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3. Diabetes and Your Body35

ple, if your blood glucose level after lunch is >180 mg/dL (10 mmol/L), you may need to reduce your carbohydrate portion, adjust your medica-tion, or increase your physical activity level.

Blood glucose swings can leave you with little energy. When your glu-cose level is in a healthy range, you are more likely to feel better and be more prepared for romance. The following goals are appropriate for most people with diabetes. Your needs may differ. Check your blood glucose level before sex and eat a snack if your level is too low. Engaging with a partner while your glucose level is low can make it harder to concentrate and enjoy intimacy. Review your personal goals with your health care providers.

Before meals:

Between 80 and 130 mg/dL (4.4 and 7.2 mmol/L)

1–2 hours after the first bite of a meal:

<180 mg/dL (<10 mmol/L)

Source: American Diabetes Association. Standards of Medical Care in Diabetes—2019. Diabetes Care 2019;42 (Suppl. 1):S1–S193.

Blood Glucose Goals

Treat blood glucose lows wisely

Blood glucose lows feel awful. Symptoms may include the following:

Headache

Shakiness

Sweating

Fatigue

Irritability

If your blood glucose level drops below your target range, don’t guzzle down an entire container of orange juice or eat fistfuls of candy until you feel better. Your level will normalize before your symptoms go away.