What is Normal

vickk

Member
Messages
14
Type of diabetes
Type 2
Treatment type
Tablets (oral)
I have type 2 diabetes controlled at the moment by diet. I have a 6 monthly checkup and for the last 4 checkups my sugar levels have been between 53 and 55.

This is different to when they used to quote 6.9 etc and I am confused to what it all means. At today's check up I have been told all is good and my diabetes is well controlled. yet with the same readings a year ago I was warned I was getting close to needing medication.

My cholesterol is always around the 4.1 to 4,4 level yet 6 months ago I was told I should consider Statins and prepare myself for the eventual move onto diabetes medication. Today with a different nurse I was praised for the readings and control and just got the usual talk about exercise and portion control.

I am so confused.

I also today had a blood sugar reading done while I was there, this was 2 hours after an unusual (for me)cooked breakfast of bacon eggs, beans and toast. The reading was 8 but as they have never done that before in the surgery I don't know if that is good or bad. She certainly never made a bad comment about it
 

Lazybones

Well-Known Member
Messages
397
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dear Vickk,
If I'm honest with you I'm not sure that there is such a thing as 'normal' as if you were to measure 100 different individualy you would get 100 differing answers. However to answer your question 'normal' can be considered as the mean average of the 100 individuals. Daisy in welcoming those new to diabetes frequently sends an excellent introduction to this condition that includes what are the suggested B/G levels that Type 1, 2 and children should aim for. Hope this will help.

Being diabetic will naturally mean that we aren't considered as being normal, though from the figures that you posted for yourself they are certainy very good indeed and the envy of many of us. B/G levels will vary according to each of us, what we eat, our medications (if any), our daily activities, stress, illness and a whole host of other variables, so for this reason we diabetics are usually advised to try to maintaing our B/G levels somewhere between an upper and lower limit if possible.

If you care to look further into this site you can locate where you can download a free conversion program that will help you in converting the 53 and 55 HbA1c figures from the new standard back to the old standard measurment that we all knew and understood, alternative there might be a kind someone on our site who can post what they are.

With my best wishes - Lazybones
 
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daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
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Tablets (oral)
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Cruelty towards animals.
Lazybones said:
Dear Vickk,
If I'm honest with you I'm not sure that there is such a thing as 'normal' as if you were to measure 100 different individualy you would get 100 differing answers. However to answer your question 'normal' can be considered as the mean average of the 100 individuals. Daisy in welcoming those new to diabetes frequently sends an excellent introduction to this condition that includes what are the suggested B/G levels that Type 1, 2 and children should aim for. Hope this will help.

Hi Vickk :)

Here is the information which Lazybones referred to and I hope you will find it useful.


BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find well over 70,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes ... rains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips
The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 

vickk

Member
Messages
14
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Many thanks for the reply's, I suppose what I find most frustrating and confusing is that for the last 4 six monthly's my figures have remained constant yet twice I have been congratulated on maintaining my levels well and twice been warned I am nearing an edge that will require going on meds. This from 4 different Diabetic nurses/doctors.
 

hanadr

Expert
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The range of Normal [non-diabetic} Hb A1cs is around the mid 20s in the new units. It's far lower than most medical personnel realise.
They used to be happy with numbers up to 10%, which is 86 in new units and only 3 - 4 times normal.
They have realised they are setting the targets too high and have brought them down. I think currently to about 6.5% or 48 You can look up the figures.
I believe the only sensible target should be NORMAL bg, Some of the higher targets were set before satisfactory home monitoring was available and also affected by hypo paranoia. If people are advised to eat what they like and take eenough insulin to "cover", The frequent hypos with their attendant risk are inevitable. If you read Dr. Bernstein, you can see that tight control is possible safely even for T1, but it requires knowledge and commitment.
 

douglas99

Well-Known Member
Messages
4,572
Type of diabetes
I reversed my Type 2
Treatment type
Other
Normal range for nondiabetic is 4 to 6%. or 20 to 42.

It hasn't changed, any reading in this range is good.
For a quick confirmation, waste a test strip on a nondiabetic.

Just tested my "normal" wife.
5.8 two hours after potatoes, veg, cheese sauce, and salmon.
 

Ambersilva

Well-Known Member
Messages
715
Type of diabetes
Type 1
Treatment type
Insulin
douglas99 said:
Normal range for nondiabetic is 4 to 6%. or 20 to 42.

It hasn't changed, any reading in this range is good.
For a quick confirmation, waste a test strip on a nondiabetic.

Just tested my "normal" wife.
5.8 two hours after potatoes, veg, cheese sauce, and salmon.

I tested a non-diabetic friend before eating a carb rich main course and a sugar laden desert, then tested again at one hour and at two hours.

Before meal 4.6
After one hour 5.6
After two hours 4.6
 

Q007

Well-Known Member
Messages
466
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
People who tell lies.
My GP (Dr Doom).
Hi there, well, I was with my GP today and my hba1c results were in = 50. So I was disappointed as last score was 43. The previous time I saw a different GP and she said non-diabetics are 20-30 range, she went on to say I would never get there, great news.

The GP today, who is the principal, said when asked that I should not try and aim for 20-30 as I'd make myself I'll and that was too low. He went on to say that where I was before was normal 42-43. When I asked to define normal he said normal meant normal, when I asked if a score of 42-43 would make me non-diabetic he said well yes.

Confused.com big time. After all this time since diagnosis I'm still not sure if I can reverse diabetes, what the scores should be to aim for. I'm so frustrated. I had to respond to your post to tell you. Kind regards, Q..


Sent from the Diabetes Forum App
 

vickk

Member
Messages
14
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Daisy, I have had time now to fully read and digest your post. Thank you so much, I think I understand things better now.

Q007, I share your frustration at different feedback from the healthcare professionals. The Nurse who first gave me the diagnosis went to great lengths at that time to point out that Diabetes is non reversible and I will be classed as diabetic for the rest of my life.

When I next saw her after getting my sugars under control and in an area they were happy with she congratulated me then quickly followed up with the comment that diabetes was degenerative and that controlling it by diet would only put off the eventual need for medication.

My results for the last 2 years have been between 53 & 55 which from the info Daisy has supplied would suggest it is slightly higher than what would be desirable but at least the have remained constant. As I say I have been praised and chastised for these results by different Nurses/Doctors and that's where my confusion comes in.

At present although I control by diet it has not been that strict with regards to the carbs I take, I still use for example white rice/bread and normal pasta. Maybe a switch to the recommended whole-grains would be enough to take me back to below 50?
 
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