Blood Glucose Charts to Help You

A blood glucose chart identifies ideal blood glucose levels throughout the day, including before and after meals.

Doctors use blood glucose charts to set target goals and monitor diabetes treatment plans. Blood glucose charts also help those with diabetes assess and self-monitor blood glucose test results.

What is a blood glucose chart?

Blood glucose charts act as a reference guide for blood glucose test results.  As such, blood glucose charts are important tools for diabetes management.

Keeping blood glucose levels in check often requires frequent at-home tests.

Most diabetes treatment plans involve keeping blood glucose levels as close to normal or target goals as possible. This requires frequent at-home and doctor-ordered testing, along with an understanding of how results compare to target levels.

To help interpret and assess blood glucose results, the charts outline normal and abnormal blood glucose levels for those with and without diabetes.

In the United States, blood glucose charts typically report glucose levels in milligrams per deciliter (mg/dl).  In the United Kingdom and many other countries, blood glucose is reported in millimoles per liter (mmol/L).

A1C blood glucose recommendations are frequently included in blood glucose charts. A1C results are often described as both a percentage and an average blood glucose level in mg/dl.

An A1C test measures the average glucose levels over a 4-month period, which gives a wider insight into a person's overall management of their blood glucose levels.

Most blood glucose charts show recommended levels as a range, allowing for differences between individuals.

The American Diabetes Association (ADA), Joslin Diabetes Center (JDC), and American Association of Clinical Endocrinologists (AACE) also offer slightly different blood glucose guidelines for those with diabetes.

Time of check	Blood glucose levels for those without diabetes	Target blood glucose levels for those with diabetes
Fasting (before breakfast)	less than 100 mg/dL	80 - 130 mg/dL (ADA) 70-130 mg/dL (JDC) less than 110 (AACE)
Before meals	less than 110 mg/dL	70-130 mg/dL (JDC)
2 hrs after meal 1-2 hrs after meal	less than 140 mg/dL	less than 180 mg/dL (ADA & JDC) less than 140 (AACE)
Bedtime	less than 120 mg/dL	between 90 - 150 mg/dL (JDC)
A1C levels	less than 5.7 percent	less than 7 percent  (ADA)

Interpreting blood glucose meter results

Interpreting blood glucose meter readings depends a lot on individual norms and targets.

A good blood glucose level for one person may be too high or low for someone else. 

However, for people with diabetes, some ranges of blood glucose levels are preferable over others.

Blood glucose level	Excellent	Good	Acceptable
Before meal	72 - 109 mg/dL	110 - 144 mg/dL	145 - 180 mg/dL
2 hours after meal	90 - 126 mg/dL	127 - 180 mg/dL	181 - 234 mg/dL

Certain forms of temporary diabetes, such as gestational diabetes, also have separate blood glucose recommendations.

Time of check	Blood glucose level in mg/dL
Fasting or before breakfast	60 - 90 mg/dL
Before meals	60 - 90 mg/dL
1 hour after meal	100 - 120 mg/dL

Anyone who has very high or low fasting blood glucose levels should be concerned.

Fasting blood glucose level	Risk level and suggested action
50 mg/dL or less	Dangerously low, seek medical attention
70 - 90 mg/dL	Possibly too low, get glucose if experiencing symptoms of low blood glucose or see a doctor
90-120 mg/dL	Normal range
120-160 mg/dL	Medium, see a doctor
160 - 240 mg/dL	Too high, work to lower blood glucose levels
240-300 mg/dL	Too high, a sign of out of control diabetes, see a doctor
300 mg/dL or above	Very high, seek immediate medical attention

As long as levels aren't critically dangerous, there are ways to reduce blood glucose levels when readings are too high.

Ways to lower blood glucose include:

• limiting carbohydrate intake but not fasting
• increasing water intake to maintain hydration and dilute excess blood glucose
• increasing physical activity to burn excess blood glucose
• increasing fiber intake

These methods are not a replacement for prescribed treatment but rather an addition to any treatment plan. If blood glucose readings seem unusual or unexpected, consult a doctor. Various user and device factors can influence blood glucose readings, causing them to be inaccurate.

For the entire article, please read this.

The Value of Blood Glucose Testing War Still Goes On

On June 11, Gretchen Becker wrote about this topic in her website http://wildlyfluctuating.blogspot.com/ and did an excellent job of explaining the source she used.  I am using a different source, but the wording is the same as they both used the output of the study. 

To me this is as if Dr. Robert Ratner is still pushing for no testing when he said “Many people with type 2 diabetes who are on medications don't need to do home glucose monitoring at all," in talking about oral medications.  They want you to use the A1C test to determine how you are doing.  

I am used to being around some people using oral medications that are buying test strips with their own money, because they don’t trust the A1C test on a quarterly basis or like many, twice a year. 

Many patients with type 2 diabetes consider finger-prick blood tests key for keeping blood glucose levels under control.  But according to a new study, they are unlikely to be beneficial for patients who are not receiving insulin therapy.  To this, I say bull-manure.  Testing is important to track your levels and know that you need to make changes in what you eat, the amount of exercise you need, and other factors. 

In type 2 diabetes, the body is unable to effectively use insulin, which is a hormone that helps to regulate blood glucose levels. As a result, glucose accumulates in the blood.

Left untreated, high blood glucose levels can lead to severe complications, including kidney disease, stroke, and nerve damage.

While some patients with type 2 diabetes require insulin therapy, the majority of patients are able to manage their condition through diet, exercise, and medication, such as metformin.

What is not even accounted for in the trail is how to obtain information into the correct levels (not recommended by the ADA) for morning fasting and post meal testing.  All many providers do is refer patients to the ADA way and little else.  Then many also denounce the internet for poor quality of reliable information. 

Thus it is understandable that many patients never learn how to set goals for their blood glucose levels and end up with complications they did not know how to prevent. 

It is these studies that do more harm to patients when they say no value in testing unless you are on insulin.