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The fluctuation of blood sugar (red) and the sugar-lowering hormone insulin (blue) in humans during the course of a day with three meals. One of the effects of a sugar-rich vs a starch-rich meal is highlighted. [1] The blood sugar level, blood sugar concentration, blood glucose level, or glycemia is the measure of glucose concentrated in the blood.
People are told to fast for 8 hours before drawing the labs so that the provider can see the fasting glucose level. [2] The normal level for fasting blood sugar in non-diabetic patients is 70 to 99 mg/dL (3.9 and 5.5 mmol/L). Another useful test that has usually done in a laboratory is the measurement of blood HbA1c (hemoglobin A1c) levels.
Hyperglycaemia becomes clinically significant once insulin over-secretion can no longer compensate for the degree of insulin resistance. [2] [4] [1] It remains an unsolved question if impaired pancreatic beta cell function or hypersecretion of insulin represent the primary event in the pathogenesis of type 2 diabetes. [6]
For diabetics, glucose levels that are considered to be too hyperglycemic can vary from person to person, mainly due to the person's renal threshold of glucose and overall glucose tolerance. On average, however, chronic levels above 10–12 mmol/L (180–216 mg/dL) can produce noticeable organ damage over time.
A level below 5.6 mmol/L (100 mg/dL) 10–16 hours without eating is normal. 5.6–6 mmol/L (100–109 mg/dL) may indicate prediabetes and oral glucose tolerance test (OGTT) should be offered to high-risk individuals (old people, those with high blood pressure etc.). 6.1–6.9 mmol/L (110–125 mg/dL) means OGTT should be offered even if other ...
The reference values for a "normal" random glucose test in an average adult are 80–140mg/dl (4.4–7.8 mmol/l), between 140 and 200mg/dl (7.8–11.1 mmol/l) is considered pre-diabetes [citation needed], and ≥ 200 mg/dl is considered diabetes according to ADA guidelines [1] (you should visit your doctor or a clinic for additional tests however as a random glucose of > 160mg/dl does not ...