Which Is Right For You
Finding the best glucose monitoring system that is right for you is about finding the choice that best suits your needs. By considering the benefits and limitations between the different systems that are available in Canada, you can find a system that meets your individual requirements while improving the efficiency and effectiveness of your diabetes care routine.
Our glucose monitoring comparison chart provides a summary of CGM, Flash glucose monitoring devices and test strips and meters.
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Why Is It So Important To Check My Blood Levels
Regular checking and recording of your blood glucose level can reinforce your healthy lifestyle choices as well as inform you of your response to other choices and influences.
Importantly, blood glucose level pattern changes can alert you and your health care team to a possible need for a change in how your diabetes is being managed.
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Inconsistent Highs & Lows
Sometimes you may get a lower or higher blood glucose reading than usual and you may not be able to figure out the reason. When you are sick with a virus or flu, your blood glucose levels will nearly always go up and you may need to contact your doctor. There are a number of other common causes for blood glucose levels to increase or decrease. These include:
- Food time eaten, type and amount of carbohydrate for example: bread, pasta, cereals, vegetables, fruit and milk
- Exercise or physical activity
- Other medications
- Blood glucose checking techniques.
Contact your doctor or Credentialled Diabetes Educator if you notice that your blood glucose patters change or are consistently higher or lower than usual.
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What Is The Normal Blood Sugar Range
Your doctor is the best person to ask what your blood sugar goals should be. Since everyone is different and unique, your goals may be different from the standard ranges. Things like age, your health, how long youve had diabetes, pregnancy, might change what the doctor wants you toaim for.
The top two blood sugar ranges or targets are:
- Fasting or before meal blood sugar This is your blood sugar number before a meal. It is usually your lowest number. It is best between 4.0 and 7.0 mmol/L.
- After meal blood sugar This is your blood sugar number two hours after a meal. It is usually your highest number. It is best between 5.0 and 10.0 mmol/L.
No one isperfect and in range all the time. But if your numbers are too high, that is called Hyperglycemia. If your numbers are too low, that is called Hypoglycemia. In both situations, your doctor will want to know how you are feeling to make sure you are alright and tell you how to get back into range.
What Causes Your Blood Sugar To Go Up And Not Come Down
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Make Exercise An Important Part Of Your Daily Routine:
Following a regular exercise program will help keep your blood sugar levels stable. Exercising for an hour at least 3 days a week is recommended to help maintain normal sugar levels. So, including exercise in your daily life will not only reduce your chances of getting diabetes but also help in maintaining a healthy mind and body.
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Expected Results In Diabetics
Diabetics experience larger spikes in blood glucose that take longer to return to baseline. For diabetics, blood glucose an hour after eating should remain below 180 mg/dL or no more than 80 mg/dL over your pre-meal levels. The highest spikes in blood glucose levels often occur after breakfast. If you experience hypoglycemia, or low blood glucose levels before a meal, you might experience a higher-than-normal spike over baseline levels this doesnt necessarily indicate an abnormal rise.
Tests For Blood Sugar Levels And Normal Blood Sugar Levels For Non
If you are non-diabetic but are predisposed to diabetes due to the various causes mentioned above, it is very important to keep a regular check on your blood sugar levels and know the normal blood sugar levels for non-diabetics. There are specific ranges that doctors use to determine if a patient is healthy or at a risk of developing diabetes. Some of the common tests done to determine blood sugar levels are as follows:
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How To Do A Finger
Your healthcare team will show you how to do it the first time, but these are the key steps:
- Wash your hands with soap and warm water. Dont use wet wipes as the glycerine in them can affect the test result. Make sure your hands are warm so its easier to get blood and wont hurt as much.
- Take a test strip and slot it into the meter to turn it on. Some meters will have tests strips built in.
- Remove the cap from your finger prick device and put in a new lancet. Then put the cap back on and set the device by pulling or clicking the plunger.
- Choose which finger to prick but avoid your thumb or index finger . And dont prick the middle, or too close to a nail. Place the device against the side of your finger and press the plunger. Use a different finger each time and a different area.
- Take your meter with the test strip and hold it against the drop of blood. Itll tell you if the test strip is filled, usually by beeping.
- Before you look at your reading, check your finger. Use a tissue to stop bleeding, then use it to take out the lancet and throw it away in your sharps bin.
- You can use the same tissue to take out the test strip and throw that away too. Taking out the strip will usually turn the meter off.
Blood Sugar Monitoring For People With Diabetes Offers Undeniable Health Benefits
For people with diabetes, a major goal of therapy is to keep the blood sugar close to the normal range. This helps to prevent symptoms and complications, prolong life, and improve quality of life.
The development of CGM devices that can frequently and easily monitor blood sugar levels without finger sticks has revolutionized care for millions of people with diabetes. Besides providing results of blood sugar levels, some devices have alarm settings that alert the user, or other people, if blood sugar becomes dangerously low or high. And some systems can transmit results directly to the users doctor, if desired.
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What Number Should My Blood Glucose Be
Blood glucose is measured in mg/dl. The normal range for blood glucose for people without diabetes is 70 to 120 mg/dl.
The Diabetes Center has guidelines for blood glucose readings. This is called a target range. There may be times when your healthcare provider gives you a different target range, like for bedtime, with exercise, or after eating.
Nationwide Childrens Hospital Diabetes Center Target Blood Glucose Ranges
The goal is to keep the blood glucose within the target range most of the time.
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.
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When Is The Best Time To Check Blood Sugar
You should discuss the best time to check blood sugar and how often with your doctor. Still, here’s an overview.
When measuring fasting blood sugar, as soon as you wake up is typically the best time to test. You should check either two hours after a meal or before eating since that’s when your blood sugar levels are generally in the normal range.
Best Glucose Meter For Non
Tracking the blood glucose level is also important for non-diabetics to improve their overall health. Metene TD-4116 blood glucose monitor kit is an ideal and affordable glucose meter for non-diabetes. It has 4 reminder alarms that could be set every day to remind you to do a test. Also, it has a larger display to show the results more clearly.
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How To Maintain And Control Healthy Blood Sugar Level
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What Is The Somogyi Effect
A second possible cause of high blood sugar levels in the morning is the Somogyi effect, sometimes also called rebound hyperglycemia. It was named after the doctor who first wrote about it.
If your blood sugar drops too low in the middle of the night while you are sleeping, your body will release hormones in an attempt to rescue you from the dangerously low blood sugar. The hormones do this by prompting your liver to release stored glucose in larger amounts than usual. But this system isnt perfect in a person with diabetes, so the liver releases more sugar than needed which leads to a high blood sugar level in the morning. This is the Somogyi effect.
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What Is The Dawn Phenomenon
Your body uses glucose for energy and it is important to have enough extra energy to be able to wake up in the morning. So for a period of time in the early morning hours, usually between 3 a.m. and 8 a.m., your body starts churning out stored glucose to prepare for the upcoming day.
At the same time, your body releases hormones that reduce your sensitivity to insulin. In addition, these events may be happening while your diabetes medication doses taken the day before are wearing off.
These events cause your body’s blood sugar levels to rise in the morning .
How To Use Blood Glucose Testing Results
Its not unusual for your blood glucose results to be out of range now and then. But if you see a pattern of highs or lows outside your target range, you may want to ask yourself:
- Did I eat at an unusual time, have a larger or smaller portion, or try a new food?
- Did I have more or less physical activity than usual?
- Did I forget to take my medication, take it at the wrong time, take too little or too much?
- Am I taking a new medication?
- Am I stressed about something?
- Do I have an infection or an illness?
- Did I drink alcohol?
Any of these can have an impact on your blood glucose numbers. If youre making changes to your lifestyle, or if you cant figure out why youve been out of range, talk to your doctor, nurse or diabetes educator.
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1American Diabetes Association. Standards of medical care in diabetes2016 Abridged for primary care providers . Diabetes Care. 2016 34: 3-21. Available at:. Accessed April 26, 2019.
2Polonsky WH, et al. Structured self-monitoring of blood glucose significantly reduces A1C levels in poorly controlled, noninsulin-treated type 2 diabetes: results from the Structured Testing Program study. Diabetes Care. 2011 34:262-267. Accessed April 26, 2019.
4Talk with your healthcare professional before deciding if alternate site testing is right for you.
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Why The Test Is Performed
Your doctor may order this test if you have signs of diabetes . More than likely, the doctor will order a fasting blood sugar test.
The blood glucose test is also used to monitor people who already have diabetes.
The test may also be done if you have:
- An increase in how often you need to urinate
- Recently gained a lot of weight
SCREENING FOR DIABETES
This test may also be used to screen a person for diabetes.
High blood sugar and diabetes may not cause symptoms in the early stages. A fasting blood sugar test is almost always done to screen for diabetes.
If you are over age 45, you should be tested every 3 years.
If you’re overweight and have any of the risk factors below, ask your health care provider about getting tested at an earlier age and more often:
- High blood sugar level on a previous test
- Blood pressure of 140/90 mm Hg or higher, or unhealthy cholesterol levels
- History of heart disease
- Member of a high-risk ethnic group
- Woman who has been diagnosed with gestational diabetes
- Polycystic ovary disease
- Close relative with diabetes
- Not physically active
Children age 10 and older who are overweight and have at least two of the risk factors listed above should be tested for type 2 diabetes every 3 years, even if they have no symptoms.