What should your blood glucose be 2 hours after eating

What should your blood glucose be 2 hours after eating

If you're trying to manage diabetes, you already know it's important to keep track of your blood sugar levels. But how do you handle a spike that comes after you eat? It's called "postprandial" blood glucose, and if you take some simple steps, you can get it under control and help avoid health problems.

Why You Should Keep an Eye on It

When your blood sugar is high, you can get symptoms like a foggy-headed feeling that makes it hard to focus or think clearly. Your energy may also take a dive, and you may feel nervous or moody.

If your levels go too low, you could even pass out. In the long run, if your blood sugar stays up, you could be at risk for heart disease, stroke, kidney disease, or other problems.

How to Measure Your Spikes

The American Diabetes Association (ADA) recommends you check your blood sugar levels right before mealtime with a blood sample from a finger stick. Then do it again 1 to 2 hours after that first bite of food.

Keep this up for a week or so. Write down the time and the blood sugar number. Make a note about anything you think might affect your levels, like medicine or exercise. And don't forget to log exactly what you ate, along with portion sizes and the amount of carbs.

What levels are too high after a meal? Experts vary on what the number should be, but the ADA says a general goal is a blood sugar level under 180 mg/dL, 1 to 2 hours after a meal. Talk to your doctor about what you should aim for, and don't adjust your medicine without speaking to them first.

Get medicine that works for you. The right insulin or medication program can make a big difference. In general, to cover after-meal spikes, those that kick in quickly and for a short time are a better choice than ones that work slowly over a long period. Your doctor can explain your options.

Keep blood sugar in check before meals. That way, even if it goes up after you eat, it won't be so dramatic.

Watch what you eat. Limit sweets, white bread, rice, pasta, and potatoes. They tend to trigger post-meal spikes.

The type of fat you eat may play a role, as well. One study shows you may be able to curb blood sugar spikes after you eat if you skip foods with lots of butter and choose a meal made with a little olive oil instead.

Eat breakfast every morning. Even when you're in a hurry to get out the door, don't be tempted to skip it. A study shows that folks with diabetes who don't eat breakfast get higher blood sugar spikes after lunch and dinner.

The ideal morning meal? It might just be one that's packed with protein. A small study shows that when people ate a 500-calorie breakfast that was 35% protein, their post-meal blood sugar levels were lower than those who started their day with high-carb food. But check with your doctor to see what's right for you.

Go for an after-dinner walk. It's a healthy habit for everyone, but if you have diabetes, it's also a good way to burn extra glucose from a meal.

© 2022 WebMD, LLC. All rights reserved.

SOURCES:
Diabetes Self-Management: "Postprandial Hyperglycemia."
Johns Hopkins Medicine: "Get Off the Blood Glucose Roller Coaster."  
American Diabetes Association: "6 Steps to Avoiding Blood Glucose Spikes."
Diabetes Self-Management: "Dealing With High Blood Sugar After Meals," "Strike the Spike II."
Bozzetto, L. Diabetes Care, April 2016.
Jakubowicz, D. Diabetes Care, July 2015.
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Manohar, C. Diabetes Care, December 2012.

High Blood Sugar, Diabetes, and Your Body

When you have diabetes, your blood sugar (aka blood glucose) levels may be consistently high. Over time, this can damage your body and lead to many other problems.

How much sugar in the blood is too much? And why is high glucose so bad for you? Here’s a look at how your levels affect your health.

What Are Normal Blood Sugar Levels?

They're less than 100 mg/dL after not eating (fasting) for at least 8 hours. And they're less than 140 mg/dL 2 hours after eating.

During the day, levels tend to be at their lowest just before meals. For most people without diabetes, blood sugar levels before meals hover around 70 to 80 mg/dL. For some people, 60 is normal; for others, 90.

What's a low sugar level? It varies widely, too. Many people's glucose won't ever fall below 60, even with prolonged fasting. When you diet or fast, the liver keeps your levels normal by turning fat and muscle into sugar. A few people's levels may fall somewhat lower.

Diagnosis

Doctors use these tests to find out if you have diabetes:

  • Fasting plasma glucose test. The doctor tests your blood sugar levels after fasting for 8 hours and it’s higher than 126 mg/dL.
  • Oral glucose tolerance test. After fasting for 8 hours, you get a special sugary drink. Two hours later your sugar level is higher than 200.
  • Random check. The doctor tests your blood sugar and it’s higher than 200, plus you’re peeing more, always thirsty, and you’ve gained or lost a significant amount of weight. They’ll then do a fasting sugar level test or an oral glucose tolerance test to confirm the diagnosis.

Any sugar levels higher than normal are unhealthy. Levels that are higher than normal, but not reaching the point of full-blown diabetes, are called prediabetes.

According to the American Diabetes Association, 86 million people in the U.S. have this condition, which can lead to diabetes if you don't make healthy lifestyle changes that your doctor recommends. It also raises the risk for heart disease, although not as much as diabetes does. It's possible to keep prediabetes from becoming diabetes with diet and exercise.

Sugar and Your Body

Why are high blood sugar levels bad for you? Glucose is precious fuel for all the cells in your body when it's present at normal levels. But it can behave like a slow-acting poison.

  • High sugar levels slowly erode the ability of cells in your pancreas to make insulin. The organ overcompensates and insulin levels stay too high. Over time, the pancreas is permanently damaged.
  • High levels of blood sugar can cause changes that lead to a hardening of the blood vessels, what doctors call atherosclerosis.

Almost any part of your body can be harmed by too much sugar. Damaged blood vessels cause problems such as:

  • Kidney disease or kidney failure, requiring dialysis
  • Strokes
  • Heart attacks
  • Vision loss or blindness
  • Weakened immune system, with a greater risk of infections
  • Erectile dysfunction
  • Nerve damage, also called neuropathy, that causes tingling, pain, or less sensation in your feet, legs, and hands
  • Poor circulation to the legs and feet
  • Slow wound-healing and the potential for amputation in rare cases

Keep your blood sugar levels close to normal to avoid many of these complications. The American Diabetes Association's goals for blood sugar control in people with diabetes are 70 to 130 mg/dL before meals, and less than 180 mg/dL after meals.