Diabetes Talking » Diabetes Diet » 24 hr bg cycle [normal and otherwise]
24 hr bg cycle [normal and otherwise]
Question:
Don’t know if I can claim to be one of the "smarter" ones <G, but, the BG range to shoot for, ideally (in American terms) is around 100-140. Above 140 routinely and you begin to get some of the long-term damage that diabetics are susceptible to. Keeping in mind that a bad hypo (low) can be dangerous in the short term and may also have long term effects. I’m a type I, IDDM, and I work to keep mine within this range, actually a little lower, more like 130 is what I shoot for (that’s my *goal*, doesn’t mean I always manage). Now that Humalog is available, it’s easier to regulate my BGs, even after a meal. I’m on MDI(multiple daily injections) and use a personal "sliding scale" to figure out how many units to use, but, as everyone will tell you, YMMV ;-. Not sure this helps, and you didn’t say if you’re type 1 or 2. A good way to track your levels over a matter of weeks is the HbA1c test. I’ve heard there’s a home version, but talk to your doc about having it done every so often. Or, some BG meters, mine for example, give a 14 and 30 day average, which is also useful, although probably not totally accurate, it works well as a guideline. Best wishes, moonshyne – Hide quoted text — Show quoted text – here is a question to the smarter folks in this newsgroup please go thru what you understand the normal bg numbers should read on any given day……also i would like the numbers indicated in the numbers used in usa ie ave 70-120…… please indicate what wake up numbers should be…. what a reading would be 30 minutes after a meal…….what 2-3 hrs after each meal should be……. i am trying to get some idea what normal reading might be and then what numbers would indicate mostly under control and what numbers might indicate outta control……kind of a bench mark and then above etc….. any other factual information you care to pass along is welcomed thanks
Response:
Whew, I guess I’m screwed. I checked my sugar 3 1/2 hours after breakfast and was 160. Having gastroparesis, I digest MUCH slower than others do, however, other than not eating at all, I don’t Humm… 160. After meal… Not sure that’s a problem there Beve "Nothing adds excitement like something that is none of your business" Anytime things appear to be going better, you have overlooked somethin Net-Tamer V 1.08X – Registered
Response:
Doctors disagree about what bg numbers should be. Here is what my endocrinologist says: — BGs should always be 80 or above.
4.4 – yup, no problem there — Wake up numbers and before meal numbers should be below 110.
6.1 – I wish! I reach that sort of level *sometimes* before dinner (lowest ever 5.4) – never before any other meal, and certainly not on waking… though I did get a 6.8 yesterday morning, of which I was very proud, as my typical waking reading is a bit over 8. — Two hours after a meal numbers should be below 160 and ideally below 140.
8.9, ideally 7.9 … manage the 8.9 nearly half the time, occasionally the 7.9 — No readings should be above 180.
10 … well most are below, but some are above…. maybe 10% or so. <Sigh Looks like I’ve still got some work to do…. time to WALK home! Barbara
Response:
Whew, I guess I’m screwed. I checked my sugar 3 1/2 hours after breakfast and was 160. Having gastroparesis, I digest MUCH slower than others do, however, other than not eating at all, I don’t know what to do about it. Of course I should also say that I am cutting my dose of Glyburide to half the normal dose (now 5mg twice a day) because of what I’ve read here about it’s effects on the pancreas. I probably am going to have to cut WAY back diet-wise. Oh Bev
Bev, I suggest you get Bernstein’s book, Diabetes Solution… not necessarily for the diet (although it did dramatically change my condition), but for his clear, informative discussion of all things diabetic, including gastroparesis. I uses his book as my primer before I do "battle" with my drs.
Response:
Here is what my endocrinologist says: — BGs should always be 80 or above. — Wake up numbers and before meal numbers should be below 110. — Two hours after a meal numbers should be below 160 and ideally below 140. — No readings should be above 180. — Frequent readings above 120 increase the risk of complications.
Whew, I guess I’m screwed. I checked my sugar 3 1/2 hours after breakfast and was 160. Having gastroparesis, I digest MUCH slower than others do, however, other than not eating at all, I don’t know what to do about it. Of course I should also say that I am cutting my dose of Glyburide to half the normal dose (now 5mg twice a day) because of what I’ve read here about it’s effects on the pancreas. I probably am going to have to cut WAY back diet-wise. Oh Bev
Response:
please go thru what you understand the normal bg numbers should read on any given day……also i would like the numbers indicated in the numbers used in usa ie ave 70-120…… please indicate what wake up numbers should be…. what a reading would be 30 minutes after a meal…….what 2-3 hrs after each meal should be…….
Doctors disagree about what bg numbers should be. Here is what my endocrinologist says: — BGs should always be 80 or above. — Wake up numbers and before meal numbers should be below 110. — Two hours after a meal numbers should be below 160 and ideally below 140. — No readings should be above 180. Here is what Dr. Bernstein (of the book Dr Bernstein’s Diabetes Solution) says: — BGs should always be between 85 and 95. Medications or insulin and a very low carb diet should be used to make this happen. — Frequent readings above 120 increase the risk of complications. It is interesting to note that although most endos think Bernstein’s idea of control is draconian, they *do* think that this level of tight control should be maintained during pregnancy. (Although not via a low carb diet.) — Stef ** rational/scientific/philosophical/mystical/magical/kitty ** Type II, dx Apr 98, lo carb & exercise
Response:
the unidentified poster wrote, please go thru what you understand the normal bg numbers should read on any given day……also i would like the numbers indicated in the numbers used in usa ie ave 70-120…… please indicate what wake up numbers should be…. what a reading would be 30 minutes after a meal…….what 2-3 hrs after each meal should be……. i am trying to get some idea what normal reading might be and then what numbers would indicate mostly under control and what numbers might indicate outta control……kind of a bench mark and then above etc….. any other factual information you care to pass along is welcomed thanks
For reasons that would take far to long to explain, we measure bg eight times a day and maintain a "rolling" years worth of data. I can tell you what our most frequent 24 hour profile is. Furthermore, I understand that non-diabedics will have bgs between 75 and 105 at any time. Here are ours; time bg wake up 08:00 am 124 breakfast 09:00 am – post breakfast 11:00 am 116 pre lunch 01:00 pm 95 post lunch 03:00 pm 112 pre supper 05:30 pm 100 post supper 08:00 pm 128 pre snack 10:30 pm 112 post snack 2:00 am 98 I should point out that, that profile occurs during only one in seven days. More frequently than not, some readings will depart substantially, but overall, we do stay between 60 & 195 99% of the time. Outside of that range, I would consider, "out of control". In fact we change food and/or insulin, if we are below 100 or above 145. I expect that such tight control is extraordinary, but it does show what can be done. I hope it helps you in some way. the virtual diabetic
Response:
—–BEGIN PGP SIGNED MESSAGE—– Hash: SHA1 When my moring bg is <15.0 mmol/L (270 mg/dl) I am satisfied. GEEZ, Eric, if my morning reading was 270, I would be having so many symptoms like rapid pulse and heavy, fast breathing, that I would NOT be able
to get up! Nope. No problems getting up in the morning. Mine are usually anywhere from 120 to 140, and I think that’s a little high, but I eat late and I expect that. It’s eat late or not at all for me because of my schedule. Do you have any side effects from a reading that high every morning? Just curious……. Bev
No, I don’t have side effects from reading high every morning. There are no hypo’s during the night. Does anyone have a theory on what is causing it? – — Eric Mind the dot —–BEGIN PGP SIGNATURE—– Version: PGP 5.5.5 iQA/AwUBNeAFz4f4dKC/bInzEQKddwCg9aweKLnWzdYNtEQguzJb/c5gY8YAoPkZ E5jwcprHRAtz31EFBQKbjakM =pidC —–END PGP SIGNATURE—–
Response:
When my moring bg is <15.0 mmol/L (270 mg/dl) I am satisfied.
GEEZ, Eric, if my morning reading was 270, I would be having so many symptoms like rapid pulse and heavy, fast breathing, that I would NOT be able to get up! Mine are usually anywhere from 120 to 140, and I think that’s a little high, but I eat late and I expect that. It’s eat late or not at all for me because of my schedule. Do you have any side effects from a reading that high every morning? Just curious……. Bev
Response:
—–BEGIN PGP SIGNED MESSAGE—– Hash: SHA1 – Hide quoted text — Show quoted text – here is a question to the smarter folks in this newsgroup please go thru what you understand the normal bg numbers should read on any given day……also i would like the numbers indicated in the numbers used in usa ie ave 70-120…… please indicate what wake up numbers should be…. what a reading would be 30 minutes after a meal…….what 2-3 hrs after each meal should be……. i am trying to get some idea what normal reading might be and then what numbers would indicate mostly under control and what numbers might indicate outta control……kind of a bench mark and then above etc….. any other factual information you care to pass along is welcomed thanks
Mr/Ms/Miss Euro930 In my humble opinion there is no _normal_ reading sinds we are all deferend. When my moring bg is <15.0 mmol/L (270 mg/dl) I am satisfied. During the day I keep it between 5.0 mmol/L (90 mg/dl) and 14.0 mmol/L (252 mg/dl) and I feel fine. But your bg may be another value. Eric. Mind the DOT —–BEGIN PGP SIGNATURE—– Version: PGP 5.5.5 iQA/AwUBNd6jg4f4dKC/bInzEQJMPgCfVCPS3/rTd8Ijm636VqGJd23gEmwAoMhF ZzZdHKka37BP7rMzLksShQ30 =3H+I —–END PGP SIGNATURE—–
Response:
here is a question to the smarter folks in this newsgroup please go thru what you understand the normal bg numbers should read on any given day……also i would like the numbers indicated in the numbers used in usa ie ave 70-120…… please indicate what wake up numbers should be…. what a reading would be 30 minutes after a meal…….what 2-3 hrs after each meal should be……. i am trying to get some idea what normal reading might be and then what numbers would indicate mostly under control and what numbers might indicate outta control……kind of a bench mark and then above etc….. any other factual information you care to pass along is welcomed thanks