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Blood Sugar Level
A blood sugar level or blood glucose level measures how well a person's body
is processing the sugar that is taken in through the diet. Test results can be
obtained by a simple finger stick with a glucometer or with a traditional
laboratory venipuncture. There are different tests that can determine blood
sugar levels at various stages, such as a fasting, random, 2-hour glucose
tolerance test, and glycated hemoglobin test. All of these tests measure blood
sugar levels with a simple procedure, but the results can differentiate between
normal, pre-diabetes, and type 1 or type 2 diabetes. There may also be other
signs and symptoms present that are indicative of a blood sugar level being too
low or too high.
Most of the time a blood sugar level is drawn randomly, unless the primary care
provider has specifically requested a patient to fast before having the test
done. A random test does not take into consideration the last time a person ate
a meal or a snack. According to the Mayo
Clinic, a normal random reading should be less than 100 mg/dL; pre-diabetes
is suggested if the level is greater than 100 mg/dL but less than 199 mg/dL. A
level above 200 mg/dL or higher is indicative of either type 1 or type 2
diabetes. A fasting blood sugar level is drawn after an eight hour period with
no food or beverages with sugar or calories. This test is usually drawn first
thing in the morning, and is considered normal if the level is below 70 mg/dL.
If diabetes is suspected after preliminary tests, then a 2-hour glucose
tolerance test is ordered. Fasting is also required for this test to get
accurate results. Patients first drink a sugary liquid and then have their blood
drawn two hours later. A normal reading is less than 140 mg/dL, pre-diabetes is
suggested if level is between 140-199 mg/dL, and type 1 or type 2 if level is
200 mg/dL or higher. The glycated hemoglobin or hemoglobin A1C test is used not
to diagnose diabetes, but to manage ongoing treatment. It measures the average
blood sugar level for the previous three month period, and indicates how well
diabetes has been managed during that time.
It is recommended that everyone have their blood sugar level checked from time
to time to make sure that glucose is within the normal range. Low and high blood
sugar levels are usually accompanied by symptoms that are related to how low or
high glucose is in the bloodstream. Once diabetes is diagnosed, patients are
instructed to check their blood sugar levels often for proper management of
their disease, cut out refined sugar from the diet, get adequate exercise on a
regular basis, and follow their prescribed plan of care for the best results.
This page was last updated on
Tuesday, November 28, 2006
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