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Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18459
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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Do all people with diabetes in the world have the same blood

Customer Question

Do all people with diabetes in the world have the same blood sugar level ranges so low sugar levels would be 2mmols for everybody, 5mmols is medium, +10mmols is high. So is it an objective range, or is it subjective so one person's threshold for low sugar may be 3mmols and another's 4mmols to be deemed low, so is it subjective?
Following this answer, would it be possible to have a universally applicable parameter to determine whether any diabetes patient's sugar level is low, medium or high so for example low would be 0mmols-6mmols, 6mmols-11mmols is medium and 11mmols+ is high. A theoretical parameter of measurements that can be applied to diabetes patients worldwide.
Submitted: 10 months ago.
Category: Medical
Expert:  Dr. D. Love replied 10 months ago.

Hello from JustAnswer.

The level of low blood of blood sugar at which symptoms occur will vary from one diabetic to another, so would be subjective. It is primarily affected by the general level of blood sugar control on a day-to-day basis, so may also change for the same patient over time. In someone whose usual daily blood sugar tends to be poorly controlled and is regularly running high, a sudden decrease of blood sugar into a range that would typically be considered normal may precipitate hypoglycemia symptoms. If the daily medicines of that patient is changed so that there is better daily control of the blood sugar and the body gets accustomed to that new level, then it will typically require a lower level of blood sugar to precipitate hypoglycemia symptoms.

For any given patient, we would prefer to stabilize the blood sugar control sot hat there are no symptomatic episodes of hypoglycemia, and the threshold needs to be adjusted to the level at which symptoms occur for that individual.

Regardless of the threshold at which symptoms occur, there is a concern with significant hypoglycemia. In this context, the threshold applies to all diabetics. Hypoglycemia is considered a blood sugar below 3.9 mmol/L and significant hypoglycemia would be considered a level below 2.8 mmol/L.

If I can provide any additional information, please let me know.

Expert:  Dr. D. Love replied 10 months ago.

Please let me know if I can provide any further assistance.

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