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DIABETES: BLOOD GLUCOSE MONITORING
The lower limit of normal
This causes confusion. The majority of doctors agree that a blood glucose concentration below 2.2 mmol/1 (40 mg/dl) is definitely abnormally low (i.e. hypoglycemic) and needs urgent treatment to return it to normal. Each hospital laboratory will produce a normal range for blood glucose based on the thousands of samples it receives – the lower end of this range is usually about 3.5 mmol/1 (63 mg/dl). For practical purposes I suggest that people with diabetes on glucose-lowering treatment regard 4 mmol/1 (72 mg/dl) as their lower limit of normal. As your blood glucose falls below this you are more and more likely to feel symptoms of unduly low blood glucose – hypoglycemia – and need to eat glucose to correct this.
What should the blood glucose level be
What should the blood glucose level be in someone who has been diagnosed as diabetic and is being treated Normal. Nowadays, one of the most important aims in the treatment of diabetes is to return the blood glucose level to normal and keep it there. This is the ideal, and everyone realizes that there are many occasions when a treated diabetic’s blood glucose is above normal. Nevertheless, the blood glucose level should be between 3.5 and 7.8 mmol/1 (63-140 mg/dl), 4 and 8 for simplicity, and action should be taken if it is always outside this range. It is important not to strive so hard to achieve a normal blood glucose level that your diabetes is over treated and the level falls too low. This is especially important when you measure your glucose level before you break your fast after a night’s sleep. Attempts by insulin-treated diabetics to keep this at 4 mmol/1 (72 mg/dl) may lead to nighttime hypoglycemia; therefore 5 or 6 mmol/1 (90 or 108 mg/dl) is safer.
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