When should one check their blood glucose levels?
The first time to check is first thing in the morning before you take anything into your mouth. At that time, the blood sugar should be under 100. If it is between 100-125, you have pre-diabetes. If your number is 126 and above, you are diabetic.
Even though a level between 90-100 is not officially considered a problem, there are doctors who want to see it below 90 and consider 90-100 pre-diabetic as well.
It is also important to see how high the blood sugar is after a meal. It is normal for it to go up somewhat but if it’s too high, we need to pay attention. This is called a post prandial test. There are an increased amount of studies that show the importance of this test to avoid additional side effects of diabetes.
How high may it be?
According to the American Diabetes Association and the American College of Endocrinology it should be below 140. However, there are some doctors who want to see it under 120.
When should one check after a meal?
The American Diabetes Association recommends testing 2 hours after a meal but by then the sugar level is on its way down already. Some doctors recommend testing as early as one hour after a meal. The best would probably be to go in between and test after one and a half hours. Keep in mind that to expect to be below 120 after only an hour is very difficult to achieve.
For beginners it is recommended to check 7 times daily for the first 3 days; once in the morning, before each meal and 1½ hours after each meal. By doing so, it will clarify where the problem exists and how serious it is which will help to determine how to treat it. At the times of the day were a problem is detected, we need to continue checking daily until the problem is settled.
After all the issues are settled and all the numbers are stable, it is good to check over the course of each week during these 7 times. One day you’ll check in the morning, another day before and after breakfast, another day before and after lunch, another day before and after dinner and so on weekly to ensure that you remain stable.
IMPORTANT: These guidelines are NOT relevant to gestational diabetes whose guideline are a lot more strict. Those who don’t want to take insulin during pregnancy when needed should be aware that they are risking the future of their child and they will never be able to repair the damage that they have done. It is not true that if you start using insulin you have to stay on it for life.
I read blood results of a young boy this week whose sugar was 107. I couldn’t get over it that his doctor said that everything is OK. It’s clear that this child who is very overweight has pre-diabetes. We must review results ourselves, ask for copies, keep a record of it and most importantly, take the necessary steps to reverse symptoms of diabetes and metabolic syndrome.
What steps should be taken to reverse symptoms of diabetes and metabolic syndrome? Stay tuned for future posts.
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