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There are a lot of big terms out there aren’t there? And you really need to know what some of those terms are and why they are important.
One such term is postprandial blood glucose.
The term “postprandial glucose” might sound like jargon, but it literally means “sugar after the meal.” So what we are talking about here is the blood glucose reading at about 1- 2 hours after a large meal. That part is pretty simple to answer. But why should you know what that number is?
Some of you with pre-diabetes are checking your blood sugar in the mornings, some might not be. It really depends on your control and what your doctor thinks is best.
But if you’re only testing first thing in the morning, you might be missing the full picture.
In my research I came across an interesting article in Everyday Health. Some of what I am going to say about PPG is from that article.
The first morning glucose level check is usually the lowest of the day, and checking only in the morning is akin to purposefully ‘blindfolding’ yourself to only see the best-case scenario. mIf you want to see a more complete picture, mix it up and check your glucose level at various times during the.
The American Diabetes Association (ADA) recommends checking blood sugar levels before eating (fasting blood sugar) and then again one to two hours after the beginning of a meal — particularly if target A1C goals aren’t being met. The test after the meal is called the postprandial glucose (PPG) test. You might also need to test your blood sugar at other times during the day, or after certain activities, depending on the information you and your medical team are trying to gather.
The PPG numbers are affected by a number of variables, including what you eat, how active you are, your insulin sensitivity, and how quickly food moves through your stomach.
The PPG gives us information about how the body is able to manage the blood glucose after a meal. It informs us if the blood glucose has returned to normal after the meal intake.”
When blood sugar spikes after meals, and stays high, that can make it difficult for you to achieve your A1C and other blood sugar control goals, according to guidelines published by the American Association of Clinical Endocrinologists (AACE). If your A1C continues to be higher than your target goal, your chance of developing complications increases. So, PPG can help troubleshoot.
By measuring PPG, you can determine whether dietary modifications or pre-meal bolus insulin is needed to reduce these spikes. If achieve your pre-meal glucose targets but your A1C remains above target, PPG monitoring and therapy is recommended.
Learning how to count carbohydrates can help you achieve your PPG goals.
Carbohydrates contribute significantly more to PPG than fat and protein content of a meal. Checking PPG regularly can help you figure out the best balance of carbohydrates, fats, and proteins.