If you're one of the nearly 24 million Americans living with type 2 diabetes, you know your body has difficulty using or producing insulin. What can you do to manage the disease? We asked Jill Crandall, MD, professor of clinical medicine and director of the diabetesclinical trials unit at Albert Einstein College of Medicine in New York City, to debunk some myths and help you learn to live well.
They're less than 100 mg/dL after not eating (fasting) for at least 8 hours. And they're 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 glucose won't ever fall below 60, even with prolonged fasting. When you diet or fast, the liver keeps your 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 levels 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. Levels that are higher than normal, but not reaching the point of full-blown diabetes, are called prediabetes.
According to the American Diabetes Association, 86 million people in the U.S. have this condition, which can lead to diabetes if you don't make healthy lifestyle changes that your doctor recommends. It also raises the risk for heart disease, although not as much as diabetes does. It's possible to keep prediabetes from becoming diabetes with diet and exercise.