Diabetes Diagnosis by Testing Your Blood Sugar
Measurement Of Blood GlucoseWhether you have diabetes or not is confirmed by two methods. Your doctor will measure the glucose present in your blood in milligrams per deciliter. He will evaluate the readings to come to a conclusion.
Fasting Blood Sugar TestThe first important test will be done for your fasting sugar. This test is done on an empty stomach early in the morning. You should not have eaten any food or consumed any drink after your last night’s dinner. You must have had a complete fast since last night dinner. It is important that you do not take any coffee or tea after you wake up and till your test is over. You are not even permitted to smoke.
Correlate Other FindingsYour doctor takes into account your symptoms, illness, fever, and other observations. He also takes into account the fact that any medications like steroids or diuretics will increase your blood sugar levels. Since the test is done while you have been fasting since last night, it is called the fasting sugar test. It is also known as your fasting glucose test. Now we shall see its readings and their significance.
Fasting Blood Sugar ReadingsNow about the fasting blood sugar reading. If your reading is 70 to 100mg/dl, it is normal and you do not have diabetes. If it is above 140 mg /dl, your doctor will test you again to confirm the reading.
Pre Diabetes ReadingsIf you have pre diabetes, your fasting glucose reading will be some where between 100 mg to 125 mg per deciliter of blood. This means, your body insulin response is very poor and you face a high risk for diabetes.
Confirming DiabetesIf your fasting sugar is above 140 gm/dl on two successive readings, then you have diabetes. It is further confirmed by another test called oral glucose tolerance test. This is done following your fasting sugar test.
Oral Glucose Tolerance TestThe doctor makes you drink a solution of 75 gms of glucose dissolved in water. He will test how your body handles this by testing your blood sugar after 30 minutes, one, two and three hours after you drink glucose.
Normal ResponseIf you do not have diabetes, as soon as you drink glucose, your blood sugar level increases sharply. But it comes down quickly to normal level by action of your insulin and absorption by your body cells. If two hours after your glucose drink, your blood glucose reading is less than 100 gms, then you do not have diabetes. Now what is the significance of these readings of the second test after a glucose drink? If the reading is more than 200 mg/dl or more, it confirms that you have real diabetes
Pre DiabetesIn pre diabetes, your insulin produced may not be sufficient or your body cells may be insensitive to it. In both cases, too little glucose enters into your body cells and too much is left behind in your blood. If it is pre diabetes the reading will be between 140 to 180 mgs of glucose per dl. of blood. Some people have the upper limit set at 140 to 200 mg/dl. Both readings suggest a future occurrence of real diabetes.
Diabetes Type 1If you have diabetes type 1, either your insulin is not at all produced or it is not produced in sufficient amounts. Therefore your blood glucose levels continue to remain high even after one hour or two hours.
Diabetes Type 2Or it may be that your body cells do not respond to the produced insulin because it may be defective in its quality. In this case also, your blood glucose remains high for a long time and this is diabetes type 2.
Diabetes InsipidusIf you have diabetes insipidus, you urinate too often and too much of water from your blood is depleted in urine. Therefore, your blood becomes concentrated and your blood sugar levels remain high.
Gestational DiabetesIf you have gestational diabetes, your hormones from the placenta make your body cells less sensitive to insulin and again your blood glucose levels remain high for a very long time for more than one or two hours. If you are a woman and you have gestational diabetes, this reading will be 165 gms/dl of blood, which confirms your disease.
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