Acceptable BLood Sugar numbers for T1

http://www.diabetes.org/type-1-diabetes/blood...

This is a link from the American Diabetes Association for Type 1 diabetics. Not all doctors use these guidelines (mine wants my BS lower than that), but as a general rule this works.

A1c < 7.0
pre-meal 70-130
post meal (2 hours post) < 180

between 80 and 150 is what my doctors have always told me and is what I have read in all the books

I had a discussion with my endo last week when I went in. I explained that my blood sugar doesnt get back to a normal range until about 3 hours after a meal. I dont eat high carb meals so that wouldnt be any kind of an explanation. Right now I am testing at 2 and 3 hours after a meal and recording what the readings are. If 3 seems to be consistently back in the acceptable range I will start waiting until 3 hours after the meal to do a bg test.

Here is another link:

http://www.aace.com/meetings/consensus/dcc/pd...

Right from the endos.

When I got my insulin pump they talked about reaction time to the insulin and how for different people, insulin stays with you longer than others. For example, when I was on Lantus insulin (which is supposed to last 24 hours) I had to split my dose because the insulin was only effective for 20-22 hours. Everyone is different, so I think its natural that some would need 3 hours to come down, some 2.

Does anyone know why your sugars would be high and then come down really fast there are time that my sugars run 180 and then i start with a cold sweat and my sugars drop to 70 or 80 does anyone have this problem. my t1 test are always around 7 or 8

To really answer your question, we need a little more information. Are you using insulin? Or on oral meds? or just controlling it with diet and exercise?

There can be lots of different reasons for drops in blood sugar. Let us know a little more.

I've had that happen as well — usually it'll be that I took much more insulin than I needed and had no carbs on board to bring it down slow… Sometimes I have no idea why it happens, but it definitely is a strange feeling to have your blood sugar change quickly.

ahhh, if anyone would know they would know about me. Good luck! Sheila

Here's the official statement from the ADA.

http://www.diabetes.org/type-2-diabetes/blood...

Before meals: 70 – 130
After meals: Less than 180

Our endo recommends less than 160 2-hours after meals.

Thank you

My endo recommends less than 140 2 hrs. after eating. That isn't real easy to achieve, but I'm getting closer all the time. Of course, I've been at it 48 years, so maybe my numbers need to be tighter than others???

That is the perfection description for what I guess I wam trying to do, tighten the numbers a little.

My endo like me at 140-160 range 2 hours after eating. I try to stay in that range but have went up higher at times…Debe

I think part of it may be age — a teenager is not going to have as easy a time at stabilizing their numbers as others.

I sometimes wonder about the after meal targets and if they have put a lot of research into this. Why?

If you read any of the diabetes blogs, there is one blogger who had some of her coworkers (who don't have diabetes) to be "diabetic for a day". Without going into details, one of the things they did do was monitor their blood glucose. For several of them (who do not have diabetes), there post 2 hour post meal blood sugar got up to around 200 before coming back down to normal levels.

But what we do not see in your example is what they ate? If they over-carbed themselves or ate spiky carbs, that would sure explain it.

I don't remember offhand what they ate. Also, this wasn't a scientific study. However, unless I'm mistaken, the general belief is that for non-diabetics, blood sugar never goes over about 170.

The only point I wanted to make is that part of the reason this is difficult to do is that even non-diabetes may not naturally have that type of control.

I dont "over carb" but my 2 hour post meal BG is often over 160-180 and sometimes much higher. But another hour or two later and I am back where I need to be. I use humalog insulin in my pump and it is still working after 2 hours, usually about 3 hours. Maybe I need to change insulin. I see a new doctor in a couple of weeks…maybe I'll talk to him about that. My last endo didnt think that was a big deal.

There are two recommendations I have heard, although both require work:
1. Change insults to something with a shorter peak time
2. Bolus earlier (can be tricky, but doing it 30 to 50 minutes before a meal can help this. Of course, get it wrong and you end up low).
Hope that helps!

Not sure if this is what you are looking for but give this site a try :

http://www.diabetes-blood-sugar-solutions.com...

Yes thanks. I just wanted to see what some of those types of figures and numbers should be for reference points. The software I use allows me to change those numbers for before/after meals etc. And I wanted to get a tiny bit more aggressive with my dear wife on what her 'good' numbers should be. But I also did not just want to change them without basis, or knowing!