Is Your Blood-sugar Range Really Safe?
- Date: 2009-08-05 - Word Count: 382
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More and more people are diagnosed with diabetes every day. The first thing they need and want is information. And one of the most important things they want to know is, what should my blood sugar range be?
The American Diabetes Association (ADA) Complete Guide to Diabetes 3rd edition recommends "to keep blood glucose as close as possible to that of a person without diabetes" (page 153). We wholeheartedly agree with that. This should be the goal of every person with diabetes.
The ADA and other authorities recommend a range with an upper limit that is dangerously high. They recommend an A1C of 7% or under to "help avoid diabetes complications of the kidneys, eyes, feet, and nerves" (page 91).
(The A1C is a weighted average percentage of glycated hemoglobin, blood cells with glucose attached to them, over the past several months. It is a fair indicator of blood glucose levels over that time.)
Unfortunately, the recommended 7% is still too high. It is certainly not "as close as possible to that of a person without diabetes," which is about 5%.
Let's look at what an A1C of 7% represents in terms of everyday blood glucose levels. It indicates an average blood glucose level of 150 mg/dl (8.5 mmol/l). This average level may seem safe to the ADA, but studies by both the American Association of Clinical Endocrinologists (AACE) and the International Diabetes Federation (IDF) indicate that anything above 140 mg/dl (8 mmol/l) significantly raises the risk of heart attack.
A much safer maximum acceptable blood sugar level is not 150, according to the AACE and the IDF and other authorities, but 140 mg/dl. "Maximum" means the glucose level up to two hours after meals. And neither 150 nor 140 should be the constant or the average blood sugar level. The average blood glucose level should be much lower, between 90 and 100 mg/dl (5 and 5.5 mmol/l), considerably lower than the ADA's recommended 150 mg/dl.
If the average glucose level can be maintained between 90 and 100 mg/dl, it should result in an A1C test result of less than 6%. This single percentage point between an AIC of 7% and one of 6% can be the difference between a relatively healthy life with diabetes and one with high risk of complications, heart attack, and stroke.
The American Diabetes Association (ADA) Complete Guide to Diabetes 3rd edition recommends "to keep blood glucose as close as possible to that of a person without diabetes" (page 153). We wholeheartedly agree with that. This should be the goal of every person with diabetes.
The ADA and other authorities recommend a range with an upper limit that is dangerously high. They recommend an A1C of 7% or under to "help avoid diabetes complications of the kidneys, eyes, feet, and nerves" (page 91).
(The A1C is a weighted average percentage of glycated hemoglobin, blood cells with glucose attached to them, over the past several months. It is a fair indicator of blood glucose levels over that time.)
Unfortunately, the recommended 7% is still too high. It is certainly not "as close as possible to that of a person without diabetes," which is about 5%.
Let's look at what an A1C of 7% represents in terms of everyday blood glucose levels. It indicates an average blood glucose level of 150 mg/dl (8.5 mmol/l). This average level may seem safe to the ADA, but studies by both the American Association of Clinical Endocrinologists (AACE) and the International Diabetes Federation (IDF) indicate that anything above 140 mg/dl (8 mmol/l) significantly raises the risk of heart attack.
A much safer maximum acceptable blood sugar level is not 150, according to the AACE and the IDF and other authorities, but 140 mg/dl. "Maximum" means the glucose level up to two hours after meals. And neither 150 nor 140 should be the constant or the average blood sugar level. The average blood glucose level should be much lower, between 90 and 100 mg/dl (5 and 5.5 mmol/l), considerably lower than the ADA's recommended 150 mg/dl.
If the average glucose level can be maintained between 90 and 100 mg/dl, it should result in an A1C test result of less than 6%. This single percentage point between an AIC of 7% and one of 6% can be the difference between a relatively healthy life with diabetes and one with high risk of complications, heart attack, and stroke.
Related Tags: glucose, manage diabetes, diabetes control, diabetes test, blood glucose, glucose meter, blood sugar levels, glucose range, glucose levels, sugar blood level
Achieving and maintaining good glucose control, weight and blood pressure is not easy. Learn about a system to put it all together and manage your diabetes. Subscribe to my no-cost, no obligation 7-Day e-course at: www.RealHelpWithDiabetes.com/Jaye Marno is an internet writer specializing in goal-setting and time management with a focus on Type 2 diabetes. Read other articles by Jaye at: community.realhelpwithdiabetes.com/ Your Article Search Directory : Find in Articles
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