From Omaha, Nebraska, USA:
I'm a 60-year-old male and have had type 1 since 1979. I am physically fit, have normal weight, and have no diabetes complications. I have an A1c target of about 6%, use Novolin in a pump, and have a basal rate that holds my blood sugar steady without eating. When I have a pre-meal blood sugar of about 100 mg/dl [5.6 mmol/L], and eat a "standard good meal" followed by normal activity, not exercise, when might I normally expect that the postprandial blood sugar returns to near the pre-meal levels?
As you know, persons without type 1 diabetes have their blood sugar go up within five minutes of eating and stay up for some time after the meal. With therapy for diabetes, the target is to keep the glucose level from remaining high for longer periods of time. When we have our patients intensively control their glucose levels, the two-hour goal is often stated to be under 120 mg/dl [6.7 mmol/L]. You would anticipate that the usual pre-meal glucose of 100 mg/dl [5.6 mmol/L] to which you refer would probably occur within another 30 minutes or so. Interestingly, in women with gestational diabetes, there was an improved A1c when the target blood sugar was achieved after meals, compared to a target blood sugar before the meal. This would suggest more potency for A1c lowering with an aggressive post-meal blood sugar target.
Original posting 12 Feb 2008
Posted to Daily Care
Last Updated: Tuesday April 06, 2010 15:10:16
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2017. Comments and Feedback.