What is the ideal glucose value for your blood sugar? What is considered a good value I will explain Both for those who are not diabetic and also for those who are diabetic because the standards will be modified it is a good value for one sometimes it will not be for another this is the theme of this video you comment directly this every day there are people who ask Ah, is this x value good or not so let's talk about it First starting with those who are not diabetic What are the values considered good remembering that when it comes to each person Sometimes the doctor can individualize and change these values a little so I'm going to talk here in general, right? What does the protocol of the American Society of Diabetes say, which is our main reference first in the fasting blood glucose test, the one you do in the laboratory, this test is considered normal up to 99 out of 100 up to 125 is a pre-diabetes value and 126 and above is a diabetes value for the diagnosis of diabetes this test needs to be repeated and confirmed twice, okay because there is a chance machine failure or some situation there that ended up modifying test some great stress that you had then there are factors that can modify then in two opportunities it confirms the diagnosis of diabetes it is also important to mention that this exam has to be repeated or associated with other exams not necessarily you need to do the fasting Glycemia again it can also be, for example, another exam for diagnosis and then I will also talk for follow-up that is glycated hemoglobin that is it this exam he will see the average in the last 90 days is approximately so he can estimate how is your blood sugar in the last three months, how has your sugar been he has some flaws in this test but it is still very good What are the flaws since I mentioned it first in patients who have renal failure in the moderate stage for severe cases, the result will often not be reliable, false results may come in this case, the doctor may associate with or other exams to improve is the accuracy of the exam is being able to trust more in this exam what other tests for example fingertip test must be my capillary some states also called right-handed or HGT I will talk More specifically in this exam here later on and also patients who have a lot of hypoglycemia because imagine that you had hypoglycemia after hyperglycemia which is very bad for controlling diabetes but on average there is a middle ground because at one time it was very low at another time it was high so what is the value of glycated hemoglobin of normality up to 5.
6 pre-diabetes 5. 7 to 6. 4, greater than 6.
5% is already considered diabetes and the same goes for what I said for it to be media together it has to be confirmed on two occasions or with another also test for the diagnosis of diabetes we have that test that you go to the laboratory they make you fast and take a syrup 75 grams of glucose and after two hours you will do this test again and then which is also going to change the reference a little because it will be normal up to 140 from 140 to 199 a pre-diabetes result and greater than or equal to 200 is a result of diabetes during pregnancy this test is very used also the standards end up changing, so that it's not worth the pregnancy if you'd like me to talk specifically about pregnancy, put it in the comments and I'll make a video just about it. patient who uses insulin who already has diabetes or who has a lot of hypoglycemia but for the general population this test is not very useful You ask that a lot ah I need to buy the glucometer the glucose meter no if you have no indication to do the test you don't there will be benefits I, for example, rarely took this test but even to demonstrate because for myself then I don't have a glucose meter here at home because it is not necessary , but who needs to do it ? that lowers a lot of blood sugar the patient has a high cardiovascular risk because when you have hypoglycemia it is a glucose lower than 70 that happens the body tries to recover it so it will produce adrenaline it will kill the cortisol this ends up being very bad for your body because the heart has to beat faster so always in patients who are at risk we try to avoid hypoglycemia as much as possible whenever you have hypoglycemia you have to write it down I always tell patients up to a sentence like this to mark it well and polysemy is never normal you always have to correct it try to find the cause because there is a risk yes including the risk Acute the risk at the time of Hypoglycemia is greater than hyperglycemia Okay then it is very important that between 80 and 130 as a rule is a value considered good after eating two hours after the meal what is the good value for diabetics up to 180 is the same as I said about the first one some rare cases You can even consider a little more but up to 180 is a good value nconsidered good because because naturally the blood sugar will be higher after eating ok and when going to bed what would be the good value between 90 and 150 the same goes for everyone in some cases this can vary patient who has had blood sugar for a long time we can also accept one higher value and glycated hemoglobin What is the goal of treatment in general seven percent is the value considered good because from that value onwards you have a greater chance of having a chronic complication of diabetes like us not diabetic disease eye disease kidney disease kidney failure of the heart so if this value is between seven percent together with the values of the finger test that it is always important to associate It is because there is that failure of those who do a lot of hypoglycemia, they have a false result too, right, glycated hemoglobin with this value we managed to reduce the risk of a complication as much as possible in some cases this value also depends a lot on the patient's conditions it can also be Values from 7.
5 to even 8% are considered good, so there is no standard value You can see that diabetes is a lot of individual assessment, so that's why I'm always putting examples, also saying Ok, so it's 7% in a way general but this value in some cases can be higher and also the doctor can tell you the result is very good and it is a little higher than the one I said about 7%.
