#glucose level in blood test

[rmlpathology]

Understanding Different Types of Diabetes and Their Impact on the Body

Diabetes is a chronic condition that affects millions of people worldwide. It disrupts the body's ability to regulate blood sugar (glucose) levels, leading to serious health complications if not managed properly. There are several types of diabetes, each with unique characteristics and impacts on the body. This article will explore the different types of diabetes, how they affect the body, and the tests provided by RML Pathology to diagnose and manage this condition.

1. Type 1 Diabetes

Description:

Type 1 diabetes is an autoimmune disease where the immune system mistakenly attacks and destroys insulin-producing beta cells in the pancreas. This results in little to no insulin production, which is essential for regulating blood sugar levels.

Impact on the Body:

Requires lifelong insulin therapy.

Increases the risk of complications such as diabetic ketoacidosis (DKA), a potentially life-threatening condition.

Long-term complications include cardiovascular disease, kidney damage (nephropathy), nerve damage (neuropathy), and vision problems (retinopathy).

Can cause frequent urination, excessive thirst, extreme hunger, weight loss, fatigue, and irritability.

2. Type 2 Diabetes

Description:

Type 2 diabetes is the most common form of diabetes. It occurs when the body becomes resistant to insulin or when the pancreas does not produce enough insulin. Lifestyle factors such as obesity, poor diet, and lack of exercise significantly contribute to its development.

Impact on the Body:

Often managed with lifestyle changes, oral medications, and sometimes insulin.

Can lead to complications like heart disease, stroke, kidney disease, eye problems, and nerve damage.

Symptoms include increased thirst, frequent urination, increased hunger, fatigue, blurred vision, slow-healing sores, and frequent infections.

3. Gestational Diabetes

Description:

Gestational diabetes occurs during pregnancy when the body cannot produce enough insulin to meet the increased needs. It usually resolves after childbirth but increases the risk of developing type 2 diabetes later in life.

Impact on the Body:

Can cause high blood pressure during pregnancy (preeclampsia).

Increases the risk of having a large baby, leading to complications during delivery.

May result in low blood sugar levels in the newborn and a higher risk of obesity and type 2 diabetes in the child later in life.

4. Prediabetes

Description:

Prediabetes is a condition where blood sugar levels are higher than normal but not high enough to be classified as type 2 diabetes. It is a critical stage for intervention to prevent the progression to type 2 diabetes.

Impact on the Body:

Often reversible with lifestyle changes such as diet and exercise.

Increases the risk of developing type 2 diabetes, heart disease, and stroke.

Symptoms are often absent or mild, making regular screening important.

Tests Provided by RML Pathology

RML Pathology offers a comprehensive range of tests to diagnose and manage diabetes effectively. These include:

Fasting Blood Glucose Test:

Measures blood sugar levels after fasting for at least 8 hours.

Helps diagnose diabetes and prediabetes.

HbA1c Test:

Provides an average blood sugar level over the past 2-3 months.

Used to diagnose diabetes and monitor long-term glucose control.

Oral Glucose Tolerance Test (OGTT):

Measures the body's response to a glucose solution.

Commonly used to diagnose gestational diabetes.

Random Blood Sugar Test:

Measures blood sugar levels at any time of the day.

Useful for diagnosing diabetes when symptoms are present.

Gestational Diabetes Test:

Specifically designed for pregnant women to detect gestational diabetes.

Conclusion

Understanding the different types of diabetes and their impact on the body is crucial for effective management and prevention. Regular testing and early detection play a vital role in managing diabetes and preventing complications. RML Pathology provides a wide range of diagnostic tests to help you monitor and manage your diabetes effectively. If you have any symptoms or risk factors for diabetes, consider visiting RML Pathology for a comprehensive evaluation.

Contact RML Pathology Today:

📞 7991602001, 7991602002 📞 0522-4034100 🌐 www.rmlpathology.com

Experience the best in diagnostics with RML Pathology – where your health is our priority.

[videcoeur]

The doctor verdict fell and im apparently doing Better Than Good™ and I was just worrying myself over nothing. everything’s fine with my medication and even my glucose level being higher is NORMAL because I’M IN CONVALESCENCE from a surgery.

Shout out to my dumbass freaking out about apparently nothing because I’m doing even better than planned, said my doctor

[blood-test-laboratories-near-me]

HbA1c Limitations in Assessing Blood Sugar During Pregnancy

Pregnancy is a period filled with excitement, joy, and a host of medical tests to ensure the health of both mother and baby. One of the most critical aspects of maternal health is monitoring blood sugar levels, as any imbalance can lead to complications. While hemoglobin A1c (HbA1c) is widely used to monitor blood sugar over time, its application during pregnancy has certain limitations. In this comprehensive guide, we'll explore what HbA1c is, how it works, and why it may not be the most reliable indicator of maternal blood sugar during pregnancy.

Understanding HbA1c

HbA1c, or glycated hemoglobin, is a blood test that measures average blood glucose levels over the past two to three months. Hemoglobin, a protein found in red blood cells, binds to glucose and forms glycated hemoglobin (HbA1c) test. The percentage of HbA1c in the blood provides an indication of average blood sugar levels over that period.

This test is frequently used by healthcare providers for people with diabetes to monitor long-term glucose control. It is an essential tool for assessing a patient's degree of glycemic control over time and is often used to adjust treatment plans.

Normal Blood Sugar Control During Pregnancy

Pregnancy affects almost every system in the body, including glucose metabolism. Hormonal changes lead to increased insulin resistance as pregnancy progresses, especially in the second and third trimesters. These changes are a natural part of pregnancy, ensuring that the baby receives adequate glucose for growth and development.

However, these metabolic disturbances can also pose a challenge for women with pre-existing diabetes or who develop gestational diabetes mellitus (GDM). Effective glycemic control is crucial during pregnancy because high and low blood sugar levels can have serious consequences for both the mother and the developing fetus. These consequences include:

Increased risk of preeclampsia

Premature birth

Macrosemia (large birth weight)

Neonatal hypoglycemia

Increased risk of developing type 2 diabetes later in life for both the mother and the child

For these reasons, it is vital to carefully monitor and manage blood sugar levels during pregnancy, and this is where the limitations of HbA1c become significant.

HbA1c and Pregnancy: Limitations to Consider

While HbA1c is an effective tool for long-term glucose control in non-pregnant individuals, its reliability decreases during pregnancy due to several physiological factors.

Impaired Red Blood Cell Turnover:

Pregnancy is associated with increased red blood cell turnover, primarily due to the increased oxygen demand in both the mother and fetus. This increased turnover shortens the lifespan of red blood cells, leading to a decreased percentage of HbA1c even when blood sugar levels are elevated.

The typical lifespan of red blood cells is around 120 days in non-pregnant individuals, but during pregnancy, this lifespan decreases due to physiological changes such as increased plasma volume and increased red blood cell production.

Fluctuations in Blood Glucose Levels:

Another limitation of HbA1c in pregnancy is its inability to capture fluctuations in blood glucose levels. Pregnancy, especially in cases of gestational diabetes, is often characterized by significant swings in blood sugar, ranging from hypoglycemia to hyperglycemia. HbA1c only reflects an average of blood sugar over time and cannot detect these fluctuations.

This is a critical limitation during pregnancy, as postprandial (after-meal) glucose levels can significantly affect fetal growth and development. High postprandial glucose levels increase the risk of fetal macrosomia, even if fasting glucose levels are within the normal range.

Diagnosing Gestational Diabetes:

HbA1c is not a standard diagnostic tool for gestational diabetes. Screening for gestational diabetes typically involves glucose tolerance tests, such as the oral glucose tolerance test (OGTT), which are more accurate at detecting pregnancy-specific blood sugar abnormalities. Since HbA1c provides an average measurement of blood sugar over a few months, it lacks the accuracy needed to diagnose gestational diabetes, a condition characterized by glucose intolerance that develops during pregnancy.

HbA1c results may not adequately reflect the rapid changes in blood sugar levels that occur during these periods, leading to potential underdiagnosis or delayed treatment.

Anemia and Hemoglobin Variants:

Anemia is a common condition during pregnancy, affecting nearly 20% of pregnant women worldwide. Low hemoglobin levels, often caused by iron deficiency, can falsely reduce HbA1c levels, giving an inaccurate picture of blood glucose control.

Since anemia is common during pregnancy, relying solely on HbA1c to assess blood sugar control can lead to misinterpretation of results and suboptimal care.

Physiological Changes in the Second and Third Trimesters:

Hormonal changes in pregnancy significantly affect insulin sensitivity, particularly in the later stages. Estrogen, progesterone, and human placental lactogen (HPL) increase, leading to increased insulin resistance. Women who had normal glucose tolerance before pregnancy may have difficulty maintaining stable blood sugar levels as insulin resistance increases.

Lack of Real-time Data:

One of the major disadvantages of HbA1c during pregnancy is the absence of real-time feedback. Since HbA1c reflects an average glucose level over several months, it does not offer immediate information about the current state of blood sugar. Pregnant women need real-time glucose monitoring to make timely adjustments to their diet, lifestyle, and medication (if necessary) to prevent complications.

Misleading Results for High-risk Groups:

Certain groups of women, such as those with pre-existing type 1 or type 2 diabetes, may not benefit as much from HbA1c monitoring during pregnancy. These women are already at higher risk for complications, and relying on an average measure like HbA1c may not provide the detailed information needed to make crucial adjustments to their diabetes management.

Alternative Methods for Monitoring Blood Sugar During Pregnancy

Given the limitations of HbA1c, other tests and monitoring methods are more effective in assessing blood sugar levels during pregnancy:

Self-monitoring of Blood Glucose (SMBG):

Self-monitoring of blood glucose involves monitoring blood sugar levels at different times of the day using a glucometer. It allows pregnant women and healthcare providers to track fasting and postprandial glucose levels, providing real-time data that can help make immediate adjustments to treatment.

Self-monitoring of blood glucose test is particularly useful for women with gestational diabetes or pre-existing diabetes, as it allows for close monitoring of glucose fluctuations throughout the day.

Continuous Glucose Monitoring (CGM):

Continuous glucose monitoring is a more advanced method of keeping track of blood sugar levels. A small sensor placed under the skin measures glucose levels continuously throughout the day and night, providing real-time data and alerts for high or low glucose levels. CGM is particularly useful during pregnancy, as it captures glucose trends and fluctuations, providing a more complete picture of blood sugar control than HbA1c.

Oral Glucose Tolerance Test (OGTT):

The oral glucose tolerance test (OGTT) is the standard test for diagnosing gestational diabetes. It measures how well the body processes glucose over a specific period after consuming a sugary drink. The OGTT is more sensitive for detecting glucose intolerance during pregnancy than the HbA1c, making it the preferred diagnostic tool for gestational diabetes.

Fasting and Postprandial Glucose Tests:

Fasting and postprandial glucose tests offer a more direct measurement of blood sugar levels at specific times. Fasting glucose measures blood sugar after an overnight fast, while postprandial glucose measures blood sugar after meals. These tests are particularly useful during pregnancy, where glucose spikes after meals can significantly affect fetal development.

Importance of Timely and Accurate Testing During Pregnancy

Accurate and timely blood sugar testing during pregnancy is crucial to prevent complications for both mother and baby. Misinterpretation of test results due to the limitations of HbA1c can lead to under- or overtreatment, which can result in unnecessary interventions or missed opportunities to prevent adverse outcomes.

For pregnant women, a combination of glucose control methods, such as self-monitoring of blood glucose, continuous glucose monitoring, and glucose tolerance testing, is essential to provide a complete picture of blood sugar control and ensure the best possible outcomes.

Conclusion

While HbA1c is a useful tool for assessing long-term glucose control in the general population, it has significant limitations when used to monitor blood sugar during pregnancy. Impaired red blood cellturnover, fluctuations in blood glucose levels, and physiological changes of pregnancy contribute to the unreliability of HbA1c in this unique period of a woman's life. Alternative methods, such as self-monitoring, continuous glucose monitoring, and oral glucose tolerance tests, are more effective in ensuring accurate glycemic control during pregnancy.

Ampath Labs offers a variety of advanced diagnostic services, including glucose tolerance testing, continuous glucose monitoring, and other essential pregnancy-related blood tests. With its convenient at-home sample collection services and state-of-the-art facilities, Ampath Labs ensures that expectant mothers receive accurate and timely results, helping them maintain optimal health throughout their pregnancy.

[colinwilson11]

Glycated Haemoglobin Testing: An Important Tool To Monitor Blood Sugar Levels

Glycated haemoglobin, also known as hemoglobin A1c or HbA1c, is a form of hemoglobin that is formed in a non-enzymatic glycation pathway by exposure to plasma glucose. Hemoglobin is a protein in red blood cells that carries oxygen around the body. It combines with glucose in the bloodstream to form HbA1c. The more glucose in the blood, the higher the fraction of HbA1c.

Measuring Hba1c Levels

HbA1c level reflects average plasma glucose over the previous 8-12 weeks before the test, which corresponds to the lifespan of red blood cells. A glycated haemoglobin test measures the percentage of HbA1c in the blood and is expressed as a ratio or percentage, for example 6.0% or 42 mmol/mol. The test is usually performed every 3-6 months on people with diabetes to monitor their long-term blood sugar control. 

Diagnosing And Monitoring Diabetes

HbA1c testing is commonly used for diagnosis of diabetes as well as prediabetes. An HbA1c level of 6.5% or higher on two separate tests indicates diabetes, according to recommendations from the American Diabetes Association. An HbA1c between 5.7-6.4% suggests prediabetes or increased risk of diabetes. Monitoring HbA1c levels every 3 months helps healthcare providers see if treatment plans for diabetes are working or if any adjustments need to be made.

Correlation With Average Blood Glucose 

Various studies have shown that Glycated Haemoglobin Testing levels directly correlate with average blood glucose levels over the previous 2-3 months. According to research, each 1% increase in HbA1c level corresponds to around a 30 mg/dl (1.7 mmol/l) rise in average blood glucose. For example, an HbA1c of 7% reflects an average blood glucose of 154 mg/dl (8.5 mmol/l). This relationship helps healthcare providers interpret HbA1c results and manage patients' diabetes treatment goals.

Target Hba1c Levels

The American Diabetes Association recommends target HbA1c levels of below 7% for many non-pregnant adults. Lower HbA1c levels such as below 6.5% are encouraged for selected individual patients if achievable without significant hypoglycemia or other adverse effects of treatment. For pregnant women with diabetes, maintaining HbA1c levels between 6-6.5% is advised. Achieving targets can help reduce risk of diabetes complications such as eye, kidney and nerve disease.

Factors Affecting HbA1c Results 

Several factors can influence HbA1c test results other than average blood glucose itself. Factors which may result in HbA1c readings that are not a true reflection of average blood sugar include conditions affecting red blood cell turnover such as anemia, blood loss or transfusion. Some medications like aspirin, vitamins C and E are thought to potentially interfere with the test as well. It is important for healthcare providers to consider such factors when interpreting HbA1c results.

Role Of Hba1c In Diabetes Management

HbA1c testing plays a pivotal role in both diagnosing and managing diabetes. It provides clinicians with valuable long-term information about a patient's glycemic control over the preceding weeks and months. Along with self-monitoring of blood glucose and symptoms, HbA1c guides diabetes treatment decisions like medications, lifestyle modifications and nutritional therapies needed to achieve target blood sugar levels. Regular monitoring helps prevent complications by ensuring continuous optimization of glycemic management. Overall, Glycated Haemoglobin Testing is a crucial tool for diabetes care.

Glycated haemoglobin or hba1c testing is an important medical test used to diagnose diabetes as well as monitor long-term blood sugar control in patients with diabetes. It reflects average plasma glucose over the past 2-3 months and helps healthcare providers guide treatments to achieve blood glucose targets and reduce risks of diabetes complications. While several non-glycemic factors can also influence HbA1c results, it remains a fundamental component of diabetes assessment and management. 

Get more insights on this topic: https://www.ukwebwire.com/glycated-haemoglobin-testing-understanding-hba1c-levels/

Author Bio:

Money Singh is a seasoned content writer with over four years of experience in the market research sector. Her expertise spans various industries, including food and beverages, biotechnology, chemical and materials, defense and aerospace, consumer goods, etc. (https://www.linkedin.com/in/money-singh-590844163 )

*Note: 1. Source: Coherent Market Insights, Public sources, Desk research 2. We have leveraged AI tools to mine information and compile it

[drforambhuta]

The Significance of Comprehensive Health Checkups in Peritoneal Dialysis:

Regular full-body health evaluations are essential for maximizing outcomes and improving long-term survival among individuals undergoing peritoneal dialysis (PD). These assessments encompass a range of diagnostic techniques aimed at evaluating various health aspects, including kidney function, cardiovascular health, nutritional status, and metabolic indicators. Key elements of these evaluations for PD patients include:

1. Kidney Function Assessment: Routine monitoring of parameters such as serum creatinine, blood urea nitrogen (BUN), and estimated glomerular filtration rate (eGFR) aids in the early detection of declining kidney function. This information guides decisions on dialysis adequacy and modality selection.

2. Cardiovascular Screening: Thorough cardiovascular evaluations, including electrocardiography (ECG), echocardiography, and cardiac biomarker tests, provide insights into cardiac health and function. Early identification and management of cardiovascular risk factors like hypertension, dyslipidemia, and coronary artery disease are crucial for preventing cardiovascular complications and improving survival rates among PD patients.

3. Nutritional Status Assessment: Monitoring nutritional status through biochemical markers (e.g., serum albumin, prealbumin, and total protein), anthropometric measurements, and dietary assessments helps in early detection of malnutrition. This information guides interventions aimed at optimizing protein-energy status and preserving lean body mass in PD patients.

4. Metabolic Evaluation: Assessing metabolic parameters such as serum electrolytes, glucose, lipid profile, and markers of mineral and bone metabolism (e.g., calcium, phosphorus, and parathyroid hormone) assists in detecting and managing metabolic imbalances common in PD patients. Optimizing these parameters is crucial for reducing the risk of metabolic bone disease, cardiovascular calcification, and other metabolic complications associated with end-stage renal disease (ESRD).

There are several good hospitals in India that offer health checkup packages to choose from based on an individual's health status and requirements. A regular full body health checkup helps in increasing the survival rate of patients undergoing peritoneal dialysis.

[wellextol]

Blood Sugar Premier has emerged as a product that claims to draw from the ancient teachings of Chinese medicine to address the modern concern of blood sugar management. The essence of Blood Sugar Premier, its connection to traditional Chinese medicine, and its potential implications for those seeking to maintain healthier blood sugar levels.

[medicalequipmentabimed]

Glucose Meter

A glucose meter, also known as a glucometer, is a portable medical device used to measure the concentration of glucose (sugar) in a person's blood. It is commonly used by individuals with diabetes to monitor their blood glucose levels regularly, helping them manage their condition effectively.360 reading memories

[top10review83]

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[wellhealthhub]

Type 2 Diabetes: Understanding the Silent Epidemic and Managing it Effectively

Welcome to our comprehensive guide on Type 2 Diabetes, a widespread chronic metabolic disorder affecting millions of people worldwide, a phenomenon considered to be a silent epidemic with far-reaching consequences. In this exquisitely detailed article, we shall embark on an in-depth exploration of the intricacies surrounding this multifaceted disease, leaving no stone unturned as we delve into…

[scientia-rex]

I've been trying to figure out what the deal is with prediabetes so I can write a meaningful response to an ask I got about it, and I just keep going wait--okay--here's one paper--but here's another one--here's a Cochrane review--but here's a different meta-analysis--and here's newer data from an RCT...

It's nuts! It's bananas. And anybody who says we have good, crisp, clear guidelines around what prediabetes even IS, much less what to do about it, is FULL OF SHIT.

What I really need to know in order to feel more confident about my handle on whether to medicate pre-diabetes is the population incidence. Not prevalence. Because if I take the most optimistic studies about medication as an intervention, specifically, I could be looking at about a 30-40% reduction in risk of progression to diabetes. But! How many people is that, actually? Because medication is not without its harms! We need to compare number needed to treat with number needed to harm, we need to have high-quality evidence that says yes, if we give this medication to everyone who meets X level of criteria for pre-diabetes (it's different in different sources AND it's changed repeatedly over our lifetime!), we will see a level of benefit sufficient to justify making these other people who would not have progressed to diabetes without it endure the hassle and side effects of taking a medication for the rest of their lives.

AND HERE'S THE REAL FUN PART: we don't really know where tissue damage begins! We thought we did! 6.5-7ish A1c. But it turns out there is a marked risk of retinopathy beginning at 5.5! Which is considered normal. AND ALSO we should probably be thinking of it as at least three separate disease based on our current ability to measure--A1c is a broad marker that collapses multiple forms of dysregulated blood sugar, and when we use more fine-grained tests, we see meaningful distinctions that probably affect preferred treatments between people who have impaired fasting glucose, people who have abnormal values on an oral glucose tolerance test, and people who have both. We should treat these groups differently because they reflect different underlying pathways: elevated fasting glucose means your liver is breaking down too much glycogen while you sleep, which is one issue, while elevated post-prandial glucose means your skeletal muscles (OR SOMETHING ELSE they're not totally sure) are behaving abnormally in response to insulin. IT'S NOT THE SAME THING and people with both impaired fasting glucose and abnormal post-prandial glucose are at higher risk of progression to diabetes/tissue damage than people with just one of those. AND WHILE WE'RE AT IT, what is diabetes? What's the best cutoff? What's the best measure? How many underlying pathophysiologies are getting collapsed into the same group????

THE MORE I LEARN ABOUT THIS THE MORE QUESTIONS I HAVE and experts are all being serenely confident while contradicting each other so I have to actually dig in the data a lot harder than I usually do. I've been meaning to do this for months, but one of the presenters this morning made a comment about the benefits of putting prediabetics on metformin that made me go "hm, do I need to start doing that?" and I've gone from my kneejerk answer being "no, we studied this and it doesn't help" to "I don't fucking know and neither does anyone else."

...as always, Cochrane is probably right.

[needlepokes]

how to write a diabetic character: CGM edition

is your diabetic character wearing a CGM? do they have to? CGMs these are Continous Glucose Monitors that can detect how much sugar is in your bloodstream.

How are they different than tradtional fingerprick (blood) tests? they take blood sugar readings 24/7, and provide you with how your sugars are doing at all times, rather than just at that moment. This leads to tremendously better control over blood sugar.

The way they work is that they can "sample" your blood sugar by testing your subcutaneous tissue for sugar levels then adjusting that value.

However, they're less accurate than a fingerprick (blood) reading and will often "lag" behind by about 15 minutes.

SO if you have a character who is expereincing low or high blood sugar - they'd get an alarm on their CGM, and then they might take a fingerprick reading to make sure. CGM false alarms DO exist and it can cause some very annoying situations.

A less careful/depressed/struggling/burnt out character might A. not care or "sleep through" alarms B. not double check with a finger prick C. not care that they're wearing a CGM - pump into stuff or just rip it off (although they are very expensive!).

can you mute them? yes, and a character might choose to do this while they're sleeping, having an exam, or if they know they're about to fuck up their blood sugar.

how long do they last? the libre ones last 14 days. the dexcom ones last up to 10 days.

can you shower with them? yes

can you swim with them? yes

can you have sex with them on? yes, and i've read very funny anecdotes from diabetics having to pause during sex because their cgm was beeping

are they expensive? yes! sometimes, they're covered by insurance, but not completely. If a character is in poverty, or do not have insurance, they likely would have to rely solely on fingerpricks.

Who usually uses CGMs? they are very widespread between T1Ds and are increasingly being used by T2Ds as well.

can you share the readings on multiple devices? yes! your character might share their info with their SO, parents, roommates, close friends...etc. It is genuienly one of the most telling signs of a close relationship between people - because those people will see your "mistakes" and decisions.

where do you stick them? the libre ones (circular ones) officially just go on the back of your arm. The dexcom ones can go on just about anywhere that's "soft" - stomach, thighs, back of arm, chest...etc.

does putting them on hurt? sometimes! the way they are installed involves a needle going into the skin then sitting in the subcutaneous tissue. This can sometimes cause some bleeding, and soreness for a few hours.

Often times the process is completely painless, but this is not the case for everyone. A thinner character might struggle to find a place "cushy" enough for a cgm.

can you put them on your own? yes the process is made for one person to stick it on, but i've seen some couples on instagram act all romantic and sappy about applying it together, so that should give you some ideas for your diabetic characters' budding romances ;)

Some CGMs are just naturally faulty, i'd say about 4 sensors is a busted one, and in that case you'll have to replace them - which most companies just do without any hassle.

do they work with insulin pumps? some insulin pumps can work in tangent with CGMs and provide feedback for the user to automatically generate the correct doses of insulin, depending on their current blood sugar.

do they come off easily? depends on who you're asking. some people swear up and down that they never last and have to put on patches, which are admittedly very cute. Weather, clothing, and how clumsy a character is all factor in this. For me personally i just put them on raw and keep them together by sheer willpower.

CGMs can cause anxiety in diabetics. The constant flow of information can easily burnout people, and this can possibly be the case for any diabetic character you might write. Seeing arrows going down or up can be very distressing, especially knowing how painful some of the consequences are. I personally take breaks for both myself and my wallet from using CGMs to avoid burn out.

nonetheless, CGMs are WONDERFUL pieces of technology that have personally made me much happier as a diabetic, freer and a lot more independent.

does your character want their CGM to show? lots of people, including myself don't like revealing their CGMs - but your character might like showing them off!

and lastly - my favorite thing about CGMs - taking them off and having a "naked" shower once a month where i dont have to worry about it coming off. - They look like this:

[skele-bunny]

Thinking about Quintessence Ghouls w/Glucose Monitors...

So hear me out!! Magick is exhausting, takes a lot of energy, and can shut someone down from both an energy and magick burn out—but also have sudden spikes and surges with too much.

Quints have to monitor their glucose levels constantly! It's not uncommon to see them wearing a cgm monitor or having meters on their person! Wether it's high blood sugar or low, they're always hyper aware!

It's why quints are constantly seen with an apple juice box, bananas, raisins, and honey candies. Sometimes peanut butter, grapes, or toast will be involved if they experience magick surges/spikes to calm them down.

Aether showing Phantom how to change the depth setting of his lancing device when he started with a meter, and to not touch the testing strip bottom. Then eventually how to put in a cgm!

Omega having Terzo press the monitor to his cgm when he doesn't feel well enough to sit up on his own. Who's to say Terzo doesn't like feeding his lover grapes in a non-sexual way LMAO /silly

Even Swiss has a meter! Even though quintessence isn't his strongest element, he still has the effects. He prefers the meter method. Occasionally just poking himself and usually has Rain double look the reading!

Aurora having an episode after using too much quint, just being held by Cirrus and slowly being fed glucose gels. She prefers the fruit punch and orange flavors most!

On the tour bus, there's always a giant hoard of juices, candies, and slow-carbs. Even after Aether left, Mountain stayed on top of keeping it stocked for Phantom, Swiss, and Aurora!

Mounty constantly whipping up green teas and literally plucking the quints up and putting them on the floor with the tea.

GHOULS CAN SMELL IT!!! I have such an in-depth hc that Ghouls are kinda like service dogs. They can smell when someone's scent or body changes before it happens. It's not uncommon for quints to suddenly get sniffed by others, ushered to sit, and getting little snacks.

UGH I just adore this sm :(

[beyondthebloodsugar]

Take Control: Managing Elevated Blood Sugar Levels with Diabetes

Living with diabetes can feel like riding a roller coaster. Sometimes you're up, and other times, you're just trying to hold on. Elevated blood sugar levels can lead to complications, but managing them doesn’t have to be overwhelming. Let’s break it down into simple steps that make sense.

Understanding Elevated Blood Sugar Levels

When you eat, your body breaks down food into glucose, which is the fuel your cells need. Insulin, a hormone produced by the pancreas, helps move that glucose into your cells. In diabetes, this system doesn’t work quite like it should. This can leave too much sugar lingering in your bloodstream. Think of it like a traffic jam; instead of flowing smoothly, everything's backed up and causing problems.

Recognizing the Signs

Ever felt unusually thirsty or tired? Maybe you've noticed frequent trips to the bathroom? Those can all be signs your blood sugar is too high. Other signals might include blurred vision or headaches. Paying attention to your body is key. It's like having a built-in alarm system; you just need to know how to listen.

Smart Eating Habits

Your diet plays a significant role in managing your blood sugar. Focus on whole foods that nourish your body. Think fruits, veggies, lean proteins, and whole grains. Picture your plate as a colorful palette. The more colors you have, the more nutrients you’re getting! Try to balance your meals with carbs, proteins, and fats to keep your blood sugar steady.

Regular Exercise: Your Secret Weapon

Let’s talk about exercise – it’s not just for fitness buffs or sports enthusiasts. Moving your body helps your cells use insulin more effectively. Just 30 minutes of walking, biking, or dancing can be a game changer. Think of exercise like a key; it opens the door for glucose to enter your cells. Plus, it lifts your mood and boosts your energy levels.

Monitoring Your Blood Sugar

Keeping an eye on your blood sugar numbers is crucial. Regular testing gives you a clear picture of how your food choices and activities impact your levels. Over time, you’ll start to notice patterns. Maybe you find out a certain snack pushes your numbers up. This knowledge is empowering, like having a roadmap in your back pocket.

Managing Stress: The Silent Saboteur

Stress can sneak in and cause your blood sugar to spike. It’s like an unexpected guest that makes everything chaotic. Stress triggers your body to release hormones that can raise blood sugar. Finding outlets like deep breathing, yoga, or even enjoying a hobby can help keep your stress in check. Think of these activities as a calm oasis amid a busy desert.

The Importance of Medication

Sometimes, lifestyle changes aren’t enough on their own. If your doctor has prescribed medication, it’s essential to take it as directed. Medications can help bridge the gap between what your body needs and what it can produce. Think of medication as a protective shield, safeguarding you from potential complications.

Building a Support System

You're not alone on this journey. Building a support system is vital. This can include friends, family, or join local support groups. Talking about your experience helps lighten the load. It’s like having a team behind you at a big game, cheering you on every step of the way.

Conclusion: Your Path Forward

Managing elevated blood sugar levels with diabetes doesn’t have to feel daunting. By learning about your body, making smart food choices, staying active, and seeking support, you can take significant steps towards better health. Remember, each small change adds up, and you have the power to shape your journey. Embrace this path and take control of your health today!

[colinwilson11]

The HbA1c test, also known as glycated haemoglobin or estimated average glucose test, measures the amount of haemoglobin that is bound to glucose in the blood. Haemoglobin is the protein inside red blood cells that carries oxygen throughout the body. During its lifespan of around 120 days, it can become glycated by attaching to glucose in the blood. The higher a person’s average blood glucose levels over the previous 2-3 months, the higher their HbA1c levels will be.

[the-bad-batch-baroness]

Health Update

First, I want to say thank you to everyone who reached out or commented on the latest installment of Where's Mommy? to wish me good health. I am so grateful for all of you 💚

However, the health issue I'm currently dealing with isn't due to a virus or bacteria, and there's a possibility it won't get better.

A little history.

Back in 2022, there was a two week period where I felt like my blood sugar was dropping, and I was very symptomatic. There was a moment where I slumped down a wall at work because of it, and they had to dump sugar packets from the break room into my mouth to rouse me. It was a very scary time.

After those two weeks, I went to my Primary Care Physician who ordered blood tests and had me purchase a glucometer to test my blood sugar several times a day. However, during the two weeks she had me do this, I never got a reading below 70, and the same symptoms did not develop as they did prior. My blood work came back clean, and without a reading lower than 70, my PCP dismissed it and told me I was having anxiety attacks, lol. She told me to come back if the symptoms came back, and they never did.

Backing up a couple more years.

Without revealing too much of my medical history, I have a chronic illness called POTS (postural orthostatic tachycardia syndrome). It's a dysautonomia or a dysfunction of the autonomic nervous system, the system that controls all of the automatic functions of the body. It was caused by my battle with Lyme Disease in 2010 and is currently incurable. I was diagnosed with POTS in 2018, after being told for 6 years that I had anxiety, lol.

POTS is not a very well-known illness, but it's getting more attention these days. It garners a host of different symptoms, including tachycardia, chronic fatigue, brain fog, orthostatic intolerance, migraines, gut issues, syncope, dehydration, blood pooling, etc. Everyone's POTS presents differently, and most people with a POTS diagnosis live on disability. I made the choice not to.

Fast forward to 2024.

Fast forward again to this past Wednesday.

Well, I finally was able to get a POTS specialist in my state this year. A huge win! When I had my initial consultation, I had mentioned the low blood sugar episodes in 2022 and asked if it could be related to POTS. The doctor told me that they don't see POTS patients having low blood sugar issues, but we're concerned enough to refer me to an endocrinologist. Another big win!

I had my consultation with the endocrinologist, and he ordered more blood tests, some of the same tests as before, and some different (y'all, they took like 20 vials from me). He also gave me a CGM (continuous glucose monitor) to wear for 14 days so they can track my highs and lows to see if they can catch anything.

Well, the next night, my blood sugar dropped below 70, 20 times, and 55, 9 times. Which means I was woken up 9 times throughout the night. I got only about 2 hours of sleep, and still had to go to work the next morning. But, once again, it went back up by itself without any intervention from me.

Y'all, it caught A LOT in just the first day, actually night. My blood sugar dropped below 70, 11 times, and below 55, 4 times while I was sleeping. Now, because anything below 55 is considered critical and could be fatal, there is an alarm that cannot be overridden and will sound. It sounds like a smoke alarm. So, I was awoken 4 times.

The odd thing is that my blood sugar dropped, then went back up on its own. I didn't eat or drink anything. Blood sugar doesn't really do that, so I thought it was odd. This also begs the question: If I'm asymptomatic at 53, then what level was I at in 2022 when I had symptoms? Honestly, I don't want to know.

Here is a nifty graph!

All of the red is considered low blood sugar, below 70, and anything close to that 50 line is considered critical low blood sugar. And again, I did not eat anything during the night.

There are four major anomalies with my low blood sugar occurences:

Most cases of hypoglycemia are seen in diabetics, I am not diabetic

Most cases of hypoglycemia seen in non-diabetics are sporadic, mine are consistent

Hypoglycemia is normally corrected by consuming sugar, mine auto-corrects

When blood sugar drops, it creates symptoms, I do not get symptoms

There are only a handful of things that can cause hypoglycemia in a non-diabetic and even less consistently at night time. The doctor has already ruled out insulinoma (insulin producing tumors in the pancreas), so that leaves even less, and also the good old "we don't know what's wrong with you".

I'm not going to lie. This whole thing terrifies me. There's no telling how long my blood sugar has been doing this, and it only takes one dip below 50 for me to slip into a coma and die in my sleep. Luckily, my blood sugar does this crazy autocorrect thing, and I haven't died yet! Humor makes this easier.

Right now, I'm emotionally, mentally, and physically exhausted. Adding this on top of my already difficult life with POTS has been hard to cope with, and I'm crying a lot.

Hopefully, I'll get results soon, and my endocrinologist can figure out why this is happening and how to manage/fix it if it can be managed/fixed. Maybe I've got a completely new illness, and you'll find me in a medical journal! Wouldn't that be something.

Anyway, thanks for the continued support. I have a lot of IRL support from friends and family, but while I go through this process, I may seem distant, my posting might be sporadic, I may not keep my fic posting schedule, etc. And when I have an update, I promise to let y'all know!

Much love 💚💚💚

Steph