Friday, 13 March 2009

What is the optimal post-meal blood sugar reading for me?

The optimal post-meal blood sugar reading for me is the lowest number possible. Yes, that is how I view this particular goal.

There are many "standard" targets.

The American Diabetes Association states that "Postprandial plasma glucose (after a meal)" should be less than 180 mg/dl.

The American Association of Clinical Endocrinologists cites "140 mg/dL as the 2-hr PPG". PPG here means post-prandial glucose.

In my opinion, the above two glucose goals are too generous. The ADA specifies a peak number. The AACE does not mention a peak but instead talks about a 2-hour recovery goal.

Both targets are in stark contrast with the actual observed peak amongst non-diabetics. Which happens to be 140 mg/dl. No matter how many carbs a non-diabetic consumes, his perfectly functioning body will keep the maximum glucose level below 140.

So why should we, Type 2 diabetics who are controlling the disease with diet and exercise, not reach for the same thing? I do.

My post-meal sugar goal is below 140. Occasionally, I may drift into 145-150 but not very often. And over time, I have learned the impact of certain foods on my post-prandial readings so that I can adjust my carb and/or caloric content to stay within my self-imposed limit.

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