Which values are treated as normal?
It is known that blood sugar levels fluctuate after eating foods. The more carbs the food contains the more intense the fluctuation of blood sugar levels. This is always the case. That is why patients with diabetes are suggested to adapt their diet in order to eat less carbs and processed fats. This measure guarantees less spikes in blood sugar levels.
What can be done?
Like already said – a change in ones diet is mandatory. If blood sugar levels are above 6 mmol/l any time this may indicate diabetes. For more accurate measurement please refer to blood sugar levels chart and analyze it yourself.
Find below a standardized table of RBS.
|blood sugar levels||indication||action needed|
|below 3 mmol/l||low blood sugar levels||yes|
|below 4 mmol/l||low lood sugar levels||no|
|below 5 mmol/l||normal blood sugar levels||no|
|below or equal 6 mmol/l||normal blood sugar levels||no|
|above 6 mmol/l||high blood sugar levels||yes|
A short story on how it began
My mother and my sister, both thin as rails, developed type 2 diabetes after menopause. My mother’s father and his siblings all had it as well. None of them were overweight, they all worked hard and were certainly not big sweets eaters, as they could rarely afford such luxuries. When diagnosed their blood sugar levels where above 10 mmol/l.
I hate the assumption prevelant in the media, and in the medical field, that all type 2 diabetes is the fault of the person who gets it. They don’t account for enviromental factors, or for genetics. They don’t tell you that just being a woman, and past menopause also puts you at risk for high blood pressure, cholesterol, weight gain and diabetes. But then, women past menopause are pretty much invisible in our media and even to the medical profession. Environment, viruses and types of hormones added to our food are also now suspected of — at the very least — exacerbating type 2 diabetes, and at the very worst, being a contributing factor. There are also people who despite their best efforts cannot control their diabetes. Type 2 diabetes should be treated as an autoimmune disease, like lupis, shragen’s or MS… it needs to be attacked from multiple fronts, not attack the sufferer.
A value above 6 mmol/l can indicate problems
The treatment of adult-onset diabetes doesn’t need to be medical. Unless you let it go too long. Simply eliminating the white stuff — sugars and starches — from your diet can normalize sugars in many cases. The best time to do this is when sugars are mildly elevated and symptoms absent. The weird thing is that your weight, blood pressure, and lipids will likely also normalize. A good reference for the lay person is “Why We Get Fat” by Gary Taubes.
Dr Ofri does a great job drawing attention to the idea that diabetes of whatever type is a common problem and very disruptive to people’s lives. The various commenters make excellent points about the difference between types 1 and 2 diabetes – the issues that Dr Ofri is highlighting are important to both, the major distinction being that insulin is essential in the long run for all patients with type 1 diabetes but only a subset of those with type 2 diabetes. The two people described could have ended up with either type 1 or type 2 diabetes – but both were delaying care for a scheduled visit that needed to be sooner regardless of diabetes type. Part of the point is switching from “When I get around to it” mode to “This needs attention now” mode.
For those with type 2 diabetes who want to advance knowledge in the field, let me draw your attention to the GRADE Study (Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study), a long-term study of different treatments for type 2 diabetes, http://grade.bsc.gwu.edu/web/grade. It is funded by the National Institutes of Health and accessible at sites spread across the United States.
Type 1 and type 2 diabetes
The problem in differentiating between Type 1 and Type 2 diabetes is very actual today. They are, for all intents and purposes, completely different diseases. The new trend of linking all “diabetes” together is not only ignorant, but it is also unhelpful to individuals living with Type 1 diabetes who are then stereotyped by their own medical professionals and the public. Type 1 diabetes is an autoimmune disease in which one’s pancreas produces little to no insulin. The diagnosis and onset has nothing to do with one’s lifestyle, blood pressure, or cholesterol. Without a daily insulin regimen, a type 1 diabetic will die. This important distinction is too carefully glossed over by medical professionals. There have been several legal cases in the recent present in which individuals were diagnosed or treated as Type 2 diabetics when they were in fact Type 1 and could not manage their disease with just lifestyle. As a health professional and Type 1 diabetic, I have noticed that the gap in knowledge concerning these two very different diseases is growing