Veronique Murphy RN - 'Type 2 Diabetes Remission: The First Australian Evidence' [189db9]

2025-07-18

Post Time: 2025-07-18

Diabetes is a chronic condition characterized by elevated blood sugar levels, which, if not managed effectively, can lead to severe health complications. Understanding blood sugar levels and striving for ideal targets is crucial for individuals with diabetes to maintain their health and overall well-being. This article will delve into the significance of managing blood sugar in diabetes, exploring ideal targets, and providing strategies for effective control.

What are Blood Sugar Levels and Why are They Important in Diabetes?

Blood sugar, or glucose, is the primary source of energy for the body. It comes from the food we eat and is transported to our cells by the hormone insulin. In diabetes, either the body doesn’t produce enough insulin (Type 1) or the cells become resistant to the insulin (Type 2), resulting in high glucose levels circulating in the blood. Over time, sustained high blood sugar can damage the blood vessels, nerves, and organs, leading to complications like heart disease, kidney failure, vision loss, and nerve damage.

Importance of Managing Blood Sugar

  • Reduces the risk of complications: Maintaining blood sugar levels within target ranges can help delay or prevent long-term complications.
  • Improves overall health and well-being: Stable blood sugar levels can increase energy levels, reduce fatigue, and improve mood.
  • Enhances quality of life: Effective management allows individuals to lead more active and fulfilling lives.
Consequences of Uncontrolled High Blood Sugar Impact
Cardiovascular Disease Increased risk of heart attack and stroke
Neuropathy Nerve damage causing pain, numbness, and tingling
Nephropathy Kidney damage and potential kidney failure
Retinopathy Damage to the blood vessels in the retina, leading to vision loss
Foot Problems Increased risk of foot ulcers and infections

Ideal Blood Sugar Targets for People with Diabetes

Ideal blood sugar targets can vary slightly based on individual factors such as age, the type of diabetes, other health conditions, and the duration of diabetes. Therefore, personalized recommendations are always best sought from a healthcare provider. However, standard guidelines provide a good general framework for management. The following are general target blood sugar ranges for people with diabetes, as recommended by the American Diabetes Association (ADA) :

General Guidelines for Blood Sugar Levels

  • Fasting Blood Sugar (before meals): 80-130 mg/dL
  • Postprandial (1-2 hours after eating): Less than 180 mg/dL
  • A1C (Average blood sugar over 2-3 months): Below 7% (For most non-pregnant adults)

Understanding the Metrics

  • Fasting Blood Sugar: This measures blood sugar levels after not eating for at least 8 hours.
  • Postprandial Blood Sugar: This reflects how the body is processing sugar after a meal, usually measured 1-2 hours after eating.
  • A1C: This test provides a picture of average blood sugar over the past two to three months. It is an important long-term measure and is particularly significant in long-term health management and risk reduction. It is a measure of glycated hemoglobin which is an indicator of average glucose levels.
Test Ideal Target (for most adults with diabetes)
Fasting Plasma Glucose 80-130 mg/dL
2-Hour Postprandial Plasma Glucose Less than 180 mg/dL
A1C Below 7%

Factors Influencing Blood Sugar Levels and How to Manage Them

Several factors can affect blood sugar levels, including:

  • Diet: Carbohydrates in food significantly raise blood sugar. A balanced meal plan can help control fluctuations. It is necessary to keep track of carbohydrate intake. Also, the types of food and the timing at which you take food play an important part in keeping blood sugar within the desired levels. Eating smaller meals can help control levels from escalating.

  • Physical Activity: Regular exercise helps to improve insulin sensitivity and lower blood sugar. Aim for at least 150 minutes of moderate-intensity exercise each week.

  • Medications: Insulin or oral medications can help manage blood sugar, depending on the type of diabetes and individual needs. It is very important to take these medications as prescribed.

  • Stress: When under stress, the body releases hormones that can elevate blood sugar. Stress management techniques like yoga, meditation, or walking can help.

  • Illness: Infections and other illnesses can also increase blood sugar. Keep track of levels and seek medical advice when needed.

Strategies for Managing Blood Sugar:

  1. Regular Blood Sugar Monitoring: Regularly check blood sugar levels to understand how various factors affect them, and take steps to counter the effects. Work with your healthcare professional to determine a suitable schedule for blood sugar tests.
  2. Adopting a Diabetic-Friendly Meal Plan: Choose whole grains, fruits, vegetables, and lean proteins. Limit sugary drinks and processed foods. Working with a registered dietitian can greatly help personalize this.
  3. Engaging in Regular Physical Exercise: A brisk walk, cycling, or swimming, for 30 minutes each day can help control blood sugar effectively.
  4. Taking Medications As Prescribed: Do not skip or adjust your diabetes medication without consulting a doctor.
  5. Managing Stress: Take a few moments each day to meditate, take deep breaths, and enjoy time with loved ones to reduce your stress levels.
  6. Regular Check-Ups: Attending regular check-ups and having regular discussions with your health provider can help make sure you are doing things right. These appointments should be used to also discuss the latest findings on diabetes management.

Special Considerations for Blood Sugar Management in Different Individuals

Pregnancy and Diabetes

Pregnant women with diabetes, gestational or pre-existing, should achieve lower and stricter blood sugar goals to protect both mother and baby:

  • Fasting: 95 mg/dL or less
  • One hour post-meal: 140 mg/dL or less
  • Two hour post-meal: 120 mg/dL or less

These lower levels are necessary to reduce the risk of complications such as macrosomia (excessively large baby) or other health issues for both mother and child.

Older Adults

For older adults, the focus is often on avoiding excessively low blood sugar levels (hypoglycemia). The targets might be slightly higher:

  • Fasting: 90-150 mg/dL
  • Postprandial: Up to 180 mg/dL
  • A1C: Less than 7.5-8%

These targets will vary based on the individual and presence of other health issues or diseases and will have to be discussed with their doctor. The main goal here is to prioritize the maintenance of quality of life and avoiding complications.

Hypoglycemia and Hyperglycemia: Recognizing the Signs

It’s important to be aware of the signs of low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) to take corrective action promptly.

Hypoglycemia (Low Blood Sugar)

  • Shaking and tremors
  • Sweating and chills
  • Dizziness and lightheadedness
  • Confusion
  • Hunger
  • Blurred vision

If blood sugar falls too low, immediate consumption of fast-acting carbohydrates, like glucose tablets or juice, is needed.

Hyperglycemia (High Blood Sugar)

  • Increased thirst
  • Frequent urination
  • Fatigue and weakness
  • Blurred vision
  • Headaches
  • Increased susceptibility to infection If you experience prolonged elevated glucose levels, it’s important to consult your healthcare provider to re-evaluate your medications and management plan.

Conclusion

Managing blood sugar levels effectively is a cornerstone of diabetes care. By aiming for the ideal target levels and combining proper nutrition, physical activity, stress management, regular monitoring, and following prescription advice from healthcare professionals, individuals can greatly reduce the risk of long-term complications and enhance their overall quality of life. Personalized guidance from healthcare providers is vital to achieve the best outcomes. Remember to communicate and keep up with your healthcare professional on a frequent basis to ensure you are in the best possible position to deal with your diabetes.

Veronique Murphy is a Registered Nurse with experience in Internal Medicine, Oncology and Haematology. She holds degrees in both Nursing and International Relations and has won recognition for her dedication to patient-cantered care, including a National Hesta Nursing and Midwifery Award. Veronique's love for keto was sparked after interning for The Noakes Foundation in South blood sugar 45 symptoms Africa. Driven by her passion for raise blood sugar quickly keto, low carb and reducing reliance on medication, she is pursuing certification as a Diabetes Educator. As the former Clinical Services Manager at Diversa Health, Veronique specialised in implementing services to enable Australians with or at risk of Type 2 diabetes to achieve remission. This involved developing the patient journey, creating patient-focused resources and facilitating interventions to promote health literacy. After Diversa Health closed, Veronique founded Our Low Carb Life Clinic (www.ourlowcarb.life) to offer low carb dietetics and food that spike blood sugar lifestyle coaching services nationwide. Her goal is to support behaviour change that empowers people take control of their health; tackling Australia's rising tide of chronic disease. Please consider supporting Low Carb Down Under via Patreon. A small monthly contribution will assist in the costs of filming and editing these presentations and will allow us to keep producing high quality content free from advertising. For further information visit;
Veronique Murphy RN - 'Type 2 diabetes remission: the first Australian evidence'
Veronique Murphy RN - 'Type 2 Diabetes Remission: The First Australian Evidence' [189db9]