Factors used for calculating individual target glucose level include life expectancy, age, microvascular complications, the duration of diabetes and unawareness of hypoglycemia, the American Diabetes Association explains. Comorbid conditions and individual factors relevant for a particular patient also play a role.
Patients should discuss the necessity of regularly monitoring blood glucose with their doctor, states the American Diabetes Association. Patients who are likely to find monitoring their blood glucose helpful include pregnant patients, those with low blood glucose levels (especially if no warning signs appear), those with difficulty regulating their blood glucose levels, those taking insulin and those that form ketones due to high levels of blood glucose.
Plasma glucose levels between 70 and 130 milligrams per deciliter before a meal, under 180 milligrams within one or two hours after starting a meal, and 7 percent A1C are recommended for the majority of adults (barring pregnant females), according to the American Diabetes Association.
After checking their blood glucose levels, patients should compare their results across several days and see how diet and lifestyle factors influence levels, the American Diabetes Association states. Physical activity levels, eating patterns and the amount of stress may all contribute to higher or lower glucose levels. If any consistent patterns emerge, such as particularly high or low levels at a given time of day across several days, changing treatment may be necessary.