U-M Type 1 Diabetes 101 | Module 2 | Target Blood Glucose

In this video, you'll learn about the target blood glucose range, what happens when blood glucose falls outside this range, and why staying in range is important to type 1 diabetes health.

The advice in this video is not intended to replace the instructions from your diabetes team. Please talk to your team about how to tailor this information to meet your needs.

[weinerdad]

High glucose does NOT cause ketones and ketoacidosis. Inability to access adequate glucose for energy results in the body switching from relying on glucose to the back up mode of burning fat for energy, which is what produces ketones. Ketones are perfectly natural and necessary elements of metabolism. But in a Type 1 diabetes patient, high glucose and high levels of ketones can both cause dehydration of cells for different reasons. This results in an inability of electrolytes to pass through the cell wall properly, and the electrolytes get flushed out by the body's mechanisms that flush excess glucose and rid itself of the ketones (urination, vomiting, rapid breathing). This is the state of diabetic ketoacidosis, which can occur at perfectly normal glucose levels. But given certain conditions (eating disorders, illness with inability to eat and not taking insulin due to fear of lows, or taking an SGLT-2 inhibitor), the body will suffer from a major inability to access the glucose needed. So, this video saying high glucose can lead to ketones is basically nonsense, and may lead to confusion and harm. Take your basal insulin doses at least, and the patient won't get DKA, and ketone levels can be kept low and normal and healthy.

[shreyarastogi]

Nice video, I use Libre and Blucon and love them to control my blood glucose values. The alarms are nice and are loud enough to wake me up. You can adjust your BG ranges to whatever you want. The best part of blucon is I can calibrate it for higher accuracy!

[barnabasmuplang-nkfp]

Thank you Dr Igudia for being the most trusted doctor among all, your professionalism was on a high standard, thank you for coming to help me out with my Type 2 diabetes

[weinerdad]

An ideal glucose 2 hours after eating would be below 125. Glucose sustained at 180 is very damaging. Nondiabetic people do not have glucose at 180 mg/dL, why say that T1D should aim for up to 180?

[saxgirlhornboy]

How can high blood glucose of 180 (double the non-diabetic normal level) be considered "within the target range" for all, most, or some of us?
This creates a false sense of safety and encourages a lax approach to glucose control.

[mr.k]

This video is useless for millions of diabetics. Please use mml as well, it should be easy for you. Thanks.