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​What is a normal fasting blood sugar?

By Samuel Kolodney 2 years ago 1403 Views No comments

There is a lot of information about “normal” blood sugar levels floating around the internet from many sources but the science paints a clear picture that isn’t always described by the various recommendations.

I find it interesting that the American Diabetes Association, along with other reputable organizations, suggests blood glucose level targets for most nonpregnant adults with diabetes that do not account for the relative risks of higher blood sugars. An example of this is the ADA recommendation of a fasting blood sugar of between 80–130 mg/dl. You can see the recommendation at this link

This number leaves out mention of a study published on another ADA website that concludes:

Fasting blood glucose values in the upper normal range appears to be an important independent predictor of cardiovascular death in nondiabetic apparently healthy middle-aged men.

More importantly, the study describes the “upper normal range” as being above 85mg/dl.

You can read an abstract of the study for yourself here.

The question that immediately comes to my mind is why do the suggested numbers in this recommendation skew dangerously high? The facts contained in the study clearly point to the need to keep fasting blood sugars below 85. In fact, Dr. Richard K. Bernstein maintains his blood sugar at 83 mg/dl and as a type 1 diabetic has kept them there for the last 50 years. He is now 82 years old and has no complications commonly associated with diabetes.

The research shows the optimal fasting blood sugar is between 80-84 mg/dl

Dr. Bernstein details how to achieve normal blood sugars in his best-selling book Diabetes Solution. Learn more at:

What you need to know to prevent diabetes

By Steve Freed, R.PH., CDE 2 years ago 1062 Views No comments

The most important thing you need to know to prevent diabetes is how well your body is managing your blood sugar. In order to find this out just ask your doctor to do an A1c blood test. This test provides a 90 day average measurement of your blood sugars, every second of the day for the last 90 days of your life. Too much sugar in your blood acts like rust and attaches to every organ in your body and can cause serious damage.

Knowing your A1c number can help you prevent from getting diabetes and heart disease and all the other diseases diabetes can cause.

If you know your A1C number is high, you can change your eating habits or your physical activity to keep your blood sugars in the normal range. Even if you can’t do it with changing your diet or physical activity alone, don’t worry too much as there are 1000’s of possible medications that can help you control your blood sugars and even your weight.

In this day and age there is absolutely no reason why you should have elevated blood sugars. If you know your A1c number, then you can take action before you get diabetes or even prediabetes and improve your quality of life as you get older.

NOTE: An elevated A1c number can also increase your risk for heart disease, so find out what your A1c number is and write it down and discuss it with your medical team.

Check out this convenient test that gives you A1C results in just 5 minutes!

Blood Sugar Testing Basics

By Steve Freed, R.PH., CDE 2 years ago 1078 Views No comments

Understanding your blood sugar
There are two ways to find out how you are doing with your diabetes: the first is to check your blood glucose at home with a meter, and the second is to get a blood test called a hemoglobin A1C, or A1C.

What is an A1C test?
An A1C blood test is one of the most important tests for people with diabetes. This test tells the average of all the glucose results over the last 2-3 months. This is different than your blood glucose reading on your monitor, which tells you how you are doing just for that moment in time. So if you check your blood sugar with your meter at 8AM, that only tells you how you are doing for that second in time.

What does the A1C measure?
The test measures the amount of glucose that attaches to hemoglobin, part of red blood cells. As the hemo­globin travels through the bloodstream, it picks up glucose; the more glucose in the blood, the more glucose attaches to the hemoglobin. For most people with diabetes, the A1C should be less than 6.5% or as close to the non-diabetes range as safely possible. An A1C of 6.5% means that your average blood glucose readings are 140mg/dL.

Prediabetes is an A1c of 5.6 to 6.4% and the definition of diabetes is an A1c of 6.5% or higher.

How often should the A1C be checked?
Have your A1C checked between two to four times a year. You should check them more often if you are altering your treatment plan such as a changes to medications, diet or physical activity.

Make sure you know your results. So, Why should you lower your A1C?
Lowering your A1C level may greatly reduce your risk for developing diabetes complications. For every one point you lower your A1C, you lower your chances of getting diabetes complications by up to 35%!

Could your A1C level be the most important number in your life?

By Steve Freed, R.PH., CDE 2 years ago 698 Views No comments

If you have diabetes, or prediabetes or are overweight or even have a relative with diabetes, then YOU ARE AT RISK for kidney failure, heart attacks, strokes, blindness, loss of limbs, cancer, Alzheimer’s, and just about every disease known to man.

There is a blood test that can show you if you might be at risk. It is called the A1c test or HbA1c test or Hemoglobin A1c test. Now if you already have a risk factor for diabetes, then your doctor should have done this test when you went in to get a physical or a check up. So call your doctor's office and ask them what your last A1c result was and for your next appointment discuss the results with your doctor or nurse.

Diabetes and prediabetes can be diagnosed with the A1c test. What you need to know is that it takes years for you to possibly develop diabetes or prediabetes, but this A1c test can tell you exactly what your risk is depending upon how high the number is.

The definition of diabetes is an A1c of 6.5% or greater and every point it goes up it increases your risk for the medical issues mentioned above. The definition of prediabetes is an A1c of 5.7 to 6.4%.

The one thing we know is as we get older and our bodies slow down in metabolizing sugars. This means that as you age your A1C number will likely go up. Say you have an A1c of 5.9 (prediabetes) today, if your A1C level increases just a few more percentage points over the next few years to 6.5% then you will have diabetes.

Do you want to know your A1C number? Check out this convenient A1C Test that gives you results in 5 minutes!

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