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Real members of DiabetesTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
July 25, 2025
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Answer Summary

Members shared frustration about hospital blood sugar testing practices, particularly around non-fasted testing and inconsistent timing, with... Read more

Members shared frustration about hospital blood sugar testing practices, particularly around non-fasted testing and inconsistent timing, with many expressing concern that hospital staff don't always understand diabetes care as well as they should. Several members explained that random blood sugar tests do have clinical value for assessing metabolism at different times throughout the day, with normal random readings typically below 200 mg/dL, though some remained skeptical about whether convenience rather than medical necessity drives hospital testing protocols. A recurring theme was disappointment with the medical system, including stories of medication errors, carb-heavy hospital diabetic menus, and the feeling that patients must advocate fiercely for proper care or even threaten to report staff before protocols are followed correctly.

DiabetesTeam

When you're in the hospital, blood sugar testing is done differently than routine diabetes management at home. During hospital stays, medical staff need to monitor your blood sugar levels frequently to:

- Ensure your safety during treatment
- Monitor how your body responds to medications
- Make quick adjustments to your Show Full Answer

When you're in the hospital, blood sugar testing is done differently than routine diabetes management at home. During hospital stays, medical staff need to monitor your blood sugar levels frequently to:

- Ensure your safety during treatment
- Monitor how your body responds to medications
- Make quick adjustments to your care if needed
- Prevent complications

Random glucose tests (tests done without fasting) can be performed at any time and still provide valuable information about your current blood sugar status. In emergency or hospital settings, the priority is continuous monitoring of your condition rather than getting perfectly controlled test conditions. This helps the medical team make immediate decisions about your care, which is different from the scheduled fasting tests you might get during regular check-ups with your doctor.

July 25, 2025
A DiabetesTeam Member

They may be trying to get a general read. It's fine if you end up being sent home. But if admitted, this could be an issue because accurate reading of A1c requires fasting, or at least two hours after a meal. Otherwise, the numbers aren't true and one could end up getting a wrong dose of medication. Hospital personnel aren't very knowledgeable as they should be about diabetes; often giving diabetic patients insulin no matter the number. That could potentially be dangerous.

July 25, 2025
A DiabetesTeam Member

I think only a few doctors actually care about their patients. I don't think if my doctor didn't have his computer with him he'd even remember my issues... Sad state of the medical system and the world ๐Ÿ˜

July 25, 2025
A DiabetesTeam Member

I don't have to fast before having my A1C checked at my doctor's office. Here where I live. If I have to go to the hospital they check my blood sugar first thing. And they always check it before releasing me

July 25, 2025
A DiabetesTeam Member

When I had my annual blood test done back in March they did my A1C, glucose ect. and I didn't have to fast. They told me there was a new test procedure that didn't require fasting.

July 25, 2025 (edited)

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