The term low blood sugar is often used frivolously to describe a range of symptoms that may or may not be related to a low plasma glucose concentration.
Refer to  Blood Sugar Levels for Diabetes and Impaired Glucose Tolerance (high readings) for more information. There are are also general and non-specific signs and symptoms which should not be used in isolation to diagnose hypoglycemia. As the blood glucose levels continue to drop without any intervention, the glucose supply to the brain is severely impaired and may result in the symptoms listed below. Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis. A powerful technique to reverse metabolic derangement and normalize insulin sensitivity, blood sugar, cholesterol, blood lipids and energy levels is to practice intermittent fasting. Intermittent Fasting implies that you choose to have predetermined periods of time that you go without food.
Self monitoring of blood glucose (SMBG) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia.
It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good SMBG record is maintained by the patient.
Normally we check fasting and 2 hr post prandial blood sugar levels in lab for routine follow up. In practice I have seen several patients who had fasting and post prandial blood glucose lab tests in normal range but HbA1c levels below 7 is not achieved because they might have high blood sugars in other post meals which has got unnoticed. To achieve best blood glycemic control it is important to control blood sugar levels within normal limits during entire day and not just fasting or post breakfast levels.


In the above image of SMBG chart I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day. This seven point SMBG charting approximately covers entire day glucose fluctuations to some extent (ofcourse  not as accurate as CGMS). I have also mentioned a comment column in the above SMBG chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if Hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mentioned that. You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.
Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and SMBG charting of glucometer readings helps a lot to patient. If you find that some of the post meal or pre meal readings are high or low, please consult your diabetologist with SMBG chart to adjust your medication or insulin dosage. Glycemic index ( GI )of a food is the increase in blood glucose ( above fasting glucose) 2 hours after ingestion of a constant amount of food divided by a reference food( usually glucose).
To make this easy to understand, if the GI of a particular food is 72, this means that 72% of the ingested food is converted to glucose within the body after 2 hours of consumption.
Prediabetes is the state in which some but not all of the diagnostic criteria for diabetes are met. There is also confusion relating to the blood glucose levels that can be classified as hypoglycemia. This triggers certain processes like releasing the glucose stored in the liver (glycogen) in an attempt to stabilize the blood glucose levels.
In patients who experience frequent episodes of hypoglycemia, the body may stop releasing epinephrine.


Changes in behavior at this stage may resemble inebriation (alcohol intoxication, drunkenness) and is sometimes mistaken for alcohol dementia in alcoholics. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in entire day. There is bright chance of sugar excursions in the other post meal readings which gets unnoticed. Try to aim for low GI food combined with medium or high GI food rather than have more of high GI food.
This is known as hypoglycemic-associated autonomic failure (HAAF) or is also referred to as hypoglycemia unawareness.
Whatever be the diet chosen, the dietary management has to be combined with physical activity for maximum benefit.
The blood glucose levels continue to drop until the neuroglycopenic symptoms may be evident. It works by measuring the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells.
It is advisable to see which food increases the sugar levels by checking the sugar levels after each food ( this is painful, but this can help to decide which food suits a person).



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Comments

  1. 14.02.2015 at 13:47:19


    According to the American Diabetes Association monitored closely by individuals with or at risk for diabetes.

    Author: ErroR
  2. 14.02.2015 at 18:13:44


    Conversion results either in mg/dl used by the American system or in mmol/l and their blood sugar after fasting.

    Author: sevgi_delisi
  3. 14.02.2015 at 14:46:34


    Levels, this may need to be reviewed, to optimize level and what risk.

    Author: strochka
  4. 14.02.2015 at 14:50:15


    Condition was discovered in 1924 and although I don't restrict.

    Author: Bakinka_111
  5. 14.02.2015 at 22:37:59


    Attention is highly recommended the Diabetes Control and usual dose while you're.

    Author: Romantic_oglan