Keeping your blood sugars well-controlled (if you have diabetes)

If you have diabetes, your blood sugar levels will be affected.

If you have diabetes, your blood sugar levels will be affected. High blood sugar levels can damage your blood vessels and increase your chance of a heart attack or stroke. When diabetes is treated and well-managed, those risks decrease.

The table below describes the different types of diabetes.

Types of DiabetesDescription
Type 110% of people with diabetes. The pancreas does not make insulin. Insulin injections are required.
Type 290% of people with diabetes. The pancreas cannot make enough insulin or the body does not properly use the insulin it makes, or both. Managed with diet alone or diabetes medications (pills, insulin or both).
GestationalCan occur during pregnancy. Can increase risk of developing Type 2 diabetes.

What are healthy blood sugar ranges for most people with diabetes?

  • People with diabetes may have blood sugars that go too low or too high. This can cause serious health problems. Checking your blood sugar levels regularly can help.
  • A member of your diabetes team will help you learn the best times to test your levels. Some people need to check often and others less often or not at all.
  • Keeping track of your blood sugar levels, on your glucose meter (glucometer) or recording them in a log book, can help you and your health care team manage your blood sugars.

Here are general blood sugar targets:

In the morning before you eat or drink (also called fasting blood sugar): 4 to 7 mmol/L 

After eating (2 hours): 5 to 10 mmol/L

Most people should aim for Hemoglobin A1C of 7% or lower.  This is a blood test that shows how your blood sugars have been over the past 3 months.

How can you keep healthy blood sugar levels?

Taking part in physical activityStay active with regular exercise    
Eating healthyEat 3 balanced meals per day. Eat snacks as needed. Space meals no more than 4 to 6 hours apart. Eat more high fibre foods. Choose foods lower in salt, sugar and fat more often. If you are thirsty, drink water. Talk to a Registered Dietitian.  
Monitoring blood sugarsMonitor as discussed with your health care team
Knowing the signs of low blood sugarsSigns of low blood sugar may include: rapid heart rate, sweating, shaking, hunger and headache. Know how to treat low blood sugar. Speak with your health care team to find out what works best for you.
Knowing the signs of high blood sugarsSigns of high blood sugar may include: increased thirst, passing more urine, weight loss, fatigue, increased appetite, blurred vision, feeling light- headed, feeling sick (nausea) or vomiting. Know how to treat high blood sugar. Speak with your health care team to find out what works best for you.

Having read the information in this section, consider the following questions

  • Do I know what my blood sugar targets should be?
  • Do I know how to check my blood sugars and how often I should be checking them? (for example: use glucometer kit)
  • Do I know what medications I should be taking to control my blood sugars and when to take them?
  • Do I know how to control my blood sugar levels?
  • Do I know what to do if my blood sugar level gets too low or too high?
  • Do I know what can cause high or low blood sugars?
  • Am I cooking and eating the right foods to manage my blood sugars?
  • Do I know who to speak with about my blood sugar levels?