Posts Tagged ‘blood glucose’

BLOOD SUGAR LEVEL VALUES and DIAGNOSING DIABETES

Wednesday, September 9th, 2009

These days blood sugar test or blood glucose test is a common and convenient procedure done for people who are suspected to have diabetes or those who are at a high risk of having this disease.  Once diagnosed with diabetes, regular monitoring of blood sugar levels is of utmost importance.  Remember that the level of glucose on the blood cannot be determined based on symptoms alone, that is why a reliable way to measure blood glucose is necessary.

Normally, when we consume food, especially those high in sugar and carbohydrates, the body keeps the sugar balance through the action of the hormone insulin.  Insulin, from the pancreas, acts to lower blood sugar levels.  However, among diabetic people, they either have poor insulin production (Type 1) or resistance to the effects of insulin (Type 2).

So when tested, what is the normal blood glucose level?  Actually, rather than just a normal value, there is a normal range. The acceptable range is also different for the different methods of measuring blood glucose levels. There are currently different tests for measuring blood sugar.  One example is the fasting blood sugar test, wherein the patient needs to have no food consumption for at least 8 hours prior to taking a blood sample for analysis.  Results should range from 70-99 mg/dL to be considered normal.  A value ranging from 100-125 mg/dL is called impaired fasting glucose which means the patient has a high likelihood of having diabetes in the future. If on at least two occasions, the results are greater than or equal to 126 mg/dL, the patient is diagnosed with diabetes mellitus.

There is another test called random blood sugar test that can be taken anytime regardless of the last food intake. This time the target value should be below 200 mg/dL.  If above that value, and in the presence of symptoms, diabetes mellitus is the diagnosis.  Pre-diabetes may also be detected if the random blood sugar value is from 140-199 mg/dL.    A blood test called oral glucose tolerance test wherein a patient is asked to drink a solution containing 75mg of sugar after a period of fasting.  Two hours later, a blood sample is taken and analyzed for its sugar content.  The desired value should be below 140 mg/dL.

The diagnosis of pre-diabetes, impaired fasting glucose, or impaired glucose tolerance all indicate that the patient is a high-risk candidate for having diabetes.  Therefore, advice on a healthier diet and lifestyle must be stressed to prevent the progression of the condition.  Blood sugar testing does not end with diagnosis of diabetes mellitus alone.  Among diabetics, proper monitoring of blood glucose is a must as keeping it within normal levels will be a very important way of preventing diabetic conditions that affect the kidneys, eyes, heart and blood vessels.

If you suspect you have diabetes, or if you have a strong family history of the disease, it is best to consult a physician so he/she can order the necessary tests.

Common Ailments as You Age with Type 1 Diabetes

Wednesday, August 5th, 2009

Since you are more prone to low blood glucose as you get older, controlling your diabetes as you age can be very challenging.  It is important to keep your blood sugar up because low blood glucose can increase your risk of hypoglycemia and poor circulation, as well as stroke and heart attack. Type 1 diabetes is known to cause various ailments as you age, so be sure to look for any symptoms to treat the conditions promptly and prevent any further complications from occurring.  Here are some commonly affected areas of type 1 diabetes as you age:

Kidneys: Diabetes can cause damage to the kidneys which contain millions of tiny blood vessels that filter waste from your blood. Severe damage can lead to irreversible end-stage kidney disease or kidney failure, which would require dialysis or a kidney transplant.

Cardiovascular System: Diabetes severely increases the risk of various cardiovascular problems, including heart attack, stroke, coronary artery disease, and the narrowing of arteries. People who have diabetes are twice as likely to develop stroke or heart disease.

Nerves: Excess sugar can damage the walls of the tiny blood vessels that nourish your nerves, particularly in the legs. This can cause tingling, burning, numbness, or pain that generally begins at the fingertips or toes, and gradually spreads upward over several months or years. When left untreated, this condition can cause you to lose all sense of feeling in the affected limbs. Any damage to the nerves that is related to digestion can cause problems with nausea, vomiting, diarrhea or constipation and can lead to erectile dysfunction in men.

Skin and Mouth: Diabetes may leave you more vulnerable to skin conditions, including itching, bacterial infections, and fungal infections. Additionally, gum infections may also be an issue if you have a history of poor dental hygiene.

Feet: Insufficient circulation or nerve damage in the feet can increase the risk of various foot complications. If left untreated, cuts and blisters can become serious infections, which severe damage might require amputation.

Bones and Joints: Diabetes may put you at risk of bone and joint problems such as osteoporosis.

Eyes: Diabetes can damage the retina’s blood vessels which can lead to visual impairment.

There are also some conditions that are more common in seniors with diabetes.   And worsen as a person ages.

Pain: Elderly people with diabetes often suffer from undiagnosed or under-treated pain.

Depression: The risk of depression is remarkably higher in elderly diabetics. They may have suffered the loss of other loved ones which leaves them feeling socially isolated.

Falling: There is a higher risk of falling in elderly diabetics due to diabetes-related complications such as visual impairments, loss of sensation in the feet, and dizziness from low blood sugar.

Urinary Incontinence: This is caused by low blood sugar or other correctable problems.  Incontinence is generally more common in older women who have diabetes and should be treated by a medical professional.

Memory Problems: Older diabetics may be incapable of remembering to check blood sugar on time or may forget to take medications.

Here are some helpful tips to stay healthy and prevent some of these long-term complications of type 1 diabetes from developing:

Eye care: Have your eyes checked by an eye doctor annually to prevent eye problems such as retinopathy that can lead to blindness as a result of diabetes. Treat problems early to avoid serious complications.

Skin care: High blood glucose and poor circulation can lead to skin problems such as frequent infections or slow healing after an injury. Wash every day with a mild soap and lukewarm water, always use sunscreen, and treat any cuts or scrapes with proper cleansing and bandaging.

Foot care: Diabetes can reduce sensitivity in the feet through poor circulation and nerve damage. It is important to regularly check your feet, searching for any sores, cuts, or blisters. Always keep your feet clean and dry and protect them by wearing socks made from natural fibers and comfortable shoes.