It’s not diabetes if it’s normal.

Is diabetes a metabolic disease characterized by chronic high blood sugar, caused mainly by insulin insufficiency or inaccessibility? Empty blood sugar is an important indicator of diabetes diagnosis, but it is not the only indicator. Even if an empty blood sugar is normal, the possibility of diabetes cannot be completely ruled out. The following is a detailed explanation of this view:Definition of empty blood sugarEmpty abdominal sugar is the blood sugar level after at least eight hours of fasting. In general, normal levels of haemoglobin sugar should be below 6.1 mmol/L. If an empty abdominal sugar level is between 6.1 mmol/L and 6.9 mmol/L, it is considered to be damaged by an empty abdominal blood sugar (IFG) and can be diagnosed with diabetes if an empty abdominal sugar level equals or exceeds 7.0 mmol/L.Diagnosis criteria for diabetesDiagnosis of diabetes is usually based on the following indicators:Breath sugar: As mentioned earlier, Breath sugar 7.0 mmol/L can be diagnosed as diabetes.Oral glucose tolerance test (OGTT): 2 hours after taking a certain amount of glucose, blood sugar level 11.1 mmol/L can be diagnosed as diabetes.Random blood sugar: Diabetes can also be diagnosed at any point in time at a blood sugar level of 11.1 mmol/L, with typical diabetes symptoms such as urine, drinking, weight loss, etc.Sugar Hemoglobin (HbA1c): HbA1c.5% can also be used to diagnose diabetes.An empty blood sugar doesn’t mean no diabetes.Even if the abdominal sugar is normal, the possibility of diabetes cannot be completely ruled out for the following reasons:Post-eating sugar abnormality: Some people have normal levels of blood sugar when they are empty, but these levels increase significantly after eating, a situation called post-eating diabetes. If only empty blood sugar is tested, this part of the patient may be missed.Sugar tolerance is abnormal: some may be normal with empty abdominal blood sugar, but the oral glucose tolerance test shows that sugar tolerance is impaired, which is also the pre-diabetes condition.Analytic erythroglobins: The mean blood sugar levels of the last two to three months are reflected in erythroglobins. Even empty blood sugar can indicate diabetes if Hba1c levels rise.Insulin distribution or effects: Diabetes is not only a problem of blood sugar levels, but also of insulin. Some people may have normal insulin in an empty abdominal state, but there is insufficient insulin incubation or impairment.Other influencing factors: stressors, drugs, infections, etc., may temporarily affect blood sugar levels, leading to normal levels of empty abdominal sugar, but these factors do not sustain blood sugar stability in the long term.How to fully assess the risk of diabetesTo more accurately assess the risk of diabetes, the following are recommended steps:Periodic testing: In addition to empty abdominal blood sugar, regular post-eating blood sugar, HbA1c and OGT.Lifestyle assessment: assessment of lifestyle factors such as diet, exercise and weight, which are important factors influencing blood sugar levels.Family history and genetic factors: People with diabetes family history are at higher risk of disease and should pay more attention to changes in blood sugar levels.Other diseases and drugs: Certain diseases and drugs may affect blood sugar levels and need to be considered in the assessment.ConclusionsAn empty blood sugar does not mean that there is no diabetes. Diagnosis of diabetes requires a combination of indicators and factors. If there are risk factors for diabetes, such as family history, obesity, inactivity, etc., even if an empty abdominal sugar is normal, there should be regular and comprehensive blood sugar tests to detect and treat possible blood sugar abnormalities in a timely manner. In addition, maintaining healthy lifestyles is essential to prevent diabetes. The risk of diabetes can be effectively reduced by balancing diets, appropriate exercise, maintaining healthy weight and avoiding smoking.