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The good news is there are ways to protect against and even reverse insulin resistance. That’s important because cells rely on insulin all day, every day, to effectively use glucose for fuel.
Although oral glucose gel is often recommended to diabetics, including by medical providers and organisations such as Diabetes UK, [3] its efficacy in treating hypoglycaemia has been questioned. A 1978 study demonstrated poor absorption through the oral mucosa, and concluded that such gels have therapeutic value only when swallowed by the patient.
The main goal of diabetes management is to keep blood glucose (BG) levels as normal as possible. [1] If diabetes is not well controlled, further challenges to health may occur. [1] People with diabetes can measure blood sugar by various methods, such as with a BG meter or a continuous glucose monitor, which monitors over several days. [2]
[1] [16] They may be used as monotherapy in conjunction with an appropriate diabetic diet and exercise, or they may be used in conjunction with other anti-diabetic drugs. A Cochrane systematic review assessed the effect of AGIs in people with impaired glucose tolerance, impaired fasting blood glucose, elevated glycated hemoglobin A1c (HbA1c). [17]
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According to the American Diabetes Association, the fasting blood glucose target range for diabetics, should be 3.9 - 7.2 mmol/L (70 - 130 mg/dL) and less than 10 mmol/L (180 mg/dL) two hours after meals (as measured by a blood glucose monitor).
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Results are in μg/mL. Lower values indicate worsening glucose control, with more frequent and prolonged glucose values over 180 mg/dL. 10 μg/mL of 1,5-AG correlates to an average post meal glucose of 185 mg/dL, and is the target value in people with diabetes. Values over 10 μg/mL indicate glucose on average is below 180 mg/dL.
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