5.6-6.0 mmol/L) and A1C levels 6.0-6.4% (42-46 mmol/mol) vs. <6.0% and in women with a history of gestational diabetes mellitus, it has been suggested that metformin should be used to treat people with prediabetes.
Recent guidelines recommend considering use of metformin in patients with prediabetes (fasting plasma glucose 100-125 mg/dL, 2-hr post-load glucose 140-199 mg/dL, or A1C 5.7-6.4%), especially in those who are <60 years old, have a BMI >35 kg/m2, or have a history of gestational diabetes.
Metformin is the cornerstone of diabetes therapy and should be considered in all patients with type 2 diabetes. Both the American Diabetes Association (ADA) and the American Association of Clinical Endocrinologists (AACE)1,2 recommend it as first-line treatment for type 2 diabetes.
Target blood sugar levels differ for everyone, but generally speaking: if you monitor yourself at home – a normal target is 4-7mmol/l before eating and under 8.5-9mmol/l two hours after a meal.
For most people without diabetes, normal blood sugar levels are: between 4 and to 6 mmol/L before meals. less than 8 mmol/L two hours after eating.
If your A1C level is between 5.7 and less than 6.5%, your levels have been in the prediabetes range. If you have an A1C level of 6.5% or higher, your levels were in the diabetes range.
If someone has readings over 7.8 mmol/l (140 mg/dl), they are considered to have hyperglycemia. These high blood sugar levels mainly occur if there isn't enough insulin or the insulin doesn't work properly.
Results are interpreted as follows: Less than 140 mg/dL (7.8 mmol/L ) after two hours is considered healthy. 140 to 199 mg/dL (7.8 mmol/L and 11.0 mmol/L ) is diagnosed as prediabetes. 200 mg/dL (11.1 mmol/L ) or higher after two hours suggests diabetes.
A blood sugar target is the range you try to reach as much as possible. These are typical targets: Before a meal: 80 to 130 mg/dL. Two hours after the start of a meal: Less than 180 mg/dL.
High blood sugar (hyperglycemia) occurs when your blood sugar is at or above 11 mmol/L.
It's best to take metformin tablets with, or just after, your evening meal to reduce the chance of getting side effects. Swallow your metformin tablets whole with a drink of water. Do not chew them. If you're taking metformin sachets, pour the powder into a glass and add water (about 150ml).
Some people are able to stop taking diabetes medication like metformin, by putting their diabetes into remission. This means that blood sugar levels are in the non-diabetes range without needing any medication.
Metformin isn't a first-choice treatment for prediabetes. But it may be prescribed off-label to people at high risk for developing Type 2 diabetes. It may also be an option if your prediabetes isn't improving or stabilizing on diet and exercise changes alone.
The expected values for normal fasting blood glucose concentration are between 70 mg/dL (3.9 mmol/L) and 100 mg/dL (5.6 mmol/L). When fasting blood glucose is between 100 to 125 mg/dL (5.6 to 6.9 mmol/L) changes in lifestyle and monitoring glycemia are recommended.
In general: Less than 140 mg/dL (7.8 mmol/L ) is normal. 140 to 199 mg/dL (7.8 to 11.0 mmol/L ) is consistent with prediabetes. 200 mg/dL (11.1 mmol/L ) or higher after two hours suggests diabetes.
When people eat food the food breaks down into sugars which is only stored with the help of insulin. if insulin is not produced adequately then it is stored in the blood stream rising a person's blood glucose levels.
A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal. A fasting blood sugar level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered prediabetes. If it's 126 mg/dL (7 mmol/L) or higher on two separate tests, you have diabetes.
Doctors suggest that a normal fasting blood sugar range is between 70–100 mg/dL (3.9–5.6 mmol/L). If your fasting blood sugar is consistently over 126 mg/dL (7 mmol/L), your doctor will diagnose diabetes. You can reduce your risk of high fasting blood sugar by eating your dinner earlier the night before.
An A1c level of 7.1 percent is considered high and means that 7.1% of the hemoglobin in your blood is saturated with sugar. A1c levels of 6.5 or greater are considered diabetes. If your A1c is high, a combination of diet and lifestyle changes and medications can help you lower your levels.
Adults over the age of 60 should try to maintain glucose levels between 100 to 140 mg/dL. Below are some of the issues associated with high glucose levels and what your aging loved one can do to maintain healthy blood sugar.
If your blood sugar level goes above 600 milligrams per deciliter (mg/dL), or 33.3 millimoles per liter (mmol/L), the condition is called diabetic hyperosmolar syndrome. When blood sugar is very high, the extra sugar passes from the blood into the urine.
Extreme thirst. Light-headedness. Flushed, hot, dry skin. Restlessness, drowsiness, or difficulty waking up.