Blood Sugar 86 After Eating – In this post, we are going to discuss about blood sugar level, test time, target, blood sugar level in spikes and spike test; A tool that has proven useful in managing gestational diabetes and diabetes in multiple pregnancies.
Blood sugar levels are constantly changing. A blood sugar spike is the highest peak your blood sugar level reaches after eating or drinking. A good way to show how blood sugar levels change is through an image from the Freestyle Laboratory Continuous Blood Glucose Monitoring System:
When blood sugar levels rise, it sends a signal to our body to process glucose, using insulin to break it down in our cells and turn it into energy. However, with gestational diabetes, we usually cannot do this. This means that we can end up with higher blood sugar levels than we should, which can lead to pregnancy complications.
In gestational diabetes, when there is too much sugar in the mother’s blood, it is transferred or ‘starved’ to the baby. The child then has to increase their insulin production to help process the extra sugar. Insulin is a growth hormone and the result is that the baby grows a lot and the AC [abdominal circumference] of many increases. It is the adipose tissue (subcutaneous fat) from overproduction of insulin that makes the baby ‘bulky’.
By controlling blood sugar with diet, exercise and some may need medication/insulin, it helps the child to control their insulin production to a normal level and slows down the growth of the child’s AC. It goes away as the rest of the baby grows. This means the child returns to ‘normal’ or average growth size.
It is uncertain whether it is overall glucose control or elevated blood sugar that affects fetal growth, but the HAPO (Hyperglycemia and Adverse Pregnancy Outcomes) study suggests that both fasting and postprandial glucose levels affect fetal growth. This is why most women are advised to test both fasting and postprandial levels.
Optimal glucose control before pregnancy reduces birth defects and miscarriage, while during pregnancy it reduces macrosomia, stillbirth, neonatal hypoglycemia, and respiratory distress syndrome.
Although there are national guidelines with research-backed recommendations about using blood sugar targets for the best outcomes with gestational diabetes, hospitals and trusts are not required to follow them.
This means that women in the UK and Ireland may be given different blood glucose monitoring targets and test times. Some may be too hard, some too soft. You literally go to one hospital and are given a set of goals and tests and another hospital a few miles away can be dramatically different.
Multiple tests per day All before and after meals and before bed, to tests at the breakfast club after eating a specific high-carb breakfast, there are many different tests that are given to women diagnosed with gestational diabetes!
Here’s what we found among 1,222 women with gestational diabetes who were advised to follow a blood test regimen:
“Are the test times and goals you’ve been given the best you can do to help you manage your gestational diabetes?”
If you were told to check your blood sugar before every meal one day and after every meal thereafter, would that give you enough information to be able to figure out how and where to adjust your diet to achieve the best possible blood sugar? Levels. ?
Similarly, if you are told to monitor your blood sugar only once a week, that will be enough to see what is happening and your tolerance for different foods. Or does it encourage you to follow a strict diet on days you know you’re testing and be less strict on days you know you’re not?
1.3.5 Advise pregnant women with any type of diabetes to keep their capillary plasma glucose below the following target levels, if this can be achieved without hypoglycaemia: Fasting: 5.3 mmol/L and 1 hour postprandial: 7.8 mmol/litre or 2 hours postprandial : 6.4mmol/litre [New 2015] 1.3.6 Advise pregnant women with diabetes using insulin or glibenclamide to maintain their capillary plasma glucose levels below 4mmol/litre.
Postprandial glucose monitoring is recommended in pregnant women with gestational diabetes and considered in pregnant women with type 1 or 2 diabetes. Aim for blood glucose: 4 and 6 mmol/l before, and <8 mmol/l after one hour, or 6 mmol/l before bedtime. Sign guidelines 116 7.5 Improvement of glycemic control
5.3.6 Blood Glucose Targets During Pregnancy The following target values are recommended for optimal maternal and fetal outcomes: – Fasting capillary glucose level: 3.5-5.0mmol/L – 1 hour post-prandial capillary glucose level: <7.0mmol/L Management of GDM HSE Guidelines for
It is worth noting that no national guidelines recommend only pre-meal (pre-meal) testing, or alternating days of premeal and postprandial testing. They all recommend fasting and postprandial testing with additional preprandial testing for those using insulin therapy.
One hour postprandial test versus two hours Several studies have shown that postprandial hyperglycemia is predictive of fetal macrosomia and may contribute to neonatal hypoglycemia. Current recommendations state that the test should be done either one or two hours after eating. However, studies have shown that 1-hour postprandial testing is more likely to detect abnormal values that require treatment and help a person understand the relationship between food and blood glucose levels.
To show the difference between the one-hour and two-hour postprandial tests, here is a picture of the mother’s test results. Her GD’s mother was concerned that her blood sugar was low at the 2-hour postprandial test, so she began testing at both the 1-hour and 2-hour intervals.
Based on NICE guidelines (levels after 1 hour <7.8mmol/L), he had lost 7 spikes in blood sugar over 2 weeks, but was still below the recommended guidelines by the 2 hour mark. All of them had <6.4mmol/L. . Imagine how many spikes she could have missed for the rest of her pregnancy if she had only continued testing at the 2 hour mark!
We should point out that any blood glucose monitoring is better than no monitoring. Capillary blood glucose monitoring is only a guideline, but it can help you get a better picture of what’s going on in your body and help you understand what different foods and drinks are doing to you.
That said, when you test and the goals used can have a big impact on how your gestational diabetes is managed and controlled.
The more you examine, the more you can see and create a much bigger picture. Find out which foods you may struggle with and adjust meals accordingly. Taking this approach means you can control your diet for longer, or need less medication or insulin.
If you believe that testing more often or at a different time than recommended by your diabetes team may be beneficial in managing your gestational diabetes, discuss this with your team and the reasons why. Suggest why, with guidelines and research. The best time for your diabetes. The test is the spike test What is the spike test?
A spike test measures blood sugar levels after eating/drinking several times with the aim of allowing better control of blood sugar levels according to diet, with the aim of influencing blood sugar levels.
The spike test developed after some women in our Facebook group weaned themselves off highly processed carbohydrate foods by washing them down with full-sugar fizzy drinks or pureed fruit juice.
We’ve noticed in the Facebook group that most women admit or admit to eating very questionable things (a large piece of chocolate fudge cake, a Krispy Kreme donut, Chinese sweet and sour chicken with rice and chips, etc.) and then get completely pissed off. They achieve surprisingly low levels. Later, it was assumed that they tolerated the suspiciously high carbohydrate treatment/meal very well.
Many times, they won’t even admit to their professionals that they are eating these things and ‘getting away with it’, yet they are coming to the group asking why they tolerate these things – the question is oh, were they really?
Once they see that good levels can be achieved with these products, they continue to eat them – if blood sugar levels look good why wouldn’t they?
We regularly see posts like this in our Facebook group: “I can’t handle a piece of bread, but I’m okay with a Krispy Kreme donut?!”, “I’d rather eat junk than eat healthy.” There is improvement. found Doesn’t that make sense?”
100s and higher levels and/or even if the baby is born, bloated and malnourished.
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