Diabetes Uk Show How To Test Feet For Diabetic Feet Sensitivity
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Considered to be a “very low glycemic index food”, by Diabetes Meal Plans, the green trimming will cause only a gradual rise in blood sugar levels over time. “Low GI foods, which cause your blood sugar levels to rise and fall slowly, may help you feel fuller for longer,” the NHS says. “This could help control your appetite and may be useful if you’re trying to lose weight.”
What Helps Blood Sugar Levels
Sulforaphane is a type of isothiocyanate that has blood-sugar-reducing properties.
This plant chemical is produced when broccoli is chopped or chewed due to a reaction between a glucosinolate compound called glucoraphanin and the enzyme myrosinase, both of which are concentrated in broccoli .
Test-tube, animal, and human studies have shown that sulforaphane-rich broccoli extract has powerful antidiabetic effects, helping enhance insulin sensitivity and reduce blood sugar and markers of oxidative stress .
Broccoli sprouts are concentrated sources of glucosinolates like glucoraphanin, and theyve been shown to help promote insulin sensitivity and reduce blood sugar levels in people with type 2 diabetes when supplemented as a powder or extract (
Keep in mind that the best way to enhance the availability of sulforaphane is to enjoy broccoli and broccoli sprouts raw or lightly steamed, or to add active sources of myrosinase like mustard seed powder to cooked broccoli (
Commonly Asked Questions About Blood Sugar Levels
What is the difference between blood sugar and A1c?
Blood sugar is a daily reading while A1c is a blood test that measures your average blood sugar from the previous 3 month period.
You can read more about the difference between the two over here.
Will weight loss help with my diabetes management?
Yes, by default weight loss helps because it reduces inflammation in your body and improves overall metabolic function.
Ive been prescribed Metformin, will that help with my blood glucose levels?
Yes, Metformin is one of the most commonly prescribed diabetes medications worldwide. It belongs to a class of medications known as Biguanides, which lower blood glucose by decreasing the amount of sugar put out by the liver. And it is one of the medications that does not increase weight gain.
Why does high blood sugar cause complications like neuropathy?
The body is designed to have a blood sugar level within a certain range, with a maximum of 140 after meals. Levels above normal for extended periods promote inflammation in the blood vessels throughout the body, along with damage to cells simply because the body isnt designed to operate with levels above normal.
Diabetic neuropathy is damage to the nerve vessels resulting from chronically high blood sugar meaning long-term, not a few high readings now and then. Other types of diabetes complications are also caused by the same factors.
List the normal range between 70-99 mg/dl .
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Insufficient Sleep Can Throw Blood Sugar Out Of Whack
Restless nights hurt more than your mood and energy they may also spell trouble for your blood sugar. A review published in December 2015 in Diabetes Therapy concluded that a lack of sleep may hinder glucose control and insulin sensitivity in people with type 2 diabetes.
“Sleep is restorative,” Bonsignore says. “Not getting enough sleep is a form of chronic stress on the body, and anytime you have added stress, you’re going to have higher blood sugar levels.”
Unfortunately, people with type 2 diabetes commonly report troubles sleeping, McDermott says. Those with high body-mass indexes are at particular risk for sleep apnea, in which breathing frequently starts and stops during sleep.
To improve your sleep quality and duration, work to get into a consistent sleep routine where you go to bed and wake at the same time every day. Your goal: Nab seven to nine hours of sleep per night, per recommendations from the National Sleep Foundation. If you continue to have sleep troubles or suspect you have sleep apnea , reach out to a sleep medicine specialist for support, Bonsignore says.
Tips For Tracking Your Blood Sugar Patterns And Using Your Results
Here are some great tips:
Have a blood sugar chart on your phone or a written notebook nearby to compare your numbers
For my patients during the class entitled, Monitoring your Blood Glucose, I pass out individual notebooks, and packs of different colored highlighter pens for pattern management. Inside, there are copies of an enhanced blood sugar log.
Patients log their blood sugars at different times of the day, and color-code them with highlighters. This helps patients to pick out their blood sugar patterns, and to do different things to adjust their blood sugars to get them in a target range.
Patients may either take a walk following a high carbohydrate meal, take more insulin if they are correcting blood sugar with insulin, decrease the amount of carbohydrates at the next meal, etc. By seeing what their blood sugars are at different times of the day, they can work their blood sugars into their target ranges. Once blood sugars are in the target range, their A1C should also be on target.
I have included a copy of the enhanced blood sugar log that I use to make a pattern notebook for my patients. Readers here at TheDiabetesCouncil are welcome to copy the form for their own use in self-managing their diabetes. You can also download our comprehensive log book here.
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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.
What Are Normal Blood Glucose Levels In Healthy Individuals
Blood sugar levels can either be normal, high, or low, depending on how much glucose someone has in their bloodstream. Glucose is a simple sugar thats present in the bloodstream at all times. Normal blood glucose levels can be measured when someone fasts, eats, or after theyve eaten. A normal blood glucose level for adults, without diabetes, who havent eaten for at least eight hours is less than 100 mg/dL. A normal blood glucose level for adults, without diabetes, two hours after eating is 90 to 110 mg/dL.
Many factors affect blood sugar levels throughout the day:
- Type of food consumed, how much, and when
- Physical activity
- Menstrual periods
An ideal blood sugar level for anyone without diabetes or prediabetes, regardless of age, in the morning should be less than 100 mg/dL. Remember, blood sugar levels can fluctuate throughout the day as a result of the factors previously mentioned.
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How Can I Treat Low Blood Sugar
If youve had low blood sugar without feeling or noticing symptoms , you may need to check your blood sugar more often to see if its low and treat it. Driving with low blood sugar can be dangerous, so be sure to check your blood sugar before you get behind the wheel.
Carry supplies for treating low blood sugar with you. If you feel shaky, sweaty, or very hungry or have other symptoms, check your blood sugar. Even if you dont have symptoms but think you may have low blood sugar, check it. If your blood sugar is lower than 70 mg/dL, do one of the following immediately:
- Take four glucose tablets.
- Drink four ounces of fruit juice.
- Drink four ounces of regular soda, not diet soda.
- Eat four pieces of hard candy.
Wait for 15 minutes and then check your blood sugar again. Do one of the above treatments again until your blood sugar is 70 mg/dL or above and eat a snack if your next meal is an hour or more away. If you have problems with low blood sugar, ask your doctor if your treatment plan needs to be changed.
Type 2 Diabetes: Measuring Sugar Levels In Blood And Urine Yourself
Many people with diabetes measure their blood sugar levels themselves. For those who inject insulin several times a day, checking their sugar levels with a blood glucose meter is an important part of their daily treatment.
If someone has diabetes, their blood sugar levels are checked regularly. In type 2 diabetes, once every few months is sometimes enough. But not if insulin injections are part of their treatment.This is because the amount of insulin that is injected at mealtimes depends on the measured blood sugar level, among other things. Sugar levels in blood or urine can be measured in various ways. It’s also possible to measure the level of sugar in tissues of the body.
You can learn how to measure your blood sugar yourself in special patient education classes. These are a part of diabetes disease management programs too.
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General Treatment Of Diabetes
People with diabetes benefit greatly from learning about the disorder, understanding how diet and exercise affect their blood glucose levels, and knowing how to avoid complications. A nurse trained in diabetes education can provide information about managing diet, exercising, monitoring blood glucose levels, and taking medication.
Ideal Blood Sugar Levels For Type 2 Diabetes
In this post, we talk about the ideal blood sugar levels for type 2 diabetes. Blood sugar levels or blood glucose levels is the amount of blood sugar in your body. When you understand the normal blood sugar level ranges you can better manage your diabetes. The ranges stated on this post are as recommended by the National Institute for Clinical Excellence . However, your target range as advised by your doctor or health professional may be different.
For most healthy people, the normal blood sugar levels are:
- Fasting : between 4.0 to 5.4 mmol/L
- 2 hour after eating: Up to 7.8 mmol/L
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Are There Other Treatment Options For Diabetes
Yes. There are two types of transplantations that might be an option for a select number of patients who have Type 1 diabetes. A pancreas transplant is possible. However, getting an organ transplant requires taking immune-suppressing drugs for the rest of your life and dealing with the side effects of these drugs. However, if the transplant is successful, youll likely be able to stop taking insulin.
Another type of transplant is a pancreatic islet transplant. In this transplant, clusters of islet cells are transplanted from an organ donor into your pancreas to replace those that have been destroyed.
Another treatment under research for Type 1 diabetes is immunotherapy. Since Type 1 is an immune system disease, immunotherapy holds promise as a way to use medication to turn off the parts of the immune system that cause Type 1 disease.
Bariatric surgery is another treatment option thats an indirect treatment for diabetes. Bariatric surgery is an option if you have Type 2 diabetes, are obese and considered a good candidate for this type of surgery. Much improved blood glucose levels are seen in people who have lost a significant amount of weight.
Of course other medications are prescribed to treat any existing health problems that contribute to increasing your risk of developing diabetes. These conditions include high blood pressure, high cholesterol and other heart-related diseases.
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When To See A Doctor
According to the University of Michigan, blood sugar levels of 300 mg/dL or more can be dangerous. They recommend calling a doctor if you have two readings in a row of 300 or more.
See your doctor if you have consistently high blood sugar levels. Symptoms of this include:
- increased thirst
- high levels of sugar in urine
Ask your doctor how often to check your blood sugar and about your ideal blood sugar levels.
If you dont currently see a doctor who specializes in diabetes, known as an endocrinologist, you can find one by searching the American Association of Clinical Endocrinologists website.
You can find a certified diabetes educator by visiting the American Diabetes Associations website and searching by zip code.
Talk to your doctor if you have consistently high blood sugar readings or symptoms of chronic hyperglycemia.
Checking your blood sugar and then treating hyperglycemia early will help prevent any complications.
Health problems can arise when someone has high blood sugar regularly and without treatment.
Examples of complications include:
- nerve damage, called diabetic neuropathy, that may affect sensations in the feet and hands
- diabetic retinopathy, or damage to the blood vessels in the eyes that affects vision
- increased risks for kidney problems
- increased risks for heart problems
Taking steps to keep your blood sugar at target levels can help to minimize the likelihood that these complications will occur.
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Why Test Blood Sugar Levels
If you take certain medication, like insulin or sulphonylureas, checking your blood sugars is a vital part of living with diabetes. It can help you work out when you need to take more medication, when you need to eat something or for when you want to get up and move around more.
Routine checks can help you know when you might be starting to go too low or too high . Its a way of getting to know your body and how it works. It can help you and your healthcare team spot patterns too. Do you write your results down? You might find that helpful.
But importantly, it will help you stay healthy and prevent serious diabetes complications now and in the future. By complications, we mean serious problems in places like your feet and your eyes. This happens because too much sugar in the blood damages your blood vessels, making it harder for blood to flow around your body. This can lead to very serious problems like sight loss and needing an amputation.
The higher your blood sugar levels are and the longer theyre high for, the more at risk you are.
Signs Of Hypoglycemia Unawareness
What can be especially troubling about low blood sugar is that, in some cases, there are no outward signs. This type of hypoglycemia is called hypoglycemia unawareness. There is a greater risk with this condition, as you only experience symptoms once blood sugar levels have dropped so low that they cause hypoglycemic shock.
In these cases, monitoring glucose levels regularly is essential, especially if youre planning to drive or engage in physical activity.
Hypoglycemia unawareness is most common in those who:
- Have had diabetes for five to 10 years
- Frequently experience hypoglycemia
- Take beta-blockers for high blood pressure
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What Does The A1c Test Measure
When sugar enters your bloodstream, it attaches to hemoglobin, a protein in your red blood cells. Everybody has some sugar attached to their hemoglobin, but people with higher blood sugar levels have more. The A1C test measures the percentage of your red blood cells that have sugar-coated hemoglobin.
Random Blood Sugar Test
This measures your blood sugar at the time youre tested. You can take this test at any time and dont need to fast first. A blood sugar level of 200 mg/dL or higher indicates you have diabetes.
|140 mg/dL or below||N/A|
*Results for gestational diabetes can differ. Ask your health care provider what your results mean if youre being tested for gestational diabetes.Source: American Diabetes Association
If your doctor thinks you have type 1 diabetes, your blood may also tested for autoantibodies that are often present in type 1 diabetes but not in type 2 diabetes. You may have your urine tested for ketones , which also indicate type 1 diabetes instead of type 2 diabetes.
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What To Know About Diabetic Macular Edema
Fiber plays a preventative role, too. Studies have found that high-fiber diets can reduce the incidence of type 2 diabetes by 15 to 19 percent compared to low-fiber diets, according to a March 2018 study published in the Journal of Chiropractic Medicine.
Youll find fiber in plant foods such as raspberries, peas, and whole grains, according to the Mayo Clinic. Beans are another good source of fiber. People with type 2 diabetes who ate at least a cup of legumes daily for three months had lower blood glucose levels as measured by the A1C test, according to a study published in the Archives of Internal Medicine. Beans also are an excellent source of folate, which is linked to a lower risk of cardiovascular disease, a common diabetes complication, according to the National Institutes of Health.
Men should aim for 30 to 38 g of fiber per day, and women should eat 21 to 25 g per day, according to the Mayo Clinic.
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