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[rosey]

Hi everyone. can someone please tell me the correct glucose readings for a type 2 diabetic? Thankyou. rosey.

 

[LeeLee]

Hello Rosey. The normal levels for a non-diabetic are 3.5?5.5 (before meals) and less than 8 (2 hours after meals). The aim is to get as close to these figures as possible.

Have you been given and guidance on diet? Medicines? Weight? Exercise? The quality of care and education is extremely variable. The help and advice from this forum has been absolutely priceless for me.

 

[jalapino]

Welcome rosey....🙂 how long have you been diagnosed for? do you no your current bg levels? and last HbA1c?

 

[pav]

Hi rosey, to add to LeeLee's comments getting to non diabetic ranges is the target. The general type 2 range to head for are between 4.0 and 7.0 pre meal and below 8.5 2 hours after a meal.

For a diabetic they class any thing below 4.0 as a hypo, my own targets are lower limit 3.9 (as that's what the pre-set warning was on my meter so left it at that), my upper limit is set to 8.5. Not made it yet for a lot of the tea time meals, but working on it.

For type 1's they say you should be under 9.0 2 hours after a meals, children with type 1 have a slightly different target as well.

 

[DeusXM]

For type 1's they say you should be under 9.0 2 hours after a meals, children with type 1 have a slightly different target as well.

And it's these kinds of recommendations which mean T1s tend to get more significant complications.....


....anything over about 7.2 causes damage. For T1s, I understand that with the imperfect tools we have, there's a belief in keeping a cushion of slightly higher BGs. But I would say most insulins are primarily done after 2 hours and only have minimal action for the remaining 2 hours of their action profile, so personally I would be aiming for nothing over 8 after 2 hours...not that this happens very often.

I would personally advocate far tougher readings for T2s - 4-6 as a pre-meal and back to this after 2 hours. A postprandial of 8.5 for a T2 is not a good idea at all as they don't have the issues with insulin hanging around.

 

[pav]

The information was taken from another diabetic web site / forum saying they are the Nice guide lines.

http://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

 

[DeusXM]

I'm not disputing they're NICE's guidelines; I'm just saying NICE's guidelines are wrong. The NHS actively works against T1s going for an A1C of <6.5%. The guidelines also say an A1C of 7.5% is 'well-controlled', despite the fact that the WHO recommends an A1C of under 7%.

 

[Redkite]

I'm not disputing they're NICE's guidelines; I'm just saying NICE's guidelines are wrong. The NHS actively works against T1s going for an A1C of <6.5%. The guidelines also say an A1C of 7.5% is 'well-controlled', despite the fact that the WHO recommends an A1C of under 7%.

I agree the NICE targets are very loose. It's another case of short term false economies - if the targets were tighter they would have to provide more HCP support for patients!