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I already know that the guidelines say anything below 70 is low. I have extreme hypos at anything below 90.

August 24
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A DiabetesTeam Member

I think it’s about resistance. Your sugar can be high and still not getting enough into the muscles to have them work at an optimal level.

August 24
DiabetesTeam

The American Diabetes Association (ADA) is the primary institution behind the standard blood sugar guidelines. They define the general target fasting range for people with diabetes as 80–130 mg/dL, with below 70 mg/dL considered hypoglycemia. That said, what's really important here is that these are general guidelines — not Show Full Answer

The American Diabetes Association (ADA) is the primary institution behind the standard blood sugar guidelines. They define the general target fasting range for people with diabetes as 80–130 mg/dL, with below 70 mg/dL considered hypoglycemia. That said, what's really important here is that these are general guidelines — not one-size-fits-all rules. Experiencing extreme hypos at below 90 mg/dL is something that absolutely needs to be on your doctor's radar if it isn't already.

There are several reasons why individual thresholds can differ:

- Age can affect how the body responds to blood sugar changes
- Duration of diabetes plays a role in how sensitive the body is to drops
- Medications like insulin or sulfonylureas can shift the point at which symptoms kick in
- Hypoglycemia unawareness or heightened sensitivity can mean symptoms hit earlier than the standard threshold

Your doctor can work with you to set a personalized target range that reflects *your* body's responses, not just the general population average. It's completely valid — and important — to have a higher personal low threshold if that's what your body is telling you.

August 24

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