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Rbubbaray

Goals for Blood Glucose Control

15 posts in this topic

 

Howdy Folks,

 

Here is simple and handy chart I found for D2 ..  Again this may not apply to everyone depending on the condition of your D2 and doctors orders ..

 

 

 

Discuss blood glucose (sugar) targets with your healthcare team when creating your diabetes management plan.

People who have diabetes should be testing their blood glucose regularly at home. Regular blood glucose testing helps you determine how well your diabetes management program of meal planning, exercising and medication (if necessary) is doing to keep your blood glucose as close to normal as possible.

The results of the nationwide Diabetes Control and Complications Trial (DCCT) show that the closer you keep your blood glucose to normal, the more likely you are to prevent diabetes complications such as eye disease, nerve damage, and other problems. For some people, other medical conditions, age, or other issues may cause your physician to establish somewhat higher blood glucose targets for you.

The following chart outlines the usual blood glucose ranges for a person who does and does not have diabetes. Use this as a guide to work with your physician and your healthcare team to determine what your target goals should be, and to develop a program of regular blood glucose monitoring to manage your condition.

 

Time of Check

Goal plasma blood glucose ranges
for people without diabetes

Goal plasma blood glucose ranges
for people with diabetes

Before breakfast (fasting)

< 100 { non Diabetics }

70 - 130 {for Diabetics }

Before lunch, supper and snack

< 110 { Non Diabetics }  70 - 130 { Diabetics}

Two hours after meals

< 140 { non Diabetics }

< 180 { Diabetics }

Bedtime

< 120 { non Diabetics}

90- 150  { diabetics}

A1C (also called glycosylated hemoglobin A1c, HbA1c or glycohemoglobin A1c)

< 6% { non Diabetics }

< 7% { diabetics }

< = less than
> = greater than
> = greater than or equal to
< = less than or equal to

Edited by Rbubbaray

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Wheee, the usual ADA goals which lead the diabetics in my family to complications.

Cora, OldTech, GrammaBear and 5 others like this

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Those are the same guidelines that led to my father's multiple amputations, multiple strokes, and eventual early death.  He followed the diet and BG guidelines to the letter, and of course he needed more and more and more insulin and his BG kept going up as he had to have feet and then legs amputated....

 

Personally, I want to keep my BG at or below what is listed as "normal"....I'd run screaming if I hit 180 two hours after a meal!

Seagal, cbokay, TX_Clint and 3 others like this

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The ranges for those without diabetes is acceptable for those with diabetes. The ranges for those with diabetes is acceptable for unmedicated and uncontrolled diabetes. I choose option 1.

Seagal, Orlando, Cora and 2 others like this

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Sad fact is the CDC lists the average recorded A1C of all diabetics at 7.8 so over half of diabetics probably find the ADA guidelines too restrictive. :P

Rbubbaray, GrammaBear and meyery2k like this

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Sorry Folks ,

 

I did feel that number of 180 was high also . I never like seeing mine at any time above 130 .. but I thought i was being to harsh on myself , Now i guess not ...do me a favor remind me never to post info again from websites that obviously does not have a clue . I do not need people getting sick on my account .wish they really had a delete option on these forums .

Orlando likes this

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You could ask one of the moderators (like Texas Clint) to delete the thread.

Seagal and Rbubbaray like this

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Thanks for the Info Nora .

 

I am working on getting it deleted .. please disregard this post folks , we feel this info is far from accurate .

 

I am very sorry for the mislead Information .

 

Ray

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I don't know that it's all bad Ray, primarily it keeps in mind what the suggested guidelines are out there.  Most of us here are aiming for far lower numbers and it might even be a bit of an incentive to make sure we undercut those numbers.  

Rbubbaray and Seagal like this

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The reason being I feel terrible posting this now , is because I know 180 is never acceptable for a diabetic, the other numbers did not seem that bad to me , but I almost did not post it because of the 180.

 

What surprised me was Webmd had the same chart and that is what doctors told me they would recommend for medical Info. I realize most of the folks thats been here for a while know this stuff and what works for them , they don't need a chart  ..I thought it may help new people with diabetes that is walking around with a 200 plus everyday , may have a guideline to start off by then lower it from there .

 

I feel telling someone that has just became T1 or T2 , and is new to all this would not stick to a proper plan if I went to tell them they have to stop eating 70% of what they enjoy , and go to hardly no carbs , most would fall off .. But I am not a doctor and I realize its not up to me to post this type of Info unless its good for most . 180 is not good for me .130 below I am happy with for now , but even 130 may be to high for some . 

 

Thanks Dave

 

Ray

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Now I found in working my way down, that the ADA guidelines were a good first goal.  180 at 2 hours is better than 220 (where I saw myself sometimes in the early days).  When you're on a long haul change, little milestones you can celebrate are very helpful for morale.

Seagal, meyery2k and Rbubbaray like this

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My doctor, and some other doctors that I know, have expressed frustration openly because many patients don't even try.  I suppose half-measures are better than no measures though.

 

As the doctor once said...  People walk around with an A1C of 10.  I know that, even at 7, there is still the possibility of progression but it is better than being 10.  They are not likely to do what it will take to be at 5 or 6, what do I do?

 

At this point, I learned to have sympathy for the doctor and to understand a little better why they just say you have diabetes, commiserate with you a little, prescribe Metformin, and make the ADA recommendations.

 

Ray - I think you did a good thing.  A 1000 mile journey starts at mile 1 and, if people can at least get to the ADA level, they are better off than they were.  It is possible that some, making it that far, will try to see if they can go a little further.

Edited by meyery2k
Rbubbaray and Seagal like this

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The guidelines may not be so great but the discussion is all good. So maybe this thread should stay here.

gabrielo, Rbubbaray and meyery2k like this

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The pharmaceutical companies want everyone to be on insulin and diabeties drugs .... the doctors support them so yes, the standard """acceptable" is scewed.

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