Advertisement

Thursday 6 March 2014

DIAGNOSIS OF DIABETES

only way you can be sure you have diabetes is by test.

The American Diabetes Association (ADA) now recommends that everyone over age 45 should have a fasting plasma glucose test. If test results are normal, the test should be repeated every three years. If you have risk factors for diabetes, you should be tested at a younger age and more often. The high risk factors include:

Being more than 20 percent above your ideal body weight or having a body mass index (BMI) of greater than or equal to 27. The BMI is the ratio of weight in kilograms to height in meters squared. Your doctor can give you information on your BMI.
Giving birth to a baby weighing more than 9 lbs or having diabetes during pregnancy {gestational diabetes).
Having an HDL cholesterol level less than 35 mg/dL (HDL is the   good   cholesterol) or trigylcerides (certain kinds of body fat) greater than 250 mg/dL.
Having blood pressure at or above 140/90 millimeters of mercury (mmHg).
Having abnormal glucose levels when previously tested for diabetes.

FASTING PLASMA GLUCOSE


This is the preferred test for diabetes. To have this test, you have to fast at least eight hours or overnight. You will have a blood sample drawn and examined for glucose.
Most people have a level between 70 and 110 milligrams of glucose per deciliter of blood.
A level of 126 mg/dl or higher on two tests given on two different days confirms a diagnosis of diabetes. By lowering the diagnostic levels to 126 mg/dl, early control of the disease can begin and risk of complications is lowit)
 

RANDOM BLOOD GLUCOSE TEST


You don  t have to fast to have this test, which is sometimes used if symptoms are present. Blood samples are taken shortly after eating or drinking. A blood glucose level of 200 mg/dl or higher points to diabetes, but it must be confirmed on another day with a fasting plasma glucose, an oral glucose tolerance test or another random blood glucose of over 200.

ORAL GLUCOSE TOLERANCE TEST


For this test you have to fast at least eight hours and not have smoked or drank coffee. Your fasting plasma glucose is tested from a blood sample. After the test you will be asked to drink a sweet glucose syrup and then your glucose level will be measured from a blood sample taken two hours after you drink the liquid. There can be up to four blood samples taken to measure the blood glucose level.

GLUCOSE CHALLENGE


This is a test your doctor may give you to see if you haw gestational diabetes, diabetes developed during pregnency You may be given this test if you are age 25 or in overweight, have a close relative with diabETEs between the 24th and 28th weeks of Pregnency You will be given a glucose drink and if an hour, your glucose Is 140 mg/dl or higher, your doctor may suspect gestational diabetes. You may then be given an oral glucose tolerance

IMPAIRED FASTING GLUCOSE


Impaired fasting glucose is a new diagnostic catigQiy. If   our blood sugar is measured between 110 and 128 dL, it means you have impaired fasting glucose. This means your blood sugar is greater than normal, but less than the level of a person diagnosed with diabetes.

GLUCOSE CONTROL - BLOOD SUGAR LEVEL TESTING


About Blood Sugar Testing

To control your diabetes, you absolutely have to know your blood sugar numbers. Testing your blood sugar is the only way to know whether your blood sugar is too high, too low or just right. There are two common tests to measure your blood sugar-the hemoglobin Ale test and daily finger-stick tests. You need to do both of these in order to really get a true picture of your blood sugar control. There are also some relatively new tests that you need to know about.

A1c Test
 measures your blood sugar control over the last three months. It  s the best way to know if your blood sugar is under control. A hemoglobin goal for people with diabetes is less than 7 percent but not everyone can meet that goal. Each person should try to get as close as possible. A change in your treatment plan is almost always needed if your test result is over 8 percent. Ask for a hemoglobin Ale test at least twice a year. If your treatment changes or your blood sugar stays too high, you should get a hemoglobin Ale test every three months until your blood sugar level improves.
Common causes of high blood sugar include eating too much food, eating the wrong foods, lack of physical activity, strew, a need to change medication and infections
 

fUNQtR-SriCK TESTING


glucose goals for a person without diabetes before than 110/mg/dl. For a person with diabetes, fit .Mould be between 80 and 120 mg/dl. Before ,.i person without diabetes would have a blood 120 mg/dl. People with diabetes would have a goal of between 100 to 120 mg/dl. When to finger-stick test?

These are the best times to test:

•    Before meals
•    Before bed
•    One to two hours after meals
•    At 2 a.m. or 3 a.m. at least once a week, if you have Type 1 diabetes You may need extra tests before you exercise, when you suspect you have low blood sugar, if you wake up with high or low blood sugar levels or when you  re sick.

No comments:

Post a Comment