My visit to the doctor to day

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My visit to the doctor to day


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Old 07-30-2013, 17:25   #1
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Default My visit to the doctor to day

My morning fasting readings have been below 120.

My doctor today said that they should be below 100.

Based on my research such as the American Diabetes Association they recommend below 120 for fasting.

I kind of argued with him and he seemed to get testy.

So which is it for fasting?

Below 120 or below 100?

Thanks,

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Old 07-30-2013, 17:26   #2
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Below 100. The ADA diet is designed for those on insulin, as I understand it. They want the carb count high so the danger of lows is prevented.




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Old 07-30-2013, 19:32   #3
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Quote:
Originally Posted by Patdart View Post
Below 100. The ADA diet is designed for those on insulin, as I understand it. They want the carb count high so the danger of lows is prevented.
THAT is putting it kindly.

You could also go by AACE guidelines ... they are not so liberal for T2 OR T1 ...

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Old 07-30-2013, 19:43   #4
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Below 100 is totally unrealistic for many diabetics, in my opinion. I probably will never see below 100 for a FBS even though I am on medication, unless I want to progress to insulin (which I'd rather not). It is what it is - and for many of us, it "is" under 120 but greater than 100.

My endo. and I have discussed this before, and he tells me that some people have high fastings, even if they aren't diagnosed as diabetic or even prediabetic. I am one of the people on here that refuses to put myself under so much pressure that it basically drains me, to get to a number under 100. I'd have to eat almost no carbs per day and very little food to get there.

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Old 07-30-2013, 20:49   #5
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Every place I look gives a different range.

Know your blood glucose target range - MayoClinic.com

This week I would like to talk about the blood glucose target range. What should it be? A normal fasting blood glucose target range for an individual without diabetes is 70-100 mg/dL (3.9-5.6 mmol/L). The American Diabetes Association recommends a fasting plasma glucose level of 70–130 mg/dL (3.9-7.2 mmol/L) and after meals less than 180 mg/dL (10 mmol/L).

Blood Glucose Levels: Testing and Normal Range
(There is a chart at link)

Blood glucose

Fasting blood glucose:2

Less than or equal to 110 milligrams per deciliter (mg/dL) (6.1 millimoles per liter, or mmol/L).

2 hours after eating (postprandial):3

Less than 140 mg/dL (7.8 mmol/L) for people age 50 and younger; less than 150 mg/dL (8.3 mmol/L) for people ages 50-60; less than 160 mg/dL (8.9 mmol/L) for people age 60 and older.


Blood Glucose Levels: Testing and Normal Range
Random (casual):2

Levels vary depending on when and how much you ate at your last meal. In general: 80-120 mg/dL (4.4-6.6 mmol/L) before meals or when waking up; 100-140 mg/dL (5.5-7.7 mmol/L) at bedtime.

Can't copy chart
Diagnosis of Diabetes and Prediabetes - National Diabetes Information Clearinghouse

Keeping Diabetes in Check – Know Your Blood Sugar Numbers

Plasma Values (used
by most meters)

Whole Blood Values

Before meals
90-130
80-120

After meals
Less than 180
Less than 170

Plasma Values (used
by most meters)

Whole Blood Values

Before meals
90-130
80-120

After meals
Less than 180
Less than 170


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Old 07-30-2013, 20:55   #6
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That's why it's really based on where <you> are, and the goals that your doctor and you have set together, as a team. My goals have changed since diagnosis. At first, my target range was for a FBS of less than 120 and a pp reading of less than 200. Once I was at that level (with the help of medication, in my case), my target range dropped lower for FBS and pp readings. Target ranges (in my opinion) have to be set to the individual and can't be a blanket approach.

Diabetes is different for all of us. Some were diagnosed at greater than 500 or 600, others at 200, 300, or whatever number. IMHO, your doctor has to take your diagnosis A1C and FBS into account, and set target ranges with you, based on where you are now. My doctor wouldn't expect me to be under 100 right now (or maybe ever?) for a FBS, as its never been that low. That's why my current target range is 100-120. Same with pp readings. He wouldn't expect me to be at 90 or 100 pp, when I came from anywhere around 200-400 pp. I think goals are great. (Someday less than 100 FBS, perhaps, somewhere down the road, but maybe not). FWIW, that's what mine does, anyway.

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Old 07-30-2013, 21:26   #7
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Ok,

Forget the whole blood values. All modern systems are based on plasma values (12% lower).

As a non diabetic you would expect your fasting figure to be under 90 although most systems suggest a range of 70 to 110. However as a diabetic, whilst this is the ideal, as Mary suggests, some realism is necessary. I'm not using medication and I currently average around 85. Fine for me, but others might find it unrealistic for them.

There is the extra complication as Pat said, that when using insulin, a floor of 120 is frequently used to avoid the risk of hypos.

Research has established that a blood glucose of over 140 will almost certainly lead in the long term to issues. Therefore that is the absolute ceiling we should try to achieve. Again, realism is called for but the ADA figure of 180 is way too high and more or less guarantees complications long term.

Have you reviewed this site Blood Sugar 101 ? In particular look at Healthy Blood Sugar Targets which discusses the research and recommendations of the American Association of Clinical Endocrinologists on this subject.

Hope this helps.

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Old 07-30-2013, 21:50   #8
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Your doctor sounds like a keeper - he seems to encourage better control than many medical professionals - some who use a double standard for diabetics & allow levels far too high to be healthy. As Mary says, some of us won't be able to achieve non-diabetic standards, but there's no reason we shouldn't try. Every notch over 140 (7.8) is raising the risk of complications which advance silently until it's too late - the damage is done.

This is one of those times you need to separate the wheat from the chaff with regard to the 'truth' you find on the internet. Don't be misled. It's a rare day I get to make this statement, but I think it applies here: trust your doctor.



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Old 07-31-2013, 03:09   #9
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I find which numbers to go by very confusing.

However, it's very important.

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Old 07-31-2013, 04:10   #10
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Then, unless you are on drugs that could cause lows (I'm not taking time to reread your posts) aim for under 100 for fasting and 140 for PP reading. I'm having computer problems, so I need to do some disk repairs.

Good luck,




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