Heart attack, stroke, blindness, amputation, kidney failure. When doctors describe these diabetes complications, it may sound melodramatic -- like an overblown worst-case scenario. The truth is, these things can happen when blood sugar, blood pressure, and cholesterol are out of control.
"A lot of people don't really think it will happen to them," says David C. Ziemer, MD, director of the Diabetes Clinic at Grady Hospital in Atlanta. "For a lot of folks, the wake-up comes when they actually...
A normal sugar level is less than 100 mg/dL after not eating (fasting) for at least 8 hours. And it's less than 140 mg/dL 2 hours after eating.
During the day, levels tend to be at their lowest just before meals. For most people without diabetes, blood sugar levels before meals hover around 70 to 80 mg/dL. For some people, 60 is normal; for others, 90.
What's a low sugar level? It varies widely, too. Many people's sugar levels won't ever fall below 60, even with prolonged fasting. When you diet or fast, the liver keeps sugar levels normal by turning fat and muscle into sugar. A few people's levels may fall somewhat lower.
Doctors use these tests to find out if you have diabetes:
Fasting plasma glucose test. The doctor tests your blood sugar level after fasting for 8 hours and it’s higher than 126 mg/dL.
Oral glucose tolerance test. After fasting for 8 hours, you get a special sugary drink. Two hours later your sugar level is higher than 200.
Random check. The doctor tests your blood sugar and it’s higher than 200, plus you’re peeing more, always thirsty, and you’ve gained or lost a significant amount of weight. He’ll then do a fasting sugar level test or an oral glucose tolerance test to confirm the diagnosis.
Any sugar levels higher than normal are unhealthy. A level that's higher than normal, but not reaching the point of full-blown diabetes, is called prediabetes.
According to the American Diabetes Association, 86 million people in the U.S. have prediabetes. These people are five to six times more likely to get diabetes over time. Prediabetes also raises the risk for cardiovascular disease, although not as much as diabetes does. It's possible to prevent the progression of prediabetes to diabetes with diet and exercise.
Get the latest Diabetes newsletter delivered to your inbox!
Your level is currently
If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
Thank you for signing up for the WebMD Diabetes Newsletter!
You'll find tips and tricks as well as the latest news and research on Diabetes.
Did You Know Your Lifestyle Choices
Affect Your Blood Sugar?
Use the Blood Glucose Tracker to monitor
how well you manage your blood sugar over time.