycemia, says Bandukwala. When you have low blood sugar, you’re at a higher risk for becoming dizzy and falling or passing out, notes the ADA.
How (and When) to Check Your Blood Sugar Levels
As Dr. Emanuele says, glucose monitoring can be an important tool to help you get your blood sugar under control. Typically, you would do it yourself using a glucose meter or glucometer, which analyzes a drop of blood that you draw by sticking your finger with a lancet and placing the blood on a disposable test strip that you insert into the meter. Your blood sugar goals are set by you and your doctor, but blood glucose for an adult without diabetes is below 100 mg/dl before meals and at fasting; and less than 140 mg/dl two hours after a meal, notes the ADA.
Some people will check their blood sugar daily or multiple times a day, sometimes using a continuous monitor that is worn on the body — particularly those who have type 1 diabetes or who have type 2 but take insulin. Yet how frequently a person should monitor their blood sugar is based on a number of factors, including (but not limited to) whether they’re on insulin, whether they’re taking oral medication, and how well their blood sugar is controlled and how old they are.
“It’s an individual discussion with each patient, but in general I tell my patients with type 2 diabetes whose blood sugar is controlled that they don’t need to check it every day,” says Bandukwala. “If they have a glucometer and they want to check it, then I will tell them they can do a paired reading once a week, which means a fasting (before eating) reading and then another reading one to two hours after a meal (postprandial).” Checking too often can lead to unwarranted panic over daily fluctuations, as well as unnecessary pain from too-frequent lancet pricks, he adds.
The American Academy of Family Physicians is among the organizations advising that daily glucose self-testing has no benefit in patients with type 2 diabetes who are not on insulin or medications associated with hypoglycemia.
Meanwhile, keep an eye out for these nine key warning signs and symptoms that blood sugar is too high — and talk to your doctor about whether you need to adjust your management plan.
1. Being Extra Thirsty and Having to Urinate More Than Usual
Gum disease is a complication of diabetes, notes the NIDDK. It can also make diabetes harder to control, since the body’s response to infection is to release more glucose into the bloodstream, according to the ADA.
Your saliva contains glucose; and the more it contains, the more there is to feed the bacteria that combine with food in your mouth to form plaque and cause gum disease. Symptoms can include red or inflamed gums at first. If they are unaddressed, they can progress to periodontitis, which can cause your gums to pull away from your teeth, the appearance of pus or ulcers, or even tooth loss, notes the Mayo Clinic. Get your blood sugar under control and see a dental professional to prevent damage to your gums and teeth…..CONTINUE READING
Ohanaeze President Iwuanyanwu declared, “I’m willing to give my life to bring about peace in the South-East.”
Multi-billion dollar fraud! How Nigerian civil servants collaborate with foreigners to plunge Nigeria Economy to the abyss because of 3% kick back
FG’s Disobedience Of Court Order Discharging Kanu Will Frustrate Tinubu’s Foreign Investments Drive-Ejimakor
“It’s counter-productive” – Mark knocks Akpabio, Abbas over 152 Senate, Reps committees
How Nigerian government awarded Lagos-Calabar coastal highway to Tinubu’s Lebanese ally accused of terrorism, drug dealings in US; Linked to Abacha stolen fund
Who wore it better? Yvonne Godswill and Bam Bam wore the same gown to the Barbie Movie premiere
Warning: Avoid Cooking Beans With These Two Ingredients, They Destroy The Liver
Eve Esin Speechless after ‘Hibiscus’ Dress She Ordered Arrived: “I Ended Up Looking Like A Bat”
Benefits Of Eating Tomatoes And Carrots Together
Netizens react to a video of a slay queen flaunting her ‘curVës” in t!ght shorts (Watch video)
Introducing the Gorgeous Wife of Sam Larry and Their Two Children – a Son and a Daughter (Photos and Video)
“How can you charge extra for moving from your studio in Lagos” – Beauty Tukura complains after a photographer charged her N500k for a shoot
GIST: “Why your opinion doesn’t matter anymore” Very Dark Man addresses haters as Davido follows him on Instagram, shares sweet message from the singer (Video)
People Who Should Eat Waterleaf Often To Help With Their Overall Health
BBNaija All Stars: “Is it a crime for her to win again”- Anita Joseph chides those opposing Mercy Eke’s win
Effects Of Warm Lime Water On People With Diabetes And Heart Diseases
Reasons why people who are suffering from arthritis & Hypertension should eat bitter kola regularly
Foods You Should Eat Raw Rather Than Cooked
Organic Foods You Should Start Eating Raw To Gain All Their Nutrients
Cough syrup urgently recalled over ingredient that could be deadly, here’s what you should know
Mohbad’s Dad Looks On as Woman Explains Reason for Singer’s Bent Neck in Coffin: “Pastors Did It”
Autopsy: Was Mohbad Buried Alive? Doctor Gives Analysis
“Talk To Your Daughter”: Nigerian Woman in Germany Cries out over What a Teacher Gave Her Child at School
Two foods you eat often that are capable of destroying your kidney and liver PART 2
“That’s the food from the dinner”- Adekunle serves Venita breakfast in bed following cold dinner date
“I’ve Won Sha, Go to Court”: BBN’s Beauty Replies People Dragging Her for Emerging AMVCA’s Best Dressed
“He said i would come to his child’s naming Ceremony” Venita tearfully explained how her Dinner Date with Adekunle went (Video)
Lady whose boyfriend cheated after she donated her kidney to him says she doesn’t regret her decision because she saved a life (Video)
Man Sitting in Benz Collects Lady’s Number Inside Holdup, She Collects His Phone, Quickly Types It
NIPR Worries Over Ajuri Ngelale’s Gaffes, Insists Tinubu’s Spokesperson not ‘Qualified’ for PR Job
Anita Joseph, others react as DJ Kaywise surprises his girlfriend with a bouquet of hard currency, days after disturbing post
“Friends Told Me I Must Join A Cult Or Sacrifice Someone To Blow” – Phyno
“He Knew He Was Going To Die”- Singer Mohbad’s Last Message To Colleague That Spark Reactions Online
A popular California beach will be closed until 2030 because tourists won’t stop messing with sea lions
Family of Mohbad’s wife reacts to DNA test demands for late singer’s son
“U Don’t Have to Hurt Me Before U Win”: Bukunmi Oluwasina Sparks Concerns, Speaks on Taking a Break
“Super women” Angela Okorie raises eyebrows as she hails Iyabo Ojo, Tonto Dikeh after messy fight over Naira Marley
GIST: “I don’t tell people I am his mother because he was scared I would be kidnapped” Mohbad’s mother opens up on his fears, recounts last encounter with him (Video)
Mohbad passed NECO at one sitting, I don’t know why he joined Naira Marley — Ex-principal
Pastor Taiwo Odukoya was not a good man – Toni Kan
Health1 week ago
Trouble Sleeping? This 5-Minute Activity Really Helped Me
Lifestyle4 weeks ago
One Part Of The Human Body That Never Grows After Birth Till Death
Politics2 weeks ago
Police Arrest NURTW President, Others as MC Oluomo Took Over Abuja Secretariat
Latest News2 months ago
Fuel Hike: IPMAN Reveals New Pump Price
Politics2 weeks ago
BREAKING: Rufai Oseni fires Reno Omokri, sends strong message
Politics2 months ago
BREAKING: Tinubu bagman for Chicago cocaine mafia; rigged Nigerian presidential election: British MP George Galloway
Politics1 month ago
BREAKING: Breakdown of Nigerian Senators’ Salaries, Allowances Emerges
Politics4 weeks ago
Will Tinubu remain in power if court orders a rerun? Here’s what the law says