Was wondering how many people follow ADA recommendations as far as blood sugar levels

Jibber Jabber
By Jibber Jabber Latest Reply 2015-01-06 00:27:40 -0600
Started 2014-12-20 09:42:54 -0600

Hi all…was having a discussion with a new friend I made in my local community who thinks that following the ADA recommendations of keeping glucose levels 2 hour post meal under 180..(please dear God don't ask me what their recommendations are for fasting sugars it is totally gone from my memory)..will keep her healthy and prevent diabetes complications..As I am fairly new to this, I too was under that impression when I started by Diabetes Journey..I would test my sugar after dinner and if I was under 180 would treat myself to dessert..nothing insane like pie…but I would have some dark chocolate and nuts and such…Being an information addict I began to do a lot of research on diabetes and found out that any kind of prolonged period with glucose reading over 140 causes organ damage…so I changed my diet accordingly…My friend belives, as I am sure many people do, that the ADA recommendations are the ones that should be followed..and will not adjust her diet to bring down her numbers…I was just wondering how everyone felt about this…do you follow the ADA recommendations??

16 replies

L.Harless 2014-12-29 07:15:25 -0600 Report

I know that I go hypo when My bgl reaches 70.
So that is my bottom number.
My top end is 125 2 hours after a meal. Those are my goals and I am trying to stay within those ranges. I have recently found out what can happen if you don't control the numbers. Simple infections can become major problems.

Glucerna 2014-12-20 15:38:40 -0600 Report

The American Association of Clinical Endocrinologists has a fascinating set of algorithms for managing diabetes here: https://www.aace.com/publications/algorithm It's important to note that they clearly state guidelines and treatment needs to be individualized for each person. ~Lynn @Glucerna

haoleboy 2014-12-20 15:48:04 -0600 Report

thanks for the link Lynn … good stuff. grabbed the pdf file for future reference … since I have no life and studying this stuff is what I do ;)


Type1Lou 2014-12-20 13:24:26 -0600 Report

I find the ADA guidelines to be a bit more generous than I want to follow. I also find many of the recipes in ADA cookbooks much to high in carb content for my diet and comfort. It all depends on the level of control you wish to attain…and even the best control may not completely forestall those complications but it lowers the risk for them. The more we learn, the better position we are in to decide what is best.

karen7t2 2014-12-20 11:08:33 -0600 Report

I haven't even looked at the ADA guidelines but if I had just tested my BG and was at the high end I might think twice about eating pie. I thought you had to wIt two hours after meals to get an accurate reading.

Jibber Jabber
Jibber Jabber 2014-12-20 11:50:23 -0600 Report

I always wait two hours..and was happy in the beginning when I came in under 180…but if I ever went that high now I would freak out…this week my post meal reading have all been under 130…

GabbyPA 2014-12-20 10:27:14 -0600 Report

I feel the ADA is antiquated in their guidelines. There are still some good things that come from them, but I agree. 140 is the threshold and so it should be the goal. Its like when doctors tell us that having under 6 for A1c is not recommended. Really? A person without diabetes has an A1c of between 4.8 to 5.6, that too should be a goal.

I don't say that to make anyone feel they are failing if they cannot reach those goals, but if you don't work toward the optimum, then you may never get there. You might not in any case, but I would want to be as close as I can get.

Jibber Jabber
Jibber Jabber 2014-12-20 11:53:13 -0600 Report

My problem with all of this is that the ADA is making people feel comfortable with readings they should not be comfortable with..they are creating a mentality that allows for more rapid progression of complications…and frankly I don't understand it…The worst part is many people trust the ADA and think that as long as they follow their recommendations they will be fine…

GabbyPA 2014-12-22 10:07:46 -0600 Report

Like most research for any chronic disease, we find things out along the way. There are many "shady" things that I have read about doctors and the ADA, but I hope they are not true. I still think they are a good place to start. But as you learn and grow in how to manage your own body, you have to be willing to think outside the ADA's box. There are many things that fly in the face of the ADA guidelines. We have to choose what works best for us.

karen7t2 2014-12-20 12:25:38 -0600 Report

From what I've just read, I agree with you. Also, with my recent "high" I am taking it far more seriously now. I can really related to my Mom now. She passed 4 yrs ago with kidney failure due to diabetes.

valentine lady
valentine lady 2014-12-20 10:11:31 -0600 Report

Hi jib jab,
I follow the ADA recommend lines as close as possible. I figure if it's
not broke why fix it. Happy Holidays, Valentine Lady

RosalieM 2014-12-20 11:26:42 -0600 Report

Sorry Valentine lady,
The ADA guidelines are broken. I got so frustrated with trying to follow their recommended lines some year back, that I called the ADA up. I ask them
to point me to the scientific research behind what they teach diabetics about diet. They told me they did no research. My next question was where did you get the information you give diabetics? They told me the American Dietetic Association. They volunteered to give me their number.
I called them and ask the same question. The answer was the same we didn't do any research. They just took a guess and it is wrong.
Grandma Rose

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