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I Am Pre-diabetic And Want To Know List Of BG Ranges?

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Posted on Tue, 21 Feb 2023
Question: I am pre-diabetic and am asking for a list of BG ranges for the following:
General Target Range:
Fasting:
Pre-meal:
Post meal:
Bedtime:
Hyper Warning:
Hypo Warning:
Hour long AFTER A MEAL should I wait to take a measurement?
Thanks,JD
doctor
Answered by Dr. Ramesh Kumar (44 minutes later)
Brief Answer:
Please go through detailed answer.

Detailed Answer:

Hello,
General Target Range:

Fasting:70-100mg/dl

Pre-meal:less then 126 mg/dl

Post meal:less then 200mg/dl

Bedtime:less then 200mg/dl

Hyper Warning:more then 220mg/dl(after meal) more then 126mg/dl(empty stomach)

Hypo Warning:less then 70mg/dl

Hour long AFTER A MEAL should I wait to take a measurement?2 hours post meal.

Hope i answered your query well.
Follow up are welcome.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ramesh Kumar (9 hours later)
Dr. XXXXXXX
Thank you for your response. Regarding the FASTING range, you indicated 70-100; as a pre-diabetic, that level is seldom realized; mostly it is slightly over 100 but sometimes (seldom) it is 120+. i've been told 80-120 and 80-140.

What can I do to get it down to 70-100 as you recommend?

Regarding the BEDTIME range: you mentioned <200. Sometimes at bedtime mine is around 100 and even less on occasion.

Is there any potential risks with going to bed with BG being around 100?

I have been told in one case that it should be 90-135 and another that it should be 160-180. Mine is never that high at bedtime.

How would you define "<200"?

If mine is around 100 at bedtime, should I ingest some carbs?

I recently started doing KETO nutrition and it appears to influencing my BG and weight loss so I'm keeping my carbs low and I prefer not to ingest any at bedtime.

Thanks for you input,
JD
doctor
Answered by Dr. Ramesh Kumar (29 hours later)
Brief Answer:
follow up.

Detailed Answer:
Hello again,
Few suggestions are-
1) Strictly take carbohydrates with low glycemic index only like brown rice,wheat pasta etc.
2)Include fruits with lots of fibers in them.They would prevent insulin spike lije orange,guava,apple etc.
3)Include lean proteins in your diet.
4)Use less artificial sugar or try to cut them.
5)Start exercising 5 days a week for 45 minutes.
6)Take oat meal and multigrain bread to maintain carbohydrate levels through out night.
7)Why are you on Keto diet?
Follow the basic 50% carbohydrate 30% protein and 20% fat.
For any further comment i would suggest you to get a HbA1c test done.This would reveal a overall blood sugar control of your body over the last 3 months.

Follow up with report.
Regards!
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar (45 hours later)
Thank you for your response. It appears that your outlook on nutrition is quite contrary to current research. I address each of your comments below:
1.Brown rice, wheat, pasta etc: I have eaten them over and over for years but it always results in my gaining weight, increasing my cholesterol and raising my blood glucose level.
2. Fruits: i love them but most of them raise my BG level and cause me to 'crash' later.
3. Lean: i have eaten lean protein for years but it didn't seem to help any more than non.
4. Sugar: I don't ingest additional sugar and avoid foods with much sugar content as it too increases my BG level.
5. Exercise: Over the years I have exercised several days per week but had great difficulty losing weight-it became very frustrating, so I would become discouraged and quit.
6. Oatmeal & Multigrains: I've eaten them daily for many years but I always felt bloated, sluggish, tired and foggy-minded.
7. KETO: Because it is the ONLY nutritional approach that creates a positive in my life as it relates to health and fitness. I've been doing KETO for 6 weeks and the following are the results: (a) Increased energy, (b) improved sleep (c) no foggy-mindedness (Clarity),
(d) Lost 10 pounds, (e) decreased body fat from 31% down to 26%, (f) decreased BG from 119 to 97 average and (g) reduced my A1C from 6.68 to 5.7. These results are FAR superior to any other nutritional approach that I have tried. It works and prevents one from being frustrated when at the gym working out because the continual results are obvious.
8. 50/30/20: I've tried that as well as several other ratios with inconsistent results. The ratios I'm currently using are around 10% Carbs, 25% Protein and 65% Fat. I feel better than I have felt in years.
9. A1C: I check mine every 6 months and could never get it to drop until my recent change in nutrition.
There is a lot of contradictory information out there including that which comes from many MD's.
CONVENTIONAL WISDOM (i.e. the government and those groups who align themselves with the lobbyists, politicians, pharmaceutical companies and many in the medical and health professions) has conned the public for decades into believing that fat was bad, meat was bad and man made genetically engineered carbohydrate foods were good and yet we have an epidemic of Obesity and Diabetes like never before. Then there are the Statins that the medical profession in conjunction with Big Pharma have created a billion dollar market for the manufactures by reducing the 'acceptable level of cholesterol' so that doctors everywhere were prescribing tons of statins that were not necessary in a large number of cases.
Some suggested Reading: Paleo Blueprint and Keto Reset Diet by Mark Sissons
Wheat Belly by Dr. XXXXXXX XXXXXXX MD
My Questions for you: 1.Why are you so supportive of Conventional Wisdom which has provided misguided information for so long dispite contrary research that is all around us?
2. Why are you opposed to the KETO nutrition approach?
I look forward to your response.
JD
doctor
Answered by Dr. Ramesh Kumar (7 hours later)
Brief Answer:
Follow up answer.

Detailed Answer:
Hello and thanks for follow up dear,
Answers are as follows
1)Its too difficult for body to convert fat into energy(as fat is primary source of energy in case of Keto diet) while on the other hand carbohydrates can easily be broken down into energy yielding ATP.
Sir the information provided by me is that which is written in our standard text books.Any thing written in standard text book takes years of research.
If keto diet is helping you you can take it initially for few months but then try to increase complex carbs slowly and lower down fat.
Various studies mentioned by you are done by particular doctors however the conventional diabetic diet given in text book is published after thousands of trials.

2)Difficult for body to tolerate large amount of fats in long runs.

Hope i was helpful.
Thanks!
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ramesh Kumar (5 hours later)
Yes carbs can be broken down easily but the Free Radicals they produce as a by-product do serious damage to the body while ketones are burnt up with no residue. I hope you understand that for the public in general, nutrition has become VERY confusing with every other 'expert' expressing an opinion-some with poor or no basis in scientific fact. It's the old 'publish or perish' approach. in addition, many , if not most of the studies you alluded to are conducted by manufactures of products purported to provide relief or cures for many health challenges or by hospitals/medical clinics who garner funding from these drug manufactures so the latter are assured of a favorable outcome of the 'research' done by the clinic which they fund. I don't find much good research by independent individuals because they don't have the funding available.
In summary, I think doctors do a great disservice to their patients by not keeping up on CURRENT research that is quickly available online as opposed to books that, although they may contain heavily researched information they are often outdated by the time they are published; that coupled with the fact that much of the findings are funded by companies who have a conflict of interested; sort of like "letting the fox loose in the chicken coop".
Finally, I have tried every combination centered around the very belief that you embrace but none of them worked for me. BUT, as I mentioned in my last post the KETO nutritional approach has created several positive improvements in my health and fitness.

Don't you agree that burning glucose for energy causes free radicals to be produced and subsequently cause damage to the body?
And don't you agree that drugs are manufactured to combat these free radicals?
Looking forward to your reply
JD
doctor
Answered by Dr. Ramesh Kumar (26 hours later)
Brief Answer:
follow uo.

Detailed Answer:
Hi,
Ketosis can become dangerous when ketones build up. High levels lead to dehydration and change the chemical balance of your blood.It is basically used for a peroid of time to loose fat.
If digestion of carbohydrare produces free radicals then fats and protein also produces free radicals.Infacf far are much more toxic then complex carbs.Secondly your brain uses inly glucose as itds primary fuel.
Lastly following a fat rich diet(60 to 80%) through out life increase your chances of landing into a cardiac problem by many fold.

A second opinion can also be taken by a nutritionist byt for me a person taking 60 to 80% fat throughout the life is something which would in long term result in serious ailments.
Regards!
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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I Am Pre-diabetic And Want To Know List Of BG Ranges?

Brief Answer: Please go through detailed answer. Detailed Answer: Hello, General Target Range: Fasting:70-100mg/dl Pre-meal:less then 126 mg/dl Post meal:less then 200mg/dl Bedtime:less then 200mg/dl Hyper Warning:more then 220mg/dl(after meal) more then 126mg/dl(empty stomach) Hypo Warning:less then 70mg/dl Hour long AFTER A MEAL should I wait to take a measurement?2 hours post meal. Hope i answered your query well. Follow up are welcome. Thanks.