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Measuring Blood Sugar

A DiabetesTeam Member asked a question 💭
Edmonton, AB

Would someone be so kind as to explain this? I don't test all the time because there is no way I can prick my fingers (I can't even watch what they are doing to me in the lab; I just wait for the pain to stop) so, when I can afford it, I purchase the Free Style Libre Sensor. It shows blood sugar as 6.5, 7.1, 8.8, etc. What is mml? I don't understand where they are getting those numbers from. Anyone?

February 5, 2022
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A DiabetesTeam Member

Henry has given you the scientific answer.

If you don't usually test then it's expected that you have no idea what they mean and the Doc would never have given you a "range" where they would like your blood to be or what it means.

Seeing that you are in Alberta it makes sense that your Libre is measuring in mmol's which is the system we use in Canada (and most of the Commonwealth Countries) which is a different system then the Americans use (so doesn't look like many of the blood sugar numbers you see posted up here).

The Libre is a great tool for those that just can't stand the sight of blood 😀

Depending on your age, other diseases and what if any medications you are on Diabetes Canada has set "ranges" that you can target for your blood sugar.

Staying within your "range" is an attempt to best manage your diabetes.

Unless your doctor has given you advice otherwise the following would be the standard ranges:

4.0 to 7.0 when fasting - so whatever your reading is when you first wake up in the morning or anytime you haven't eaten for (about) 5 or 6 hours.

5.0 to 10.0 two hours after you start eating a meal - so from the first bite, 2 hours later whatever that number is

If you were directed to follow the (tighter controls) then your after eating range would be 5.0 to 8.0

Those are just the national guidelines, your doctor could set your range differently to meet specific health goals.

While those numbers "look like" the A1C number (from your lab blood tests) that your Doctor may discuss, while they are "related" your meter is not giving you an A1C number, it is you "blood glucose level" at that second in time when the meter gives you that reading.

February 5, 2022
A DiabetesTeam Member

Hi @A DiabetesTeam Member,
mmol/L is a concentration measurement of sugar / glucose molecules in your blood.

Hold on to your seats. You would probably do good to ignore the technical explanation that follows, but I put it here because you asked and a chemist it's my wheelhouse.

The technical / chemistry answer - mmol - is milli mole or 1 thousands of a mole. A mole is the number of atoms or molecules in the molecular weight of a substance.

The molecular weight of water H2O is about 18 grams per mole. This is where Avogadro's number (Phone number can only be seen by the question and answer creators),000,000,000 also known as 602 sextillion, or 6.02x10 to the 23rd power.

Mole is the shorthand for this huge number of molecules or atoms.

L or litre is a measurement of volume. It is equal to 1000 mL and about 1000 grams, a kilogram of water.

This technical explanation makes most people's heads explode.

So you would probably do good to ignore the technical explanation.

We learn something new everyday.

February 5, 2022
A DiabetesTeam Member

Measuring blood sugar is crucial for managing diabetes. Here are some key points from the knowledge base:

Methods of Measuring Blood Sugar
1. At-Home Blood Sugar Readings:
- Tools: Home blood glucose monitors, test strips, and lancets.
- Process: Place a drop of blood from your finger on a test strip inserted into Show Full Answer

Measuring blood sugar is crucial for managing diabetes. Here are some key points from the knowledge base:

Methods of Measuring Blood Sugar:
1. At-Home Blood Sugar Readings:
- Tools: Home blood glucose monitors, test strips, and lancets.
- Process: Place a drop of blood from your finger on a test strip inserted into the glucose monitor. The monitor displays your current blood glucose level.
- Insurance: Health insurance may cover the cost of monitors, test strips, and lancets.

2. A1c Testing:
- Description: Measures average blood sugar level over the past three months.
- Mechanism: Sugar attaches to hemoglobin in red blood cells. The A1c test gives a percentage of sugar in your blood.
- Availability: Can be done at clinics or with take-home kits from some pharmacies.

3. Continuous Glucose Monitors (CGMs):
- Technology: Monitors blood sugar levels continuously.
- Usage: More common today and used to track glucose levels over time.

Frequency of Testing:
- Individualized: Your healthcare team will advise how often to test based on your specific needs.
- Common Times:
- Before and after meals.
- Before bed.
- When you suspect your blood sugar is too high or too low.

Importance of Monitoring:
- Tracking Trends: Helps understand how your body reacts to food, exercise, and medication.
- Adjustments: Allows for timely adjustments to your diabetes management plan.

Ideal Target Ranges:
- Units: Blood sugar is measured in millimoles per liter (mmol/L) or milligrams per deciliter (mg/dL).
- Consultation: Always consult your healthcare provider to understand your target ranges and make necessary adjustments.

Additional Considerations:
- Factors Affecting Blood Sugar: Menstrual cycles, carbohydrate intake, stress, and certain foods can impact blood sugar levels.
- Record Keeping: Keep a log of your blood sugar readings to discuss with your healthcare provider.

For more detailed guidance, always refer to your healthcare team and trusted resources like the Centers for Disease Control and Prevention (CDC).

July 24
A DiabetesTeam Member

Hi GrahamLamb: Thank you for the info.

February 5, 2022

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