BG

hi RebeccaSmith

ive been told by my diabetic nurse that BG should be between 4 and 6.5 mmols before a meal and not higher than 9 2 hours after a meal

Not sure about BG levels, but I've been told HbA1c should be below 6% for type 2 (I asked my doctor what it should be (as mine is quite high), he said 7%, so I said 'that's quite high though? what should it really be, as I intend to live 50+ more years and don't want to go blind?' and he said less than 6%...)

My targets
Before meals 3.8 mmol-6.5 mmol
After meals max 8 .5 mmol
but try to avoid post prandial spikes of more than 3mmol

Diabetes UK lists these targets:
They also stress that individual targets may be different and individual.

Children with Type 1 diabetes (NICE 2004)
Before meals: 4-8mmols/L
Two hours after meals: less than 10mmols/L
Adults with Type 1 diabetes (NICE 2004)
Before meals: 4- 7mmols/L
2 hours after meals: less than 9mmols/L
Type 2 diabetes (NICE 2008)
Before meals: 4-6 mmol/L
Two hours after meals: less than 8 .5 mmols/L

They give a target HBA1c of less than 6.5%
but say
" The target for HbA1c is 6.5 per cent or below since evidence shows that this can reduce the risk of developing diabetic complications eg nerve damage, eye disease, kidney disease and heart disease. Individuals at risk of severe hypoglycaemia should aim for an HbA1c of less than 7.5 per cent. "

An HbA1c of 6.5% equates to an estimated average glucose of 7.8mmol ( 140mg/dl)
An HbA1c of 7.5% equates to an estimated average glucose of 9.4mmol (169mg/dl)

I agree that as near to non-diabetic as possible, should be the aim. It appears that the glycolated Haemoglobin is what causes damage and hence complications. Non-diabetic BG(according to Bernstein, who has tested hundreds of people) is 85 or 4.7. When management includes a reduced carb intake,and low doses of medication, there isn't much risk of hypos.
My personal targets are: around 5 all the time and never above 6. I'm T2 using up to 3x 500mg Metformin per day.
I've just tested 2 hours after a roast dinner. Roast beef, Sprouting brocolli, 1 small yourkshire pudding, followed by stewed berriesand cream. Estimated carbs 12. BG 2 hours PP 4.4. I have been out and pressure washed my dog travelling box.

hanadr said:

IBG 2 hours PP 4.4. I have been out and pressure washed my dog travelling box.

Click to expand...

If the dog was still in it that would have been 3.2 <G>

Read some of Jenny's stuff, and her sources

http://www.bloodsugar101.com/

IMO nondiabetics don't tend to get diabetic complications so that's where to aim. As to how close you can get, that depends on a lot of factors. For Type 2s tight control may be easier, but with insulin resistance there are more things to go wrong: Type 1s generally lack the poor lipids and high BP which are cardiovascular risks. Then there's a lot of individual variation.

Hi,

This is a really useful thread (probabaly for most everyone with hyperglycaemia). Can anyone direct to the research evidence linking either:

1) high blood glucose levels with specific problems (eyes; feet, whatever)

2) Treatment (insulin, meds whatever) with risk reduction,

Thanks! :wink:

Have many of you tested non-diabetics just to see what the results are?

Ive tested many of my colleagues at various times during the day, never have I had a reading in the 4s. 5-high sixes seems to be the norm during the day.

retinopathy and HbA1c levels
http://medweb.bham.ac.uk/easdec/prevention/hba1c_and_retinopathy.htm
reduction of HbA1c and risk reduction for various complications
http://cme.medscape.com/viewarticle/413353