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FBS canada

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What to know about fasting blood sugar?

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Fasting blood sugar levels give vital clues about how a person’s body is managing blood sugar. Blood sugar tends to peak about an hour after eating and declines after that.

High fasting blood sugar levels point to insulin resistance or diabetes, while abnormally low fasting blood sugar could be due to diabetes medications.

Knowing when to test and what to look for can help keep people stay healthy, especially if they have diabetes or are at risk of developing the condition.

Share on pinterest A healthcare professional may recommend using a glucometer to test daily levels of fasting blood sugar.

The body needs glucose for energy, and glucose comes from the food we eat. However, the body does not use all of this energy at once. Insulin makes it possible to store and release it as necessary.

Following a meal, blood sugar levels rise, usually peaking about an hour after eating.

How high blood sugar rises, and the precise timing of the peak depends on the person’s diet.

Factors relating to food that can trigger significant rises include:

Eating large meals

Consuming sugary foods and drinks

Eating foods with simple carbohydrates, or carbs, such as bread and sweet snacks

As blood sugar rises, the pancreas releases insulin. Insulin lowers blood sugar, breaking it down so that the body can use it for energy or store it for later.

However, people who have diabetes have difficulties with insulin in one of two ways:

1. Those with type 1 diabetes do not produce enough insulin because their body attacks its insulin-producing cells.

2. Those with type 2 diabetes do not respond well to insulin in their body and, later, may not make enough insulin.

In both cases, the result is the same, with people experiencing high blood sugar levels and difficulty using glucose, or blood sugar.

This means that fasting blood sugar depends on three factors:

The contents of a person’s last meal

The size of their previous meal

Their body’s ability to produce and respond to insulin

Blood sugar levels between meals offer a window into how the body manages sugar. High levels of fasting blood sugar suggest that the body has been unable to lower the levels of sugar in the blood.

This points to either insulin resistance or inadequate insulin production and, in some cases, both.

When blood sugar is very low, diabetes medications may be lowering blood sugar too much.

There are two methods that individuals or healthcare professionals use for assessing fasting blood sugar levels:

1. A conventional blood sugar test

2. A glycosylated hemoglobin (hba1c) test

The hba1c test

The hba1c test measures how the body is managing blood sugar over time, usually the last 2–3 months.

The person will undertake this test at the doctor’s office or in a lab. If levels are very high, the individual may need a second test. The results show as a percentage.

Hba1c is the main test that doctors use to manage diabetes.

Blood sugar testing at home

A person can test their blood sugar levels at home.

In most cases, doctors ask people to measure fasting blood sugar immediately upon waking and before they have anything to eat or drink. It may also be appropriate to test blood sugar before eating or sometimes 2 hours after a meal when blood sugar has returned to normal levels.

The right time to test is dependant on treatment goals and other factors. For example, most people with diabetes do not need to test between meals unless they are using a diabetes drug that can lower blood sugar. Other people may test between meals if they feel their sugar levels may be low.

Since they do not make any insulin, some people with type 1 diabetes need to test several times a day. They do this because they need to check their levels regularly in order to adjust their insulin dose at that time.

To do the blood sugar test, a person will:

Prepare the testing strip and glucose monitor to be ready for the blood sample.

Clean the testing area, usually the side of a fingertip, using an alcohol swab.

Lance the testing area. Bracing against a firm surface can help with the impulse to pull away.

Squeeze the testing area around the wound to maximize blood flow.

Squeeze a drop of blood onto the test strip.

Put the strip into the monitor.

Record the time, blood sugar reading, and recent food intake in a log.

Find out more here about blood sugar testing at home.

Blood glucose monitoring kits for use at home are available for purchase online.

Continuous glucose monitoring

Another option for daily use is continuous glucose monitoring (CGM).

For CGM, a person wears a monitor 24 hours a day. The monitor records their blood glucose levels on an ongoing basis.

CGM can give a more accurate picture of a person’s levels and fluctuations throughout the day. However, this type of kit is more expensive to buy.

There are also non-fasting blood tests.

Random plasma glucose (RPG): the doctor does a conventional blood sugar test when the person is not fasting. Find out more here.

Oral glucose tolerance test (OGTT): A healthcare provider takes samples of a person’s blood several times. The analysis begins with a fasting blood test. The individual with diabetes then drinks a liquid containing glucose, and the healthcare provider draws their blood every hour, three times. Learn more here about the glucose tolerance test.

Blood sugar levels vary throughout the day and with food intake, so no single blood sugar reading can reveal how well or not someone is processing sugar.

Hba1c results

According to the american diabetes association (ADA), the results of an hba1c test will be one of the following:

Normal: less than 5.7 percent

Prediabetes: between 5.7 and 6.4 percent

Diabetes: 6.5 and over

Prediabetes is when blood sugar is high but not as high as in diabetes. People can take measures that may reverse it and stop diabetes from developing. Find out more here.

Home testing

Target blood sugar numbers are as follows, in milligrams per deciliter (mg/dl):

Fasting (morning testing before food or water): 80–130 mg/dl

Two hours after starting a meal: under 180 mg/dl

However, the target numbers will vary between individuals. A healthcare professional will help a person identify their own target levels.

It is vital to follow a healthful diet to keep fasting blood sugar from rising too high. Strategies include:

Limiting the intake of sugar and salt.

Choosing whole-grain bread and pasta instead of white bread and pasta.

Eating foods that are rich in fiber to help the body lower blood glucose levels.

Eating high-protein foods to support feelings of fullness.

Choosing non-starchy vegetables that are less likely to trigger blood glucose spikes.

People who are taking diabetes drugs and who are at risk of dangerous blood sugar dips should follow a similar diet. They also need to take proactive steps to prevent blood sugar from dropping. Those include:

Eating regular meals throughout the day.

Increasing food intake and snacking frequency during intense physical activity.

Avoiding or limiting alcohol beverages.

Consulting a doctor if vomiting or diarrhea make it difficult to manage blood sugar.

People are likely to experience symptoms if their blood sugar levels are too low or too high.

Low blood sugar levels

Blood sugar that is too low can cause symptoms such as:

Shaking and sweating

Feeling jittery

Difficulty concentrating

Lack of energy

Pale skin

Fatigue or tiredness

Headaches or muscle aches

Fast or irregular heartbeat

Weakness

Lack of coordination

In extreme cases, low blood sugar can trigger seizures, loss of consciousness, confusion, and the inability to drink or eat.

Very high blood sugar, or hyperglycemia, can cause the following symptoms:

Increased hunger or thirst

Excessive urination

Blurred vision

Headache

Tiredness

As with low blood sugar, high blood sugar may cause loss of consciousness or seizures if people leave them untreated. Persistent high levels can increase the risk of serious complications that doctors relate to diabetes, such as cardiovascular disease.

If a person’s blood sugar levels are high more than three times in a 2-week period without an apparent reason, the national institute for diabetes and digestive and kidney diseases (NIDDK) recommend that they seek medical help.

Any significant change in blood sugar patterns warrants a visit to a doctor. People with diabetes and those at risk of diabetes should also consult a doctor if:

Blood sugar levels become unusually high or low

Well-managed blood sugar levels are suddenly start fluctuating

People have new or worsening symptoms of diabetes

They change their medication or stop using it

They experience abnormally high blood pressure

They develop an infection or sore that will not heal

Diabetes needs ongoing monitoring, and the treatment can change over time. Information about diet and exercise is vital to enable a doctor to outline a proper treatment plan for each person individually.

People with diabetes can assist their doctor by keeping detailed logs and being transparent and accurate about dietary or lifestyle changes.

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Le site web est exploité par FBS markets inc. ; numéro d'enregistrement 119717; FBS markets inc est réglementé par l'IFSC, licence IFSC/000102/124; adresse : 2118, guava street, belize belama phase 1, belize

Le service n'est pas fourni dans les pays suivants : japon, états-unis, canada, royaume-uni, myanmar, brésil, malaisie, israël et république islamique d'iran

Les transactions de paiement sont gérées par НDС technologies ltd. ; numéro d'enregistrement HE 370778; adresse : arch. Makariou III & vyronos, P. Lordos center, block B, office 203

Pour toute coopération, veuillez nous contacter via support@fbs.Com ou au +35 7251 23212.

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Le service n'est pas fourni dans les pays suivants : japon, états-unis, canada, royaume-uni, myanmar, brésil, malaisie, israël et république islamique d'iran

Les transactions de paiement sont gérées par НDС technologies ltd. ; numéro d'enregistrement HE 370778; adresse : arch. Makariou III & vyronos, P. Lordos center, block B, office 203

Pour toute coopération, veuillez nous contacter via support@fbs.Com ou au +35 7251 23212.

Toute copie, reproduction, republication des ressources disponibles sur internet et de tout matériel provenant de ce site web ne sont possibles qu'avec une autorisation écrite.

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Conversion chart for blood sugar levels: mg/dl to mmol/L

*** 18 mg/dl of blood glucose = 1 mmol/L of blood glucose

Note that in canada, there's a higher allowable reading for a normal fasting blood sugar level. A fasting blood glucose reading of 6.1 mmol/L (110 mg/dl) or less is considered normal. The pre-diabetic range is more than 6.1 mmol/L to 6.9 mmol/L (> 110 mg/dl to 125 mg/dl).

Fasting blood sugar range	mg/dl	mmol/L
hypoglycemia (low blood sugar)	30 40 50 60 70	1.7 2.2 2.8 3.3 3.9
normal blood sugar	70 80 90 100	3.9 4.4 5.0 5.5
* pre-diabetic range	101 110 120 125	5.6 6.1 6.7 6.9
* diabetic range	126 140 155 160 175 190 200 250 300 400 600	7.0 7.8 8.6 8.9 9.7 10.6 11.1 13.9 16.7 22.2 33.3

While this conversion chart for blood sugar levels is a good guideline, everyone's body responds differently. Work with your doctor to set realistic goals specifically for you. If you've only tried exercise and dietary changes to treat type 2 diabetes, but these changes aren't working to keep your blood glucose under control, then it's time to have a chat with your doctor about starting medication . Diabetes has serious long-term effects on health and keeping it well-managed is critical to feeling well.