A blood sugar test is a procedure that measures the amount of sugar, or glucose, in your blood. Your doctor may order this test to help diagnose diabetes. And people with diabetes can use this test to manage their condition.
Blood sugar tests provide instant results and let you know the following:
- your diet or exercise routine needs to change
- your diabetes medications or treatment is working
- your blood sugar levels are high or low
- your overall treatment goals for diabetes are manageable
Your doctor may also order a blood sugar test as part of a routine checkup. Or to see if you have diabetes or prediabetes, a condition where your blood sugar levels are higher than normal.
Your risk for diabetes increases if any of the following factors are true:
- you are 45 years old or older
- you are overweight
- you don’t exercise much
- you have high blood pressure, high triglycerides, or low good cholesterol levels (HDL)
- you have a history of gestational diabetes or giving birth to a baby who weighed over 9 pounds
- you have a history if insulin resistance
- you are Asian, African, Hispanic, Pacific Islander, or Native American
- you have a family history of diabetes
Checking your blood sugar levels can be done at home or at a doctor’s office. Read on to learn more about blood sugar tests, who they are for, and what the results mean.
Your doctor may order a blood sugar test to see if you have diabetes or prediabetes. The test will measure the amount of glucose in your blood.
Your body takes carbohydrates found in foods like grains and fruits and converts them into glucose. Glucose, a sugar, is one of the body’s main sources of energy.
For people with diabetes, a home test helps monitor blood sugar levels. Taking a blood sugar test can help determine your blood sugar level to see if you need to adjust your diet, exercise, or diabetes medications.
Low blood sugar (hypoglycemia) can lead to seizures or a coma if left untreated. High blood sugar (hyperglycemia) can lead to ketoacidosis, a life-threatening condition that’s often a concern for those with type 1 diabetes. Ketoacidosis occurs when your body starts using only fat for fuel.
A blood sugar test has low to no risks or side effects.
You may feel soreness, swelling, and bruising at the puncture site, especially if you’re drawing blood from a vein. This should go away within a day.
Types of tests
You can take a blood sugar test two ways. People who are monitoring or managing their diabetes use a glucometer, which pricks your finger, for daily testing. The other method is drawing blood.
Blood samples are generally used to screen for diabetes. Your doctor will order a fasting blood sugar (FBS) test, which measures your blood sugar levels, or a glycosylated hemoglobin. Or your doctor will order a hemoglobin A1C test, which reflects your blood sugar levels over the last 90 days. The results will show if you have prediabetes or diabetes.
When to test
When and how often you should test your blood sugar depends on the type of diabetes you have and your treatment.
For type 1 diabetes
According to the American Diabetes Association (ADA), if you’re managing type 1 diabetes with multiple dose insulin or an insulin pump, you’ll want to monitor your blood sugar before:
- eating a meal or snack
- critical tasks like driving or babysitting
High blood sugar
You’ll want to check your blood sugar levels if you have diabetes and feel increasing thirst and the urge to urinate. These could be symptoms of high blood sugar and you may need to modify your treatment plan.
If your diabetes is well-controlled but you still have these symptoms, it may mean you’re getting sick or that you’re under stress.
Exercising and managing your carbohydrate intake may help with lowering your blood sugar levels. If these changes don’t work, you may need to meet with your doctor to decide how get your blood sugar levels back into target range.
Low blood sugar
Check your blood sugar levels if you feel any of the following symptoms:
- sweaty or chilly
- irritated or impatient
- lightheaded or dizzy
- hungry and nauseous
- tingly or numb in the lips or tongue
- angry, stubborn, or sad
Some symptoms like delirium, seizures, or unconsciousness can be symptoms of low blood sugar or insulin shock. Those on daily insulin injections should ask their doctor about glucagon, a prescription medicine that can help if you’re having a severe low blood sugar reaction.
You can also have low blood sugar and show no symptoms. This is called hypoglycemia unawareness. If you have a history of hypoglycemia unawareness, you may need to test your blood sugar more often.
Some women develop gestational diabetes during pregnancy. This is when hormones interfere with the way your body uses insulin. It causes sugar to accumulate in the blood.
Your doctor will recommend testing your blood sugar regularly if you have gestational diabetes. This is to make sure that your blood glucose level is within a healthy range. Gestational diabetes usually goes away after childbirth.
No scheduled testing
Home testing may be unnecessary if you have type 2 diabetes and have a diet- and exercise-based treatment plan. Or if you are taking medications that aren’t associated with low blood sugar.
To get a sample, your doctor will insert a needle into your vein and draw blood. Your doctor will ask you to fast for 12 hours before the FBS test. You don’t need to fast before the A1C test.
You can take blood sugar tests at home with a glucometer. The exact steps of finger stick glucose meter tests vary depending on the type of glucose meter. Your home kit will have instructions.
The procedure involves pricking your finger and putting the blood on a glucose meter strip. The strip is usually already inserted into the machine. Your results will show on the screen in 10 to 20 seconds.
Continuous glucose monitoring (CGM)
You can also wear a device for continuous glucose monitoring (CGM). The glucose sensor is inserted under the skin and reads the sugar in your body tissue continuously. It alerts you whenever your blood sugar is too low or too high.
The sensor can last several days to a week before it needs to be replaced. You’ll still have to check your blood sugar with a meter twice a day to calibrate your CGM.
CGM devices aren’t as reliable for acute problems like identifying low blood sugar levels. For the most accurate results you should use your glucometer.
Depending on your condition and the timing of your test, your blood sugar levels should be in the target ranges listed below.
|Time||People without diabetes||People with diabetes|
|Before breakfast||under 70-99 mg/dL||80-130 mg/dL|
|Before lunch, dinner, and snacks||under 70-99 mg/dL||80-130 mg/dL|
|Two hours after eating||under 140 mg/dL||under 180 mg/dL|
|Before sleeping||under 120 mg/dL||90-150 mg/dL|
Your doctor will provide a more specific target range for your blood sugar levels, depending on the following factors:
- personal history
- how long you’ve had diabetes
- presence of diabetes complications
- overall health
Tracking your blood sugar levels is one way to take control of your diabetes. You may find it helpful to log your results in a journal or app. Trends like continuously having levels that are too high or too low may mean adjusting your treatment for better results.
The table below shows what your blood sugar test results mean:
|FBS test||under 100 mg/dL||between 110–125 mg/dL||greater than or equal to 126 mg/dL|
|A1C test||under 5.7 percent||5.7-6.4 percent||greater than or equal to 6.5 percent|
Your doctor will be able to help create a treatment plan if your results suggest prediabetes or diabetes.