When it comes to blood sugar levels, the numbers always seem to confuse people. So we’re here today to cover a whole range of reader questions that have come in.
If you have questions of your own, join the discussion – please feel free to leave your comments at the bottom. :)
Healthy blood sugar goal ranges
Healthy blood sugar control values will depend on several factors, the most important being when you check it.
Blood glucose levels will rise after eating meals regardless of whether a person has diabetes–however, someone with good control will be able to bring it down to a stable level after 2 hours.
The diagnostic values below are for non pregnant adults with type 2 diabetes. Ranges are different for children, those with type I diabetes and pregnant women.
FASTING |
AFTER MEALS 2 HOURS |
HbA1c | |
Normal |
70-99 mg/dL (4-6 mmol/L)* |
<140 mg/dL (<7.8 mmol/L)** |
<5.7% |
Pre-Diabetes |
100-125 mg/dL (6.1-6.9 mmol/L) |
140-179 mg/dL |
5.7-6.4% |
Diabetes |
>126 mg/dL (>7 mmol/L) |
>180 mg/dL |
6.5% and higher |
*Note that different agencies establish different standards. Some range 70-100 mg/dL, some 70-110 mg/dL, some 70-130 mg/dL
**Some agencies recommend <180 mg/dL post-meal especially in the elderly and those who have had diabetes for a very long time
What should your goals be? That is between you and your healthcare team because it does depend on various factors. But overall your goal is to gain good control of your diabetes, which means maintaining normal levels or getting as close to normal levels as possible (refer to the normal numbers above).
We’ve answered some specific questions regarding blood sugar over here, so be sure to check those out as well.
Some specific comments and questions we’ve received regarding blood sugar levels include:
1. My post meal is hovering around 140-160, what steps can I take to reduce it? My meals are well-regulated and low carb.
I would be curious as to your pre-meal reading and compare the two. While 140-160 (7.8-8.9) is slightly higher than optimal, it’s not that far out of range. Below 140 (7.8) post meal is very good. ADA goals recommend post meal readings under 180 (10), which you would meet but below 140 (7.8) is always a better goal to aim for.
My other question would be how long after meals are you checking your sugars?
It should be 2 hours from the first bite of your meal. If you are checking too soon after, insulin has not yet had sufficient time to bring them down to a reasonable level.
Finally, be sure you are including sufficient protein and fat with your meals, which will help to slow down the post-meal rise and keep it more stable. In addition check this info for more ways to keep your blood sugar controlled.
2. So my doctor has me checking my blood sugar and I am supposed to bring her my results in a week. However on this, my first day I am lost when it comes to understanding my readings! When I feel normal it’s at 112 (6.2) but when I feel sick or shaky its at 65 (3.6). Can you explain please?
Because 112 (6.2) is a normal reading it makes sense that you’d feel normal and because 65 (3.6) is way below normal, it makes sense that you’d feel poorly at this reading. Please check this info to help explain in greater detail what these numbers mean.
While diabetes is primarily a condition of elevated glucose (hyPERglycemia), many also experience low blood sugar (hyPOglycemia–you can read more about hypoglycemia here) for a variety of reasons, the top one being medication.
Blood sugars less than 70 (3.9) will often produce the exact symptoms you described: sweaty, shaking, clammy hands and dizziness – symptoms of hyPOglycemia. The goal is to avoid this by eating a balanced diet, do not skip meals and take any prescribed medications appropriately.
If you do experience hypoglycemia, the rule of 15 applies: take 15 grams of carbohydrates, wait 15 minutes, then check again. When it is normalized, have a small snack with some protein to help keep it stable.
3. I was told I have diabetes. My sugar was 241 (13.3) and I was put on a pill. I have experienced sweating shaking and I am always tired. I just tested and my reading was at 83 (4.6) but still shaky and blurred vision.
It is difficult to respond without quite a bit more information such as what pill you started taking, the dosing, and several other factors. But, my initial thought is you may be experiencing hypoglycemia. While technically your reading of 83 (4.6) is not in the hypoglycemic range, when there is a drastic shifting in your blood glucose and your body isn’t used to it, you can still experience hypoglycemia.
Even though 83 (4.6) is a ‘normal’ level, it is quite a jump from 241 (13.3). Obviously whatever you are taking is effective at reducing glucose, but it may be too high an initial dose for your body to handle. I would encourage you to discuss this with your physician who prescribed the medication asap. Do not change medications or alter dosing without discussing with your doctor and pharmacist as this can be harmful.
4. I am a diabetes patient of 8 years. My sugar is fasting 200 (11.1) and after two hours 287 (15.9) and cholesterol 570. I use many medicines but not control this time. I use insulin 16 units in 24 hours and use of tablet Veldomnet 50/800 1+0+1. How can I do better?
I’m unfamiliar with Veldomnet, but all medications have to be discussed with your prescribing physician. It is not our place to advise you medically.
We can encourage you to ensure your are following a healthy, balanced carb-controlled diet, exercising regularly, getting enough sleep, managing your stress, and maintaining a healthy weight – aside from your medications, these are 5 key areas you could likely do better.
We know that lifestyle changes go a long way to improving blood sugar control and overall outcomes on your health!
5. I have type 2 diabetes and would like to know how to hold a 6.9 a1c level. What would my morning fasting blood level need to be?
This is a very good question. Your HbA1c is a 3 month snapshot of how well your glucose levels have been running on average. Whereas your daily readings are an actual number of how much glucose is in your blood at any given time.
There is an A1c to EAG calculator that estimates your average glucose based on A1c and vice versa. An A1c of 6.9 yields an average glucose of 151.
Here is a chart of A1c to estimated average glucose (EAG).
A1c | EAG | |
% | mg/dl | mmol/l |
6 | 126 | 7.0 |
6.5 | 140 | 7.8 |
7 | 154 | 8.6 |
7.5 | 169 | 9.4 |
8 | 183 | 10.1 |
8.5 | 197 | 10.9 |
9 | 212 | 11.8 |
9.5 | 226 | 12.6 |
10 | 240 | 13.4 |
Just be aware, this is taking into consideration average of all values including both fasting and post-meal. Because the A1c is an overall 3 month average, it isn’t possible to answer your question exactly because blood glucose is measured daily. But know that a healthy fasting glucose level is under 110 mg/dL (6 mmol/l) and preferably under 100 (5.6).
6. Fasting blood glucose 99 mg/dl (5.4 mmol/l), also have pcos. Concerned about whether it is normal fasting blood glucose range or not.
Fasting blood glucose under 100 (5.6) is normal unless you are pregnant. PCOS can render glucose control more challenging, but is seems you are doing well considering you have this condition.
Know that you are at the brink of ‘pre-diabetes’ with a fasting of 99, but it is still considered normal range. Ensuring you are following a balanced low carb diet, exercising regularly and maintaining a realistic weight (sometimes with PCOS achieving a ‘normal’ BMI is not realistic) will help keep you below that pre-diabetes marker.
7. My step dads sugar is at 551 (30.5). Never can he get it under 400 (22) even with his meds, what should we do?
Any blood sugar level exceeding 350-400 (19-22) is considered medically dangerous and your step dad should call his physician’s office immediately.
With glucose levels at 551 (30.5) he will be advised to go to the hospital where they can stabilize his levels via intravenous insulin and other measures. It is unlikely he will be able to resolve this issue on his own at home.
Diabetic Ketoacidosis and Nonketotic Hyperosmolar Hyperglycemic Syndrome are both life-threatening and can cycle into a coma and even death if not treated immediately. Please contact your physician if this is the case.
Also ensure that the meter you are using is calibrated and the readings you are getting are accurate because living with levels this high day in and day out is dangerous and can lead to serious diabetic complications.
Hope all this info helps cover some of your own questions. If not, feel free to leave your questions below.
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james
hello i have been told to chewck my le vels last night before going to bed my glucose level was 5.7 and before dinner now its 8.9 is that normal i feel so sick confused lossing weight confused and shacky and forgetful any ideas and keep going to the loo and breath smells like alcohol i keep getting told
Malorie: Dietitian (MS, RD, CLT)
Hi James,
With these symptoms you want to visit with your doctor to discuss.
Claudia Burk
12 years ago I was diagnosed with type 2 diabetes. A year ago I went in for my normal check up and my Dr said I no longer had it, 6 months later he gave me the same test result ( no diabetes) I am confused because my glucose level quite often still shoots up to over 200. If I no longer have diabetes why does this happen? Because this scared me I have never quit taking my metformin so these are the #,s I am getting with medication. I was on 1000 mg. twice a day and I did cut it in half
Emily - Dietitian (MS, RD)
I think you should as your doctor exactly what he or she meant when they said no more diabetes. Technically, once you have been diagnosed you are always going to have diabetes– but it can be controlled to the point where it doesn’t seem like you “have it.” (But again, the diagnosis itself does still remain.) Possibly your doctor was referring to your A1c value, meaning that it was less than 6% and therefore considering the diabetes reversed?
Most importantly, you should continue to check your blood sugar as you are doing. If you aren’t already following a low carb diet this may be something to try to help lower those 200 levels you are observing. Additionally, keeping a food/activity log may help you identify why your blood sugar is shooting up.
Concerned
I believe that I am prediabetic (no meds)…morning numbers between 100-110. I pretty much stay around 110-120 post meal. Can I get my fasting sugars down with eating a small snack before bed? Also, I have not had sugar issues prior to going through menopause. Can this trigger Type 2 diabetes?
Emily - Dietitian (MS, RD)
Hormones play a huge role in blood sugar regulation and diabetes progression, so it’s quite possibly that the hormone changes occurring during menopause did contribute in one way or another. This article gives some GREAT information about prediabetes, and how to prevent it from progressing into type 2 diabetes.
A snack may help your morning numbers (focus on a fat/protein snack such as cheese or a hard boiled egg), and one other favorite remedy is to try some apple cider vinegar prior to bed as this seems to help many of our members.
Dheeraj
Hello… My baby is of 19 months and he has hypoglycemia from starting day,he now has rating between 50-60 if randomly check the levels….. Doctor has suggested us to give 3times a Day with Dizoxide tab….. So plz help us how to maintain levels above 75…..please
Emily - Dietitian (MS, RD)
Unfortunately this is not our area of expertise. Perhaps your doctor may have a recommendation for a pediatric dietitian!
anne williams
i have type 2 diabetes and my sugar levels was 12.4 this morning,,is this normal x
Emily - Dietitian (MS, RD)
That’s a bit high, Anne. Ideally you want to be under 7.8 mmol/L, or as close to it as you can get. Have you tried a low carb diet? Research shows this as one of the most effective ways to lower blood sugar and A1c. Check out this food list!
DEnnis
I was dignosted with prediabetes 6 months ago 6.2 I was over weight 253 I lost 20lbs in two months my A1c came back to normal as of today I have lost over 50 lbs since sept 2018 I have no sighs of Diabetes never did my heart and everything is healthy
so my question is do I stil have diabetes my numbers have been 5.6 im not going to the dr for the Diabetes no sense
Emily - Dietitian (MS, RD)
Diabetes is not reversible from a diagnosis standpoint- once you have it you have it; however it can be well controlled to the point where you have so signs or symptoms of diabetes and you will be able to maintain normal sugar levels without medication. Just make sure to review your plan of care with your primary doctor- it may not be necessary for you to continue seeing a endocrinologist, but it may still be a good idea to have your A1c level checked yearly to ensure things are still going well.
Edward Oblie
1. Hi, I resently had a 9.3 readings blood sugar and in a week’s time it came down to 6.3 , am I getting diabetes ?
2. Am really worried to know what to do , about a sore on my right ankle which seems to be keeping long to heal. What do I do Please .
Thanks
Emily - Dietitian (MS, RD)
9.3 mmol/L is definitely elevated into a diabetic range. With regards to your wound, there are two possible scenarios. Your blood sugar could have been elevated in relation to your wound- infection can cause elevated blood sugar. The other possible scenario is that people with diabetes do often have delayed wound healing due to poor blood flow.
My suggestion is to speak with your doctor concerning the matter. They should check you A1c level which will tell you how your blood sugar levels have been over the past three months; A1c goal is <5.7%. They will also need to evaluate possible causes of slow wound healing.
Carolyn A Coleman
Carolyn, I was diagnosed with type 2 diabetes in 2006,I didn’t really understand a lot about it even tho both partners died from it my mother last year I am recently on 1000 milligrams of metformin an 10 milligrams of glipizide. I’ve been under a lot of stress and in the process picked up considerable weight gain. My sugars have been running in the 270 daily even wen I take my medication I’m very afraid I want to get back on track. I recently moved to a new state so I don’t have a doctor yet an getting more anxious.i want to get back on track I always prayed I wouldn’t need insulin but looks like I’m heading that way. My question if you go on insulin is it a permanent thing? THANK You for listening ,TIRED STRESSED, AND DEPRESSED😔
Emily - Dietitian (MS, RD)
Insulin does not have to be a permanent thing, but the most important piece is doing whatever it takes to keep your sugar under control and prevent any nasty complications down the road.
Stress is pretty awful for our health- it raises blood sugar, and also causes weight gain. Weight gain is also associate with raising blood sugar, which then causes further stress. My point is that it’s a viscous cycle that you have the power to take control of! The two biggest things you can start doing, before you even find a new doctor, is to re-evaluate your diet (check out this list for some help) and get moving! Even if your doctor does start you on some new medication and/or insulin, you may find you need less of the medication because your diet and exercise regimen is already in place. Good luck!
Kanka Alfred
I’m in Bishop California, the City with the smallest number of fat people to slim down and get Blood Sugar back on Track. Yesterday I ate at 10.00 pm an reach Farm Omelette and Today I had a Coffee at 07.00 am. Walked for half an hour and had another coffee. Walked then half an hour down to the Shop and had a small Natural Yogurt, a few Almonts and two Prunes. Bevor eating the Reading was 11.3 but after eating that I fell so sick I can’t explain. Two hour later I have a reading of 11.1 but I have two testers and they are sometimes showing different and sometimes not. So the one shows 9.3 and the other 11.3
Emily - Dietitian (MS, RD)
Hi Kanka,
I am not sure why you felt so sick after your yogurt, nuts, and prunes. If you are not used to being 11.1 mmol/L, then the higher blood sugar could be contributing to the sick feeling. For best blood sugar control you may want to eliminate the prunes/ dried fruit– try picking mostly foods from this list to help get your sugar under better control. Having blood sugar within range (4-6 mmol/L before breakfast, and under 7.8 mmol/L after meals) may improve how you feel.
If the sick feeling persists persists then I would definitely recommend following up with a doctor.
And, yes, you’re right that meters can vary. You may be able to find a calibration solution at your local drug store and this can help give you insight into the accuracy of each of your meters. Whenever a number seems “off” make sure to re-check.
Phoenix
My bedtime blood glucose was taken at midnite and was 117 (approx. 5 hours after my last meal), but when I checked my fasting glucose this morning it was 154. Why did it go up if I hadn’t eaten anything and is there anything I can do to prevent this from happening?
Jedha: Nutritionist (MNutr)
It’s not unusual in type 2 diabetes Phoenix, it’s called the Dawn Phenomenon and happens due to hormones. Read this info on morning blood sugar levels.
Jecinta
A friend’s blood sugar level after meal was 117 that’s aroud 10:47pm. She’s Type 2. Is this a good reading?
Jedha: Nutritionist (MNutr)
Under 140 2-hours after meals is ‘normal’ – that’s when it’s best to test. But if it stays under 140 most of the time, then it’s good too.
Carlos
Hello,
I have been diagnosed with prediabetis 3 weeks ago and I have been taking measures every morning ( fasting ) and the results are somewhat erratic, it varies from under 100 some days to a little over 100 other days.
Sample:
03/ago 88
04/ago 90
05/ago 93
06/ago 102
07/ago 103
08/ago 103
I do exercise often and watch my diet.
Are there any other times I should be measuring my sugar levels to see if all is well ? Is there a chart to indicate “normal” levels ?
Thank you.
Emily - Dietitian (MS, RD)
Most organizations recommend maintaining a fasting level under 126mg/dL, although for even better control aim for under 100mg/dl in the morning. Your numbers are acceptable as is!
You may also consider checking 2 hours after a meal, this is called your post-prandial value. Aim for a value less than 140 mg/dl. Most people find great success in achieving these ranges by following a lower carbohydrate diet. Here is a article about blood sugar ranges that you will find helpful.
amit v
Hi,
I have a two-part question –
1) recently i checked my blood sugar level and it was higher than normal. My hba1c was 7.6. Soon after a week i went for another fasting test and post prandial test and the result was – 148 mg/dl and 185 mg/dl. since then, within two weeks i took some steps to self assess my blood sugar levels. my new readings are 117 mg/dl and 142 mg/dl. and they have pretty much being in the same range (occasionally it drops well closer to the normal levels). i am pretty confident that my blood sugar levels will drop further, maybe under 100 (fasting). does it mean i have diabetes or am I prebiabetic?
2) i dont really have any direct symptoms of diabetes. i do drink more water than normal so i do urinate often, i work almost 14 hours a day in which i commute 4 hours, so i am tired but when i am home relaxing, i dont. so in my case, (where once i was over the diabetic range and other times i am not) does it mean i am prediabetic and not diabetic?
3) if through natural and lifestyle remedies, i manage to keep my sugar in normal or prediabetic range, will the various complications affect me or will i stay fairly away from such complications as a normal person would do?
Emily - Dietitian (MS, RD)
The criteria for a diabetes diagnosis is as follows: HbA1c greater than 6.5%; or post postprandial level greater than 200 mg/dL on two occasions; or fasting level greater than 126mg/dl on two occasions. Your A1c of 7.6% classifies you as diabetic.
While diabetes is not reversible from a diagnostic standpoint (once you have it, you have it), diabetes can be reversible from a physiological standpoint in many. Meaning through lifestyle changes you can maintain normal sugar levels- and this should absolutely be your goal! By maintaining near normal sugar levels, you can significantly lower your changes of developing any diabetic complications.
Consider trying a low carb diet to help get your sugar back into range.
Siddique
Hi I’m siddique from India
My fasting blood sugar is 94.but 2-3hours after the meal sugar level is 220. What you can recommend and what does it mean?
Jedha: Nutritionist (MNutr)
Hi Siddique, 220 is high. Ideally after a meal you want your blood sugar level to be under 140 so what that means is you need to adjust your diet. You probably ate a meal very high in carbohydrates so a first good step is to look at reducing carbs.
carol
I am type 2 diabetic I am taking 850mg of metformin 2 times a day i recently had a1c test done it was 5.6 is that to low?
Emily - Dietitian (MS, RD)
That is a great A1c, Carol! Under 6% is your goal, and you do not have to worry about it being too low unless you are in the low 4% range.
kapilan
fasting sugar is high more than 158 postprandial is less than 120 is normal
Emily - Dietitian (MS, RD)
High fasting sugar can be a common problem for many, read this article to understand why. You may consider trying some apple cider vinegar and cheese before bed, this combination helps many of our other readers. And make sure you’re getting adequate sleep which can help as well.
Mira
On november 2017, I have done the blood sugar reading after 2 hours eating which is 13.4. So after that i did not even go see a doctor. Instead I just keep living a healthy lifestyle until now. I was 220 lbs last year and now I’m 158 lbs. So today I just decided to test my blood sugar level again and I get 5.9(after eating 2hrs). So I just want a confirmation, am i still diabetic ??? Because I still on my diet which is low carbs and sugar.
Jedha: Nutritionist (MNutr)
Hi Mira, so you’re saying you were never officially diagnosed with diabetes but you took one blood sugar reading in 2017 that was high? In any case, 5.9 is a normal reading. Anything below 7.8 2 hours after meals is good.
Anthony
I am a type 2. My physician has me on 4 units 3x a day plus a long acting overnight of 17 units. I woke up at 141 today, had a cup of coffee and two hours later, I’m still 140. I’m on a strict diet and have lost two inches on two months but these irregular sugars frustrate me. My doctor tells me to keep the sugars under 180, but I still feel failure when I’m above 135. Can 140-145 be a healthy range?
Jedha: Nutritionist (MNutr)
Hi Anthony, sorry to hear of your frustrations. Research shows that keeping blood sugar under 140 at all times is the best way to avoid complications. Keep in mind that morning blood sugar tends to be higher in many people with diabetes. We have some great info on that over here that might help you understand why.
Preeti
Hi! I am preeti and having 24weeks of pregnancy. I am pre-existing type -2 diabties patient .My fasting suger level always comes below 100mg PP comes under 140 but once in a blue moon my suger (PP)goes up like 160mg. So I am little worried about my baby.
Kindly suggest
Emily - Dietitian (MS, RD)
Hi Preeti, it’s important to analyze what foods you’re eating that cause your post prandial levels to rise- have you tried keeping a food log?
In general, foods included in this list will leave your blood sugar the most stable. With that being said we always stress that everybody is different and people will react to certain foods differently than others, if you find a particular meal is the culprit of your higher PP levels, then obviously that is one meal best left avoided.
Gulab Damahe
Sir ,I have diabetes from 17 years since 15 days I m using generic tablets replacing some old tablets.the generic tablets tri-glynaze-1 at night and galvus met in afternoon.the results are blood sugar ration(mg/Dil)-fasting is 99 and postmeal is 93.want to know why this is happening…..??
Emily - Dietitian (MS, RD)
Gulab, I am not sure exactly what you are asking. Based on the numbers you described it sounds like you are doing quite well managing your sugar levels. We always recommend checking with your doctor if you have any questions about those medications you described. Let me know if there is anything else I can better answer for you.
Devanand
Hi.. my father is having diabetes for 9 years now… Over the years he has lost lot of weight but his sugar level keeps increasing. He is in insulin now but still his sugar level is hovering around 560 post meal. We got admitted a hospital and they gave him more insulin. Post discharge he is getting worse like disoriented and having headaches. Are we missing something.
Emily - Dietitian (MS, RD)
If the readings of 560 mg/dl are frequent, then that is definitely a sign that the current medication/insulin regimen your father is on is not working with his lifestyle, and I would recommend exploring additional options with his doctor. Actually, whenever a reading greater than 400 mg/dl is observed we encourage you to seek medical attention as these levels can be quite dangerous and may be contributing to some of the side effects you described!
If your father is agreeable, making some dietary changes, such as adapting a lower carb diet will also help a lot to lower the chronically high blood sugar levels.
Kara
Hi. I’m pretty new to testing my glucose, which I started today, and understanding the results. I also have low magnesium, which can cause severe muscle cramps, as it did today, so I forgot and ate a little bit of breakfast and took my magnesium supplement before testing. Maybe a half hour later, I stood up and felt weird—moving slowly, legs felt heavy, muscles tight—so I tested my glucose at that time, and it was 403, which is more than twice the highest result at the doctor’s office. I panicked, ok? I don’t have strips to test my ketones, so I was afraid to exercise. Sat down for about 20 minutes and tried to relax, then tested again, and it was 391. Waited another half hour and tested again, and it was 249. So I’m wondering…Was it the bagel and cream cheese I ate with the magnesium that made it so high so quickly, or was it likely high before I even ate?
Emily - Dietitian (MS, RD)
Hi Kara. It was unlikely the magnesium that caused the high blood sugar reading (magnesium is actually quite good for diabetics), but more like the carb-heavy bagel you had for breakfast. Here are a few low carb breakfast ideas that would make much better meals!
With that being said, based on the time-line you described above, I would also suspect your blood sugar was elevated prior to eating breakfast- check out this article for some ideas to help lower morning blood sugars.
Kara
Thank you. My A1C was 10.3 when I went to the doctor 3 days after the episode I mentioned. My doctor wanted me to start insulin. I confessed that I really hadn’t been taking the diabetes seriously, and I’d been eating 200+ grams of carbs per day, and he said if I’d get serious, he’d give it 3 months and check it again, if I agreed to start insulin if it was still anywhere near 10. It took a couple of weeks of a low carb diet, but my post-meal glucose is now hovering around 155, and before breakfast around 135. This is with 20 grams of carbs per day.
Albert
Not sure how much this will help anyone but I’ve been taken a herb that’s been around nearly forever that’s been helping me out a whole lot matter of fact I haven’t seen my glucose levels over 116 it has been maintaining a level around 116 and at the lowest 98 or 97 and this is before and after meals before taking the herb my levels was like 185 -190’s sometime but the last three months it have been perfect and give me a lot of energy before I took the herb I ran it past my doctor and he said it was fine to take with my daily diabetes medication so for those who having issues with their glucose levels I recommend a good herb for diabetes it helped me tremendously.
Jedha
Thanks for sharing Albert. We encourage people to use scientifically proven herbal remedies to achieve better glucose control – we have ample information on those here.
Jyotiba
Thanks jedha madam for your valuable advices. three months back when I Frist time checked my sugar level it was 130/ and 240 and I started ayurvedic and herbal medicine and now sugar level is 93 and 126 with no any other problems , can I now stop the medicine or continue ? Please advise me madam.
Emily - Dietitian (MS, RD)
Check with your doctor about stopping medication and/or herbs.
Stewart M Gangwer
13 years ago I was diagnosed as T2. I live and consume food by the meter. If I get a blood glucose reading of 112 I don’t eat and ignore psychological thoughts of hunger and wait until my reading gets to 85. I take no meds. I threw them in the trash. My reasoning is simple. If I read 112, my body is simply stating there is sufficient glucose to function just fine. I am 68, good shape and feel great.
Emily - Dietitian (MS, RD)
It always comes down to what works best for YOUR body. Glad to hear this regimen has you feeling great.
Charmaine
Hi there.
I am 69 female and would like to know what my sugar levels should be fasting?
I have had 110 cm of my large intestine removed due to divitucolitis.I had an Ileostomy bag for 13 months but had it reversed one year ago..
I cannot eat much fibre as it goes right through me..my fasting sugar levels are from 5.6 to 7.6 is this a safe level.I take a tablet every night for diabetes called diaformin
Thankyou
Kind regards
Charmaine 🌷
Emily - Dietitian (MS, RD)
It’s best to maintain fasting sugar levels between 4-7.2 mmol/L, with optimal control being under 6 mmol/L. Here are some tips for helping to lower your morning sugar!
Rica giri
My age is 19 and Recently i have been using Duoluton L As prescribed by my doctor.Does Duoluton L increase sugar level? My sugar level was 186 after taking meal. And After Somedays sugarlevel was 113 after meal. But i really feel too dizzy and sleepy after I eat sugary things. And I am gaining weight. What may be the reason. Should I consult to a doctor?
Emily - Dietitian (MS, RD)
I would strongly recommend reviewing side effects of medication with your doctor. As for the discrepancy in sugar readings, consider what your meal consisted of– were both similar in carbohydrate content? In general, the goal is to maintain blood glucose under 140 mg/dL 2 afters after a meal.
Vee
I checked my RBS yesterday and it was 8.6 I checked again today after 5 hrs of eating and it was 9.4. I am only 23 years and I weigh 50 kg. I hope this does not indicate that I am diabetic.
Emily - Dietitian (MS, RD)
By RBS, do you mean random blood sugar? It’s hard to interpret what those values mean, especially after 5 hours of eating, because anyone’s blood sugar would be elevated regardless of if they are diabetic or not. A better indicator of diabetes may be to check your fasting blood sugar first thing in the morning (goal = under 6 mmol/L) and your 2 hour post meal level (goal = under 7.8 mmol/L.) If you find your fasting blood sugar and/or post meal levels are chronically elevated, then I recommend speaking with your doctor about a formal diagnosis and starting a treatment plan.
Malinda A Miller
I was diagnosed pre diabetic. My 30 day average Blood sugar is 113. I can not get my sugars below 100. I am 67 years old. I am following a low carb 30 or less grams per meal 1200 cal and low sugar. I have lost 40 pounds and have 20 more to go. I am now at a stand still . Not sure what I can do to get my sugar any lower? Any advice. Thank you.
Emily - Dietitian (MS, RD)
While a fasting blood glucose under 100mg/dL if definitely ideal, your average of 113mg/dL is a great start. (Many experts say anything under 130mg/dL is good.) High morning sugars can be a problem for many diabetes, consider trying some of these ideas to help bring your average a little lower.
alyr
Diabetes is on my mother’s side so I’m always tweaking, even though my glucose is fine. I always want it “better”.
64 year old female with BMI in normal range.
So, if my pre meal reading is say, 77 to 80 and my 1 hour or 2 hour is 105-108 would you say that is a big variance and I had too much sugar fruit in my smoothie or something? Yes, there’s protein and fat in there and I realize 108 is perfectly normal compared to 140.
Just curious about the 30% increase.
And how many hours should I look for it to go to pre-meal levels.
I notice that if I have certain starches, it can be really slow. Like many HOURS. Even half a day!
alyr
Wow. I found this when googling 30% postprandial.
That was ME. I gained 60 lbs, had an almost 11 lb baby. (didn’t know anything about blood glucose way back then. And I drank a TON of milk!
So yeah, I have “the diabetic predispostion/gene”.
“With a mean third-trimester blood glucose of 133 mg/dL or more, 72.9% of infants in our study group were macrosomic. The higher the mean blood sugar level, the higher the incidence of macrosomia (see Table 2). Data from a study of diabetes in early pregnancy revealed that with a postprandial glucose level of 119 mg/dL, approximately 20% of infants were macrosomic, but a 30% increase in the postprandial glucose level to 158 mg/dL resulted in a predicted increase to 35% for fetal macrosomia.[16]
Consistent with the previous reports,[7,17,19,20] excessive weight gain during pregnancy was identified as a risk factor for macrosomia. Whereas other studies have found an increased risk of macrosomia associated with high parity[7,17,19,20] and high pre-pregnancy weight,[18] these 2 variables did not affect the risk of macrosomia in our population.”
alyr
AND my baby went home in 9 month old clothing. Weighed way above normal for the first year or so then settled down to normal range. Still normal at 35 years old. But I feel sorry that I started his life off with all those excess fat cells.
Emily - Dietitian (MS, RD)
Those readings sound like you’re doing a lot of the right things! It will take anywhere from 2-4 hours for your blood sugar to return to pre-meal levels. I do not think the 30% increase is a concern, most importantly you are still within range. When choosing fruit, we recommend cherries, strawberries, blueberries, raspberries and cranberries (raw) because they are lowest in carbohydrates and highest in fiber.
And yes, some carbohydrates will take longer to break down. This is just part of the reason we recommend following a low carbohydrate diet, it’s much easier on your metabolism.
alyr
Thank you Emily! I so very much appreciate your reply. And so speedy!
I actually follow the Fuhrman way of eating (also coined “Nutritarian”) which has tremendously helped me figure out that the greens and vegetable carbs, whole fats and proteins are working great for me with some fruit. I feel fortunate that I don’t have to control my glucose so strictly as to not get the benefits of the healing powers of those carbs. But white potatoes are definitely NOT on the menu!
I started Fuhrman when my labs a year ago showed fasting glucose of 90. I did NOT like that even though my doctor was casual about it. I KNEW I had to bring that down. So now it is typically 75 or so in the morning. If it was worse, I might have taken a more strict approach like Dr. Cousens. Or even KETO-ish … but….as you know, it’s still debatable what the REAL effects are on lipids and cardio eating high fat, high protein and low carb. Especially in my age demo.
The lipid panel had 2 “bad” components – LDL and TOTAL. High HDL, good Triglycerides. So my goal is to bring them into normal range and this month will be my follow up labs.
Anyway, thanks again! It’s tricky balancing the power of food once you realize the damages you may have caused all your life once you get educated to how everything works.
Ahsan Shabir
Hello…
I have a question. My mother is suffering from Diabetes Problem and also has high bp. Her blood sugar level (fasting) was 240. today. She takes medicines for both the problems but the sugar is not co.ing to the normal range. What can she do? Please suggest.
Jedha
Medication is just one part of the puzzle to help lower blood sugar Ahsan. If her levels are still high you need to consider making diet changes, including more exercise and looking at things like sleep quality and stress levels. The best place to start though is with looking at how many carbs she is eating.
Judith Wilkerson
Hello
I truly enjoy the articles I read on your website. I have been told I was Diabetic type 2. My a1c was running around 6.5-6.6. It is steady at 6. 6. However just recently my diabetes has changed. I just saw a dietitian and learned how to eat better. I used to snack sweets in small Amounts instead of eating regular food and my diabetes seemed to be controlled now I am having various issues with blood sugar elevating which started slowly about a month ago. I started my diabetic diet after I left her office. This morning my fasting blood sugar read 141 two hours after breakfast my reading was at 176 Then after a snack of Oiko Greek yogurt two hours later it dropped to 117. All day I have had the shakes, bad headache, dizziness and upset stomach. Could this be from such a dramatic change in my diet? I am new to controlling my diabetes and shamefully admit I just turned 65 on Christmas. Please advise what I can do to prevent these horrible side effects I am having I think have to do with my diet changes Thank you all so very much.
Judy from Oregon
Emily - Dietitian (MS, RD)
Yes, those symptoms could occur from a dramatic diet change When some people drastically cut the amount of carbohydrates in their diet, they may temporarily experience some of those symptoms (headache, nausea) — luckily the symptoms usually only last a few days. The diet changes could have left you a bit dehydrated so make sure you’re drinking plenty of water to help your body adjust. Also, be aware that symptoms like headache and dizziness can be signs of low blood sugar (hypoglycemia)– if your feeling those symptoms and are concerned your blood sugar might be too low (possibly from skipping a meal or extra physical activity), use your meter to check and treat if necessary. Or try adding in a little more carbs and reducing them a bit more gradually, especially since your body could be used to all those sugary snacks.
Alex
12 months today I pretty much got a death sentence from my dr. Y’all, my A1C was 11.1 my cholesterol and triglycerides were off the dang charts. I’m 34 years old , taking meds for hypertension, back aches , digestive issues (ulceration colitis). I was dealing with crippling anxiety and depression and then after that dr visit of a glucose reading of 494 , I began to have panic attacks. To say I was terrified to the absolute core would be putting it lightly. I didn’t know where to start , or what to do. I always turned to food and other things to fill the voids inside me. I was up to 353 pounds.
I’m now proud to say after so much hard work and non wavering dedication I weigh a little under 260. I’m 6’6 so I would still like to lose more but I just want to thank everyone for the inspiration. I hardly even recognize myself anymore. I haven’t worn an xl shirt since my sophomore year in high school. (About 20 years ago). My anxiety and depression is pretty
much gone. My digestive stuff has pretty much completely dissipated, and I feel like I have a new lease on life.
Jedha
Great to hear you’ve made such great progress Alex – congrats!
AMR
I just found out I have type 2 Diabetes,and it’s hard for me to not want to eat what everyone eats,I’m trying to find a good diet that works for me any suggestions ….
Emily Incledon - Dietitian (MS, RD)
It can be overwhelming to receive this news AMR. Try exploring these resources to help you get started.
Brenda Sisco
My husband’s blood sugar level had been 100 to 150 for over three years. Now it is averaging 150 to 200. His eating habits have not changed and we do watch carbs. Could his body suddenly be not producing as much insulin? Any help would be appreciated.
Emily - Dietitian (MS, RD)
Yes, it is possible his body is producing less insulin and/or he is becoming more insulin resistant. It’s great you and your husband are watching his carb intake, but it may be time to take a closer look at those carbs. Consider things like the type of carbs (vegetables, fruits, nuts vs. refined flours and starches) and the timing of carb intake (small amounts at each meal vs. all at once). Low carb is considered anything under 130g/day, but many people have the best results consuming between 50-80g/day. Check out this info on carbs per day.
Gwen Razon
My fasting blood sugar is 140. I was given a metformin as maintenance by my doctor. Then I self checked my blood sugar it is now 100. Am I still diabetic?
Jedha
Once you’re diagnosed diabetic, you’ll always be diabetic, at least in terms of diagnosis. However, people do “reverse” their diabetes, which means they are “well controlled” or in “remission” and maintain normal blood sugar levels. If you just took one reading of 100, that’s good and may mean your levels could be coming down. But you can’t judge off just one reading either. Hope that makes sense.
Gwen
Do you advise keto diet for diabetic? If so,How about the cholasterol?
Jedha
Gwen, we don’t use a keto diet here, but a low carb diet, which also does increase fat somewhat. In terms of cholesterol, you’ll find it interesting that many people are actually lowering cholesterol because eating fat does not automatically equate to high blood cholesterol. Read this info on cholesterol and this info on fats.
Jennifer Douglas
Numbers do confuse what I cannot understand with the Diabetes world overall, this disease is shared by the world, yet there are different cut off numbers, some only vary slightly others different due to this, it depends where one is in the world time of diagnosis quite a frightening situation as one can be labelled Diabetic, when infact your not and only pre diabetic for example.
My case. My A1C is 6.6% with n o medications, low carb diet exercise. Spain this is viewed labelled as diabetic even with only one test, and no classic symptoms.
If I jump on a plane back home to New Zealand 6.6% is viewed as pre diabetic, caution zone, label of diabetis not given, with further testing 6 months later, this seems to be a more pragmatic sensible view as to label one diabetis when sitting on a borderline number and not excessively over this, i.e. one number.
The cut offs as I understand are all Arbitrary set by the expert committees and acknowledge they are chosen at whim and random, this should not be in place, one cut off with medically supported at that chosen number should be the same worldwide instead of varied cut offs.
Changing cut offs means say a person could be 140 mg.dl when it is changed to 110 for example overnight thousands who were viewed normal suddenly become pre or diabetic, this is appalling, as many may be wrongly diagnosed and more so unnecessarily prescribed medications, for this THE CUT OFFS WORLDWIDE should not be Arbitrary.
For this, situation, I feel is the crux of confusion of thousands of people worldwide, if the system currently is as explained within, where a person because they are in one country and their cut off is 6.5% for A1C yet another country is 6.7% to diagnose Diabetes, is a situation that should not be existing.
I feel the Diabetes world may be a big business at the end of the day, here are people testing 1,2,3,4,5, times a day in some cases, and for what, checking the finger test results against Arbitrary numbers seems a ludicrous situation overall.
I am not surprised the numbers cut offs formats of diagnosing due to variations worldwide, there should be one number, set for all, and the world follows that strict criteria to save confusion yes or No?
Jedha
Under most circumstances a physician will run more than just one single A1c test to reach a diagnosis. It may be 2 A1c tests or often the collection of both A1c with fasting blood glucose or a glucose tolerance test – at least, that’s what they “should” be doing. Using a collection of numbers together helps form a much clearer picture of what may be occurring in a persons body. But it is agreed, I would answer your question with a YES.
Cathy A Johnson
Hello I have type 2 diabetes and when my sugar reaches 126 or 113 I have the effects of low sugar sweating shaking and nausea please explain
Jedha
Have you got a history of higher than normal blood glucose levels? Sometimes when the body is used to high levels, your body can react in the same way as low blood sugars, until it adjusts to a new normal. This can especially be the case when you’re trying to gain tighter control. You should also speak to your doctor about this.
jagdish
I am having chronic diabetes for the last 30 years. My medication is presently 1000mg two times a day plus glybride 5mg, 2/ day too. I am more worried about the fasting glucose level which is in the range of 150-175 when it is below 150 at bed time. I take dinner 3 hours before I go to bed. My question is how to control the lever stop releasing sugar in blood
Jedha
Fasting blood glucose levels can be a challenge and there is no definitive answer. Some small studies suggest a slice of cheese with 1-2 tablespoons of apple cider vinegar in water before bed may help. Berberine is another supplement that has shown some positive results – though you should discuss any type of supplementation with your doctor before proceeding. Then overall, gaining tight control of your levels on an everyday basis is important – good healthy diet and regular exercise. You might also find this info on dawn phenomenon helpful.
Jane
Since changing my eating habits my fasting sugars have dropped significantly from 6.2 down to 4.3. I had also been experiencing severe night sweats and sleep interruptions. I take 1 Janumet tablet each morning and insulin at night. With the severe drop, I have cut back on my insulin, 1 unit at a time, but fasting sugar is still low. I was taking 42 units each evening and am now down to 39 units. Night sweats have stopped, but fasting sugar this am was still 4.6. Should I continue to reduce my insulin or increase testing regime. Thanks for your help.
Jedha
You should speak to your doctor or healthcare team about this Jane.
venugopal
I am detected Diabetic very recently and has been asked to take insulin 18 before breakfast in the morning and 10 units before dinner in the night along with 2 tablets glycomet 500 mg I use to check alternate days it hovers between 105-140 fasting sugar and 125 after 2 hrs of breakfast is there any step rewired it is ok please suggest if any thing to be followed I started walking 4KM every morning?
Jedha
Sorry, we don’t understand your question. Are you asking if your numbers are okay? Or something else?
venugopal
yes my question was are those number with in the desired range if not what are the steps to be taken for rectification.
Jagnarine Somwar
I was shocked after an initial check of my blood sugar….the reading was 222,
need some guidance
Elizabeth
Jagnarine,
This is pretty far outside the recommended range. Schedule and appointment with your doctor to review your overall health and make recommendations in terms of medication. Also check out some of our top essentials posts.
Melissa Reece
My moms blood sugar is 226 does she need to take insulin?
Elizabeth
Most likely. It really depends on a ton of factors like her current diet and activity (if those are pretty bad, she may be able to make some changes and avoid) and degree of pancreatic decline. Generally people start on 1 or 2 oral medications first to see if that brings enough control, but if not she may need to begin insulin. I would advise you to schedule an appointment with a doctor with whom you can discuss options and who will do a thorough assessment.
Daphney
I am a type 2 diabetic and I am on 500 mg of Metformin. This is my second week of taking the medication my blood sugar levels are slightly high, 163 in the morning and 164 at night does this mean that the medication is not working and the dosage needs to be increased? Thank you!
Elizabeth
Hi Daphney,
Whether the Metformin is working really depends on what your blood sugar was before you started taking it. If it has begun going down, it’s probably helping. If it is staying about the same, give it some time…you may need to increase the dosage. Metformin can be taken up to 1000 mg twice daily, but it is often started off low to avoid GI upset.
Sue Rich
I’ve had diabetes for about 6+ years. I usually ran between 6-7. But all of a sudden my levels went up to 8.5 – 10.0. Then after meds up to 30.0. The docs did everything to get it under control, but it didn’t help. In fact when they added 2 more doses of my meds (Glimepiride), totalling 3 doses a day. The pharmacy refused to fill the Glimepiride. They said no one takes 3 of these a day. My insurance also refused to pay for this much of the medication. Finally my doc gave me Trulicity. That did the trick. In fact, my levels are nearly normal with only an occasional spike, and I only have to take one shot a week (self administered), but I still have to take one glimepiride and two metformin a day so far. The meds I think definitely caused my levels to rise until they got the right one.
Elizabeth
Wow, good job being proactive and working to get that straightened out. Sounds like you landed on a regimen that works for you. Trulicity is a great medication option for those for whom it is covered through insurance!
Rhodora Delapena
Hi, my husband is type 2 diabetic. His A1C last Jan/2017 was down to 6.5 which made his doctor and me happy. He is 69 yrs old and is taking Trajenta and Solosa once daily. His fasting sugar usually range from 5.9 – 6.7 but lately he’s been coughing badly so he was put on antibiotics, Fluimucil effervescent tabs and Zykast. Since then his fasting numbers in the morning shoot up to 7.6- 9.4. And his 2-hr after meals reading is up to 11.2 Do you think those meds have anything to do with it? He exercises every morning even with the coughing. Please enlighten me. He does not like going to the doctor at all…thanks in advance.
Elizabeth
Hi Rhodora, it’s hard to say and I would advise you asking his physician. However, it may be simply the infection or illness itself (assuming this is the underlying cause of the cough) that is causing the elevation in blood sugar. We have a post coming soon all about diabetes and illness, so stay tuned!
Melaine Bouge
my Blood sugar levels are always high in the morning (170) fasting. my question is this..is there a time in the evening that i should not eat past to keep the level down first thing in the morning? I am a “snacker” in the evening who wants to do better.
Elizabeth
Hi Melanie,
Evening snacking can definitely contribute to high morning fasting levels. While there is no set time, it is wise to quit eating a few hours before you go to bed and in general minimize post supper snacking. Be sure if you do, you choose healthy snacks and keep your carbs to 15-20 g max. (ie avoid starchy sweet snacks). Keep your eyes open for another discussion on fasting glucose slated to come out very soon!
Sharon mcdonald
I ‘m also having problems with my reading for unknown reasons my blood sugar numbers have been up. I have appointment on Wednesday to get my HGBA1c checked. I’m currently taking 1,000 mg metformin morning and evening.
My morning number have been high due to dawn phenomenon I was told. I had check my number at one time at 2 p.m. and 3 p.M which were in range per my MD. MD is talking about adding another medication to my metformin.
Jane Harwood
I’m new to T2, found out Jan 4th 2017, A1C 6.6 but had been prediabetic for 3 yrs, 5.7- 5.9. Believe it’s hereditary, as my Mom had T2. I am taking 1 Metformin 500 with dinner. I eat healthy but have eaten 1 meal a day for most of my life, and it’s not a pigout. I’m trying to eat a few healthy snacks a few times a day but I am just not hungry, at all. My weight is normal for 5’7″. I’ve researched meal plans and understand the carb/protein/fat ratio. I’m really having trouble eating.
Elizabeth
It sure can be hard to change habits, can’t it? One thing I try to emphasize is that when eating patterns or other lifestyle issues are in check, you can intuitively eat or exercise based on your body’s cues, but when they’re ‘broken’ sometimes you have to go against what you’re feeling until everything begins to line up correctly. The body works best when it receives small amounts of food throughout the day and does not need a large evening meal. Increasing exercise is super healthy and can help increase your appetite as well!
Jane Harwood
I guess that’s where I am. And could be a factor in my T2. Having kept my body in starvation mode (According to my Drs) for years…… Have tried over the years to eat something for breakfast but now with T2, I know I must unbreak the broken. Good info here. Thanks
Sue Rich
I’m in a catch 22 situation. I’ve have type 2 Diabetes, diagnosed 17 years ago. My numbers have been pretty good for my age until the last couple months. For no apparent reason, they took a dramatic hike. I am on Metformin (2 A Day) and 1 Glimepiride. Recently my doctor upped my Glimepiride to twice a day, along with 2 metformin. Now they’ve increased the glimepiride to 3 times a day plus the metformin. My insurance and pharmacy don’t want to fill the prescription. They said no one takes 3 glimepiride a day. The doctor reinforced the doses as necessary, but the pharmacy and insurance say no. in fact they’re calling for a second opinion. But they already have that. two doctors agreed with this dosage. What should i do?
Elizabeth
Sorry for the dilemma–sounds like a frustrating situation. While I wouldn’t recommend going against your doctors advice, there are additional pharmaceutical options to pursue. A much more extensive article on medications is over here: https://diabetesmealplans.com/8777/type-2-diabetic-medication-list-and-guide/. If your insurance would cover a GLP-1 or DPP, those are much more effective than glimepiride. Depending on your glucose control, you may need to consider insulin if you are past the point of producing a sufficient amount. Obviously, you (and/or your doctor) may just need to duke it out with the insurance company. They can be a hassle.
Sue Rich
Thank you so much. My doctor’s assistant did mention an injection once a week, but I don’t want to start insulin shots unless I absolutely have to. I’ll see my doc on tuesday (3-21) and see what he thinks about all this. Thank you again for your insight.
Sue
Elizabeth
Please confirm this medication with your physician. A once a week shot is not insulin–it is likely an extended release bydureon which is very different than insulin. It is effective at maintaining the body’s natural gut peptide hormones, increasing satiety, making the cells more sensitive to insulin, and does not cause weight gain or hypoglycemia. It is a simple pen injection and I’ve seen people do very well in terms of increasing glycemic control.
Jedha
You could also look more closely at diet, exercise, sleep or stress, as these all influence blood sugar. You might also think about consulting with an endocrinologist as they may be able to provide further enlightenment beyond what your general physician can provide.
Sue Rich
:-)
Becky
My Doctor instructed me perform the finger stick test one hour after eating or one hour after I began eating. Everywhere else I see instructions to do the test two hours after you begin eating. Which is correct?
Elizabeth
Hi–good question. I’ve actually seen 1-2 hours after eating by some recommendations, but most often 2 hours is recommended. I think anywhere in that timeframe you should be safe. Because post prandial guidelines are usually paired with the 2 hours, that’s what I recommend to most people.
Jedha
If you’re trying to identify troublesome foods, checking one hour after eating and again at 2 hours can help. Here’s some additional info on that https://diabetesmealplans.com/835/when-should-i-check-my-blood-sugar-levels/ In most cases though, the recommendation is 2 hours.
Nancy
I try to follow a good diet A.M. 117 ( i only monitor once a day ) but i have such a craving for sugar , candy, when i go back to pick up my kids with school bus around 1:30 P.M. all i do is eat jelly beans anything even when i try to curb with an apple or dark chocolate. Help and thank you! ?
Elizabeth
Jedha wrote a great article about that over here: https://diabetesmealplans.com/8561/10-easy-home-remedies-to-stop-sugar-cravings/ Check it out!
Jedha
Definitely try those tips Nancy – those jelly beans are not going to help your numbers.
Kathy Morrill
My husband is a diabetic, and when he checks his fasting blood sugar in the morning, one finger test can be 94 and he tests a different one right away and that can be 148, we do not understand this. We follow a low carb diet he is on metformin, he exercises regularly, what is right?
Elizabeth
There can be some variance even within one meter and meters may vary slightly, but certainly not that much and still be accurate. All meters come with a control solution with which you can check and calibrate the meter. Check the box it came with along with the directions. If you don’t still have that, you can obtain it from a pharmacy. Basically, you put a drop of the solution on a strip and test it, then compare it with the range it says on the bottle. I would do this for both meters to see which is accurate (hopefully one of them is!).
Kathy Morrill
He is using the same meter just taking blood from 2 different fingers?
Jedha
Try calibrating the meter as Elizabeth suggested Kathy and see if that helps.
Kathy Morrill
I tried that too and it was in the range it was supposed to be. He is a type 2 and would love to beat this and get off his meds, any and all suggestions are greatly appreciated, thank you!
Sue Rich
I know what you mean about different readings at the same time, but my doc told me to only test two fingers on each hand. the middle fingers and the ring fingers. It’s something about accuracy. Anyway, those are the only fingers my Doc will test.
Jenny Fordyce
I have been told that my a1c level was 46 and therefore I was prediabetes. I am now 42 and have managed to reverse the prediabetes diagnosis. Please can you tell me how these numbers fit in with yours?
Elizabeth
I would re-check your A1c lab value. It should be a percentage. 5.7-6.4% would be prediabetes (maybe you meant 6.4?). Over 9 is usually when a person would start insulin so I don’t think your A1c is 46. I’m not sure what this number could be, sorry.
Jenny Fordyce
Hi, I have managed to work it out myself by googling. DiagnosticCriteriaPrediabetes.png There is a chart which comes up which shows mMol/like. Perhaps we measure in a different set of Units in the UK. Are you in USA?
Jenny Fordyce
MMol/l
Jedha
UK, Canada and Aus measure in mmol/l, US measures in mg/dl. We have subscribers from all over the world Jenny, which is why we include both measurments in all our stuff.
Still, A1c is always a percentage because it measures the average glucose in your blood over a 3 month period – even in the mmol/l locations. The normal A1c range is between 4-6%. I think you do need to recheck these numbers, something doesn’t seem quite right.
Also, check out our info on prediabetes, it might help provide some answers: https://diabetesmealplans.com/8774/your-guide-to-prediabetes/
Bonnie
Do you know if the meter “relion” (I think that’s what its called) is a good meter? I have an accu-check but can’t afford the test strips. I am prediabetic I suppose, and I have an iron overload which I’m on a low iron/low carb diet, and am donating blood.(started in Jan. of this year and will go again end of march) my fasting number in December was 117, and my home meter reads at 120, or 111 in a.m. and lower in the afternoon. my a1c was 5.7 in December and since then I’ve lost 15 lbs. any tips?
Elizabeth
Reli-on is the “walmart brand” meter, it works just fine. Keep in mind that there is a 15-20 point variance in testing so I wouldn’t worry too much about 117 vs 120. The goal is that, in time, that fasting value will be in goal range. Kudos on the weight loss and your A1c is great!
bonnie
Thank you! I really enjoy this site. Going to try out the recipes-they look good. What do you think about using honey instead of stevia?
Jedha
Honey is exactly like sugar Bonnie so generally we don’t recommend it for a low carb diet. You can find more info on sweeteners here and here. We also have an article coming up on honey soon.
bonnie
okay, thanks, i’ll pick up liquid stevia to try. I hope its safe–trying to get my ferritin down also and am concerned what my liver has to go through.
Jim
In the morning I usually have coffee with milk starting at 8:00. At 8:45 I eat breakfast. Would 2 hours be at 10:00 or at 10:45? If breakfast is only protein will the blood glucose actually rise at all?
Elizabeth
Good question–when we speak of 2 hours, we mean 2 hours from the first bite of food. Although your milk does contribute something and your coffee may have a slight effect as well, it will be minimal. I would check at 10:45 which is 2 hours after you ate breakfast. Yes your blood glucose will still rise even if protein or protein and fat are the only contributors (they do have an impact on glucose, but it is very minor in comparison to carbs). Caffeine in coffee can impact hormones as well. Great questions!