Diabetes

Great blood sugar management is one way to take care of your health!

Our program allows us to support you in maintaining and improving your blood sugar levels. The information below outlines the steps we will take to help guide you towards a healthier life.

First, we’ll go over why joining this diabetes program can make a real difference, highlighting some of the serious complications that can result from uncontrolled blood sugar.

Second, we’ll introduce the importance of monitoring your blood sugar, including a specific test that tracks your average levels over time. We’ll also touch on how your results may vary and what that means for you. You’ll find resources for further learning if you're interested.

Third, we’ll walk you through what to expect during your appointment based on the information you provide and recent test results. You’ll also receive a suggested follow-up schedule and a general overview of what your lab results mean.

Finally, you’ll be able to book an appointment that helps put you on the path to optimal blood sugar control!

Importance

Monitoring Your Blood Sugar

Lab Tests

Targets

Why This Diabetes Program Matters

#1 cause of kidney failure in Canada
Leading cause of vision loss in working-age adults
Increases your risk of heart disease and stroke
Can lead to nerve damage, especially in the feet and hands
Raises the risk of serious infections and slow wound healing
For men, increases the likelihood of erectile dysfunction
Doubles the risk of developing depression
If unmanaged during pregnancy, can harm both mother and baby

Understanding Your HbA1c

The Hemoglobin A1C (HbA1c) test measures your average blood sugar levels over the past 2 to 3 months. It’s different from daily finger-prick tests, which show only a snapshot at a specific time.

For most people with diabetes, the target HbA1c is usually 7.0% or lower, but this may vary depending on age, medical history, and other individual factors. More information about this can be found under "Targets".

A higher HbA1c means your blood sugar has been running too high over time, which increases the risk of complications like heart disease, nerve damage, and kidney problems. Factors such as poor diet, missed medications, illness, stress, or inactivity can all contribute to rising levels.

Understanding and tracking your HbA1c helps us tailor your care and make meaningful improvements to your long-term health.

Self-monitoring blood glucose (SMBG)

A1C Test

The A1C test shows your average blood sugar levels over the past two to three months. One benefit of this test is that it doesn't require fasting or drinking anything beforehand. Diabetes is diagnosed at an A1C of greater than or equal to 6.5%.

Fasting Plasma Glucose (FPG)

This test measures your blood sugar after you haven’t eaten or had anything to drink (other than water) for at least eight hours. It’s typically done in the morning before you eat breakfast. Diabetes is diagnosed at fasting blood glucose of greater than or equal to 7.0 mmol/L.

Oral Glucose Tolerance Test (OGTT)

The OGTT is a two-hour test that measures your blood sugar before and two hours after drinking a sugary beverage. It helps doctors see how well your body handles sugar. Diabetes is diagnosed at two-hour blood glucose of greater than or equal to 11.1 mmol/L.

Maintaining your blood sugar within recommended ranges is essential for managing diabetes and reducing the risk of complications.

What You Should Know

Targets should be tailored to your individual health status, age, duration of diabetes, and risk of hypoglycemia.
Keeping track of your blood sugar levels helps you and your healthcare team make informed decisions about your diabetes management.
Occasional readings outside the target range are common. It's more important to observe overall patterns and trends over time.
If you're consistently above or below your targets, consult your healthcare provider to adjust your management plan accordingly.

Why Targets Matter

Staying within your blood sugar targets can:

Reduce the risk of diabetes-related complications such as heart disease, kidney disease, nerve damage, and vision problems.
Improve your energy levels and overall well-being.
Enhance your quality of life by helping you feel your best each day.

For More Information on Diabetes