Type 2 diabetes is a chronic condition where the body is unable to use insulin effectively to get glucose (blood sugar) out of the bloodstream and into the cells where it can be used for energy. Many people are able to manage their Type 2 diabetes with lifestyle changes. Others may need medications to reduce blood sugar levels. These medications may include oral medications, insulin or other injectables.
Diabetes is diagnosed with a lab test. The main test used for this purpose is a fasting blood glucose. Other diagnostic tests may include an A1c or a glucose tolerance test.
Also known as fasting blood sugar test. This is a blood test that measures the amount of glucose in your bloodstream at the time of testing. As the name implies, this test is done when you have been fasting for several hours. A normal result would be between 70 and 99 mg/dl. If your level was 126 mg/dl or higher after fasting, this indicates diabetes. That leaves of range of 100-125 that is called prediabetes or "at risk for diabetes."
The A1c may also be known by the name Hemoglobin A1c or HgbA1c. This blood test shows your average blood glucose levels over a 2 to 3 month time span. It is expressed in a percentage. For people without diabetes the number is lower than 5.7%. The goal for people with diabetes is to keep the A1c less than 7%.
The glucose tolerance test is a blood test that is taken after you drink a sugary drink in the lab. This tests how well your body is processing the sugar in the drink over time. Two hours after consuming the drink your blood glucose level should be less than 140 mg/dl. If it is over 200 you have diabetes. A level between 140 and 199 mg/dl is considered impaired glucose tolerance or prediabetes.
One use for this test is to diagnose gestational diabetes. It is usually done between 24 to 28 weeks of pregnancy.
Every time I fly the flight attendant reminds me that if there is a loss of cabin pressure, make sure to put the oxygen mask on myself before putting a mask on my child. We tend to put others first and our instinct might be to put the mask on those that we love first. But if we don’t take care of ourselves, we will be unable to help others around us. Our good intentions won’t help anyone if we can’t function to help them.
Today I want to share with you an important self-care habit to ensure that you are operating at your highest level to give yourself the best chance to optimize your weight loss.
Sleep is vital. According to the Centers for Disease Control more than 35% of people are sleep deprived (1). It is recommended that you get at least 7 hours of sleep per night. A study published in the Annals of Internal Medicine found that those that got only 5.5 hours of sleep lost less body fat than if they got more sleep (2). If you are not getting enough sleep you are sabotaging your efforts and decreasing the effectiveness of all the things you did right during the day.
Your weight is controlled by several different hormones in your body. Lack of sufficient sleep affects these hormones and can affect your weight.
Insulin is a fat storage hormone. Lack of sleep causes decreased insulin sensitivity leading to increased fat storage.
Ghrelin is increased which causes increased hunger signals and a decreased metabolism. That is certainly a bad combination!
Decreased leptin means your stomach feels empty leaving you longing for more.
Cortisol is a stress hormone that can be released when you are sleep deprived. This can lead to an increased desire for food.
Increase the likelihood of a good night’s sleep. Turn off screens at least 30 minutes before bedtime. Develop a bedtime routine. Stick to a schedule. Your body likes routines. Set a bedtime and stick to it as much as possible. Don’t set snooze alarms. Pushing snooze multiple times just means that your last bit of sleep is completely interrupted. Sleep until the alarm goes off and then 5,4,3,2,1…get up and be awesome!