1 hr at 140 Harmful?

My pump says my BG is in range 90% of the time.....so I'm over 140 about 2.4 hr each day.
I'm happy with my results...on target 90% of the time on a 30 day CGM average.

I know I'm blessed to have this good BG control. For me to say I'm going to stay under 140
would be impossible....even if I eat nothing my BG goes over 140 sometimes.

My body makes no insulin and my BG is always changing, it's either going up or it's going down and I'm not always there when it needs a correction so it's not unusual for it to drift above or below my targets, walking, breathing, sleeping, eating, getting Mad, everything in my life impacts my BG.....I'm a Diabetic and no mater how hard I try I'm not perfect every day cannot be a stare down contest, it's always there and I'm always going to blink first....

Relax...take a deep breath...get on with your life

Honestly, those are great readings and you have nothing to worry about. I used to absolutely despise seeing any reading above 150 because a doctor told me that was considered high. Now a lot of times when I eat I spike at least to 180 and sometimes stay there for 3-4 hours no matter what I eat or do. it is a very difficult disease. You could eat the same thing at the same time of day with the same insulin and one day your sugar could be 140, but the next it could be 200. It’s all up to your body. All you can do is your best. Just keep it up.

140 for 1HR? Pfah! I’ve had to battle BG in the 300s range for three hours. Don’t sweat it.

Thanks Khurt, but when I originally asked the question I was wondering if I needed to worry about being over 140 at 1hr (not 140 for 1hr) or just staying under 140 at 2hrs. Somewhere I read that the target should be under 140 at 1hr and under 120 at 2 hr. I was spiking over 140 up to 200 at 1 hr, but then barely making my goal of under 140 at 2hr.

I would also note that I recently posted about the AACE released their 2015 clinical practice guidelines for diabetes and they recommend a 2 hour number <140 mg/dl as a good target for a non-pregnant adult.

Brian,
Did they change the A1C that indicates prediabetes from 5.7 to a lower value? I thought I saw that on table 6…

The AACE prediabetes threshold remains unchanged from their previous guideline in 2011. It still says:

R3. Prediabetes may be identified by the presence of impaired glucose tolerance (IGT), which is a plasma glucose value of 140 to 199 mg/dL 2 hours after ingesting 75 g of glucose, and/or impaired fasting glucose (IFG), which is a fasting glucose value of 100 to 125 mg/dL (Table 6) (Grade B; BEL 2). A1C values between 5.5 and 6.4% inclusive should be a signal to do more specific glucose testing (Grade D; BEL 4).

Basically any A1c > 5.5% is prediabetes. The 5.7% is I believe from the ADA guideline.

If you are hungry and irritable with low carb eating (after the first few weeks, which is always an adjustment period), it often means you have to increase your fat intake. Healthy fats, meaning saturated fats from animals. Also coconut oil, olive oil, avocado. Maybe you need some more protein, too.

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