LongTerm Blood Sugar Management For people with diabetes, the ADA recommends less than 180 mg/dL (10.0 mmol/L). A normal fasting blood sugar for someone without diabetes is 70–99 mg/dL (3.9–5.5 mmol/L). If you have not been diagnosed but your results are above normal, your doctor may recommend additional tests and lifestyle changes, including weight management, a healthy eating plan, and regular physical activity. Hot weather and dehydration can concentrate glucose in the blood, raising readings. Always discuss symptoms of poor glucose metabolism with your healthcare provider. By showing the direction and speed of glucose changes, CGM sensors help identify how your body responds to your diet, exercise, stress and sleep. Your blood glucose levels play a critical role in the overall maintenance of your metabolic functions. The postprandial period is the time up to four hours after eating or beverage. Lower Blood Sugar Guide includes This information can help a doctor develop the right type of care plan for you. It’s also a good idea to make a note of the symptoms you experience during a low blood sugar episode and how long it takes for your blood sugar to recover. Talk with a healthcare professional if you’ve been having frequent spikes in your blood sugar levels. You may start seeing small improvements within a few weeks, but meaningful changes usually take 8–12 weeks. High-fiber foods, leafy greens, whole grains, and healthy fats can help stabilize blood sugar. Supplements should complement, not replace, prescribed medications and lifestyle modifications. By the time he added supplements, his foundation was solid. Natural Sugars in BananasTreating a Blood Sugar SpikeHow Kidneys Affect Insulin and Blood Sugar LevelsCan Honey Trigger Blood Sugar Spikes in Diabetics Whats the Prediabetes Blood Sugar RangeHow much added sugar is okaySugary sodas and diabetesBenefits of Using a Blood Sugar Monitor at Home Blood sugar monitoring accuracyImmediate Action Coping Strategies for Low Blood Sugar PanicTesting Your Blood Sugar Levels at HomeCan a blood sugar level of be normal after eating What is the treatment for someone with extremely high blood sugarSimple Home Workouts for Better Blood Sugar ControlWhat is an average blood sugar levelFasting Blood Sugar Range The team at Eureka Health explains that "pre-meal and 2-hour post-meal testing together captures 90 % of meaningful swings we see in clinic." The device should be user-friendly, especially if you plan to test frequently. Blood testing more often when ill is also recommended as illness can often cause blood glucose levels to fluctuate. Future Apple Watch Will Be Able To Monitor Blood Sugar Levels Nocturnal Hypoglycemia Can Low Blood Sugar Be Fatal During Sleep Potatoes, especially when mashed or fried, can significantly increase blood sugar levels. Large portions, especially without protein or fiber, can lead to sharp spikes. Oat Milk Is It Safe For Your Blood Sugar Before the day of diagnosis, he had visited a walk-in clinic where he received a laboratory requisition form to measure serum blood glucose levels. W.W. Hay is a consultant for Astarte Medical, Inc., which has no commercial interests in neonatal hypoglycemia. Neonatal hypoglycemia is a common metabolic condition that continues to plague clinicians because there is no clear relationship between low glucose concentrations or their duration that determines adverse neurologic outcomes. For non-diabetics, blood glucose levels typically peak within 1-2 hours of eating and return to below 140 mg/dL (7.8 mmol/L). Postprandial (after-meal) blood glucose levels provide insight into how well the body processes food. Fasting blood glucose levels are measured after an overnight fast and are a key indicator of overall glucose regulation. Can drinking lots of water bring down your blood sugar PostMeal Blood Sugar TargetsKey Features of the Best Blood Sugar MonitorThe TwoPhase Impact of Pizza on Blood Sugar levelsIncrease Blood Sugar Testing Frequency When Needed What Happens To Blood Sugar After Eating Boiled PotatoesWhat changes is the government making to the Soft Drinks Industry Levy sugar taxWhat Happens When Blood Sugar Levels Go Too HighWhat are the fastest ways to lower blood sugar levels High blood sugar complicationsQ What is a normal blood sugar levelBlood Sugar After Eating In Daily ContextSugar Raises the Risk of Type Diabetes Monitoring your blood glucose levels is an important part of managing your diabetes. Managing blood glucose levels requires a great deal of attention and may feel stressful. Doctors recommend checking your blood sugar level immediately after exercise and then every 2–4 hours until you go to sleep. Your blood sugar may drop for up to 24 hours after moderate to intense exercise. However, severely low blood sugar levels can be life threatening. If you are at risk for low blood sugar, a doctor may recommend a glucagon kit. But if you notice that they always affect you in a very specific way that you find troubling, like always making you incredibly sleepy, it’s a sign you may want to talk to a medical professional. So it’s extremely important to get screened if you have risk factors, like having a family history, being overweight, or being over age 45, the NIDDK says. While type 1 diabetes symptoms can come on suddenly and severely, it’s important to note that type 2 diabetes symptoms can creep up gradually and be so mild that they’re not noticeable, the NIDDK explains. You may be thinking that hyperglycemia can happen just from eating a super-sugary food, but it’s not really as simple as that. How Does Oatmeal Help with Blood Sugars Exploring the Effects and Benefits Here’s what their blood sugar levels should look like at different points of the day. Overly low blood sugar is called hypoglycemia, while having high blood sugar levels is called hyperglycemia. Magnesium also plays a role in insulin secretion and sensitivity, facilitating the uptake of glucose by cells. Magnesium plays a crucial role in various metabolic processes, including glucose metabolism and insulin action. iHealth Gluco Plus Blood Sugar Monitor Kit Smart Bluetooth Glucose Meter Glucometer Whichever reading is the highest is the one that you should pay attention to, because blood sugar levels may peak at different times. A normal fasting blood sugar level in someone who does not have diabetes is generally between 70 and 100 mg/dL (3.9 to 5.6 mmol/L).3 Ideas about “normal” blood sugar levels are based on individuals eating a standard American diet. The Not So Sweet Truth About Sugar Free Coffee Creamers Prymal Coffee Creamer These can include excessive thirst (polydipsia), frequent urination (polyuria), unexplained weight loss, blurred vision, fatigue, slow-healing sores, and increased susceptibility to infections. Consistent high blood sugar readings over a prolonged period can lead to serious long-term health complications such as kidney damage, nerve damage (neuropathy), and eye damage (retinopathy). Simple Ways to Balance Your Blood Sugar Fast Continuous glucose monitors (CGMs) have revolutionized the way individuals manage their blood sugar levels, particularly those with type 2 diabetes. We've got tips and instructions on how to cancel subscriptions you don't need. How to bring a dogs blood sugar down quickly An elderly blood sugar levels chart provides helpful guidelines since aging affects how your body regulates glucose. For people with diabetes, their bodies don’t produce or use insulin properly in order to naturally regulate their blood sugar levels. A peanut-enriched diet for weight loss can help reduce high blood pressure, reducing the risk of heart disease. People with diabetes are at greater risk of developing high blood pressure as diabetes causes damage to the arteries. Peanuts do not cause blood sugar spikes because they have a low glycemic index. What Is The Price Of Fasting Blood Sugar Test In Malda On the ketogenic diet, nutritive sweeteners like regular sugar, honey, maple syrup, agave nectar are all out of the question. If you’re feeling disillusioned about Splenda, there’s good news. This may pose some risk to consumers as the effects of heat on Splenda under different conditions are not fully understood. If the test shows abnormal blood sugar levels, consult a doctor about the same. Leafy vegetables and fruits should be included in the diet to manage blood sugar levels. For adults aged 50 years or more, normal blood sugar levels should be between 90 and 130 mg/dL. If you or any family members are suffering from diabetes, you must constantly check your normal blood sugar levels to ensure that you can maintain the same levels. The fiber in chickpeas is mostly soluble, meaning that it blends with water to form a gel-like substance in your digestive tract. Chickpeas have a low GI and are a great source of fiber and protein — all properties that support healthy blood sugar management. When I worked there, it was such a hopeless and depressing feeling to know it would just happen again. Teaching people with diabetes to balance insulin use and carbohydrate intake and exercise are necessary, but these strategies are not always sufficient for prevention. So giving emergency glucagon is the only way to prevent blood glucose levels from dropping even lower. What is an average blood sugar level This updated meta-analysis of a series of participants was designed to systematically assess the effects of cinnamon on glucose and lipid levels in patients with T2DM. An umbrella review of known research on the safety of cinnamon concluded that cinnamon did not generate clear increased harmful effects when used on a large scale (Gu et al., 2021). At that time, based on the results of the Phase I evaluation, patients may be deemed good or poor surgical candidates. People with diabetes who smoke have higher blood glucose levels and less control over their diabetes than non-smokers with diabetes (4). B95% confidence interval around the effect estimate includes both appreciable benefit and appreciable harm. In this study, we found higher total and higher LDL cholesterol levels in participants with suicidal behaviour, which is in line with the results of Silic et al. , who also reported an association between low platelet serotonin, and high interleukin IL-6, and glucose. People may also wish to ask a doctor whether blood pressure medication may be beneficial for them. Other hypertension-caused organ damage include chronic kidney disease and thickening of the heart muscle. Does peanut butter lower your blood sugar Capillary blood glucose tests show the results within seconds via the glucose meter. In most cases, you should have your venous blood glucose test results within one or two days. How to Lower Your Blood Sugar Without Medication Another limitation is that it does not tell you how your blood sugar level fluctuates throughout the day, week, or month. The spot where the blood was drawn may become tender or bruised, but this typically clears up quickly. Some health conditions and other factors can cause your A1c test results to be lower than they actually are. There are other factors as well that can make your A1c results appear lower or higher than they actually are. The Link Between Sugar and Blood Pressure BDNF (brain-derived neurotrophic factor) is a protein that helps keep your brain cells healthy and supports learning, memory, and overall brain function. Notably, the most artery-clogging particles decreased and remained lower even one month after fasting. A study involving 12 healthy volunteers who undertook a 7-day water-only fast observed significant changes in approximately 3,000 proteins in their blood, impacting every major organ in the body. Knowing your blood sugar readings is key to checking your metabolic health. Regular physical activity, such as aiming for at least 150 minutes of moderate-intensity exercise per week, can improve glucose utilization. Adequate sleep is linked to blood sugar regulation, with poor sleep potentially contributing to insulin resistance. Understanding these fluctuations helps individuals interpret their readings more effectively. If you’re ever unsure, compare symptoms with your elderly blood sugar levels chart and test immediately. These artificial fats have a bad effect on your heart health, blood sugar, and weight. However, findings of our study are not in agreement with an experimental trial study of Amin et al., which showed that administration of cinnamon can modulate the oxidative stress, decreasing levels of MDA in rats . Red Hot Chili Peppers Blood Sugar Sex Magik G Vinyl Lp While the amount can go up and down over the day, there is a blood test (called an HbA1c test) that can measure your average blood sugar levels over about 3 months. Your blood sugar levels, also known as blood glucose levels, are the amount of glucose in your blood. Your doctor will work closely with you to develop a treatment plan to help you manage your blood sugar levels. If you have either type 1 or type 2 diabetes, you’ll need to carefully track your diet to prevent your blood sugar levels from getting too high. The Importance Of Balanced Blood Sugar Research Connecting Blood Sugar Level With Organ Damage Studies show Greek yogurt can help control blood sugar and reduce your risk of heart disease. Studies show that the acetic acid in apple cider vinegar can lower blood sugar levels, improve insulin sensitivity, and reduce markers of oxidative stress. They contain cholesterol, so being mindful of how many eggs are consumed regularly is encouraged for a high cholesterol level or heart disease. What Other Lifestyle Changes Can Help Regulate Blood Sugar Levels Understanding The Sugar Content In Bananas Q：The Impact of Banana Consumption Timing on Blood Sugar LevelsA：CGM shows your day as minutes in the target range. A1C shows your average over about 3 months. Prevent, hamper, hinder, impede refer to different degrees of stoppage of action or progress. Avert avoid bar block counter forbid forestall halt hamper hinder impede inhibit limit preclude prohibit put an end to restrain restrict rule out stop thwart ward off They offer more colorful and figurative ways to express the idea of stopping something undesirable. Does Diet Soda Raise Blood Sugar Healthiest Options How To Control Sugar Levels Naturally PLUS, you'll get the latest news on medical advances and breakthroughs from Harvard Medical School experts, and special offers on content from Harvard Health Publishing. Have you ever received unusual test readings from expired test strips? To guarantee accuracy, it is best not to use expired test strips. Practically, if test strips have been stored properly and avoided damage, they could be used for a small period of time beyond their expiration date. In response to “My fasting blood sugar is 111 and my H1abc is 5.5. If you have repeated borderline results, symptoms, or several risk factors, ask for fuller testing instead of guessing from one number. Most of the time, a fasting blood sugar of 96 mg/dL is normal. Blood Sugar Monitor That Doesnt Use Needles PainFree Precision A normal blood sugar level is less than 100 mg/dL after not eating (fasting) for at least 8 hours. The heart pumps out the oxygenated blood to all the parts of the body via systemic arteries and collects all the deoxygenated blood from various part of the body via systemic veins and pass it to the lungs for reoxygenation. Certain medications, including corticosteroids and some antidepressants, can affect blood sugar levels. Stress on the body, whether physical or mental, affects blood sugar levels in people both with and without diabetes. In order to check your blood sugar levels and get an accurate reading, you’ll need to use a blood glucose meter. Everyone’s talking about blood glucose levels (or blood sugar levels), but do you know enough about what they are and why they’re important to pay attention to? How to Eat Fruit Without Spiking Your Blood Sugar Low Blood Sugar During Pregnancy It appears that infants may develop signs suggestive of hypoglycemia over a range of blood glucose levels that is substantially lower than normal adult levels. Newborn babies typically have lower blood glucose levels than older children or adults, and these levels can fluctuate significantly in the first hours and days after birth. For this reason, at least one laboratory glucose value should be obtained when point of care results might lead to interventions such as IV placement and/or separation from parents. Understanding Blood Sugar Testing For Diabetes Management Before you consider any of these gut-microbiome dietary solutions, talk to your healthcare provider. This led the American Diabetes Association to issue a statement saying that there is not enough evidence to show that magnesium supplements can improve blood sugar levels in people without an underlying magnesium deficiency38. How this plant reduces blood sugar levels isn’t clear—it may be preventing sugar absorption, increasing sugar removal from the blood, or some combination of the two. For the time being, however, it appears that fish oil supplements have little to no direct effect on blood sugar levels44,45,46,47. Home blood sugar test Every few minutes it sends a signal to your phone estimating your blood sugar levels. Glucerna is the #1 nutrition brand recommended by doctors for people with diabetes. At-home monitoring devices can help people with diabetes track their blood sugar levels. This includes avoiding or counting carbs and choosing whole foods over highly processed foods such as white bread and artificial sweeteners. Optimal Timing for Testing Your Cats Blood Sugar A Comprehensive Guide Some CGMs require a finger prick to calibrate the device. If your blood sugar level gets too high or low, the monitor or app alerts you. This is glucose present in interstitial fluid, which contains nutrients — including glucose — taken in from tiny blood vessels called capillaries. This article discusses alternative ways to check blood sugar level without needing to prick the finger. These unpleasant symptoms are your body’s way of warning you that your blood sugar (glucose) levels have fallen too low. Without further ado, below is a universal list of foods that don’t spike blood sugar. When you do this, glucose is released more slowly into the bloodstream. If you have diabetes and are shopping for sourdough bread, look for bread made with whole grain flour, if possible—and if you can’t find any, try your hand at making it yourself! Costa also suggests incorporating lots of plant-based foods and veggies, noting that foods like avocado, eggs, olive oil, and dark leafy greens make perfect accompaniments. Dr. Melamed says the ideal way to incorporate sourdough bread into a diabetic diet is to combine it with good-quality fat and a good amount of lean protein to offset the (minimal) blood sugar spike. Snack Ideas For Treating Low Blood Sugar Front-loading the day with protein and meals that nourish without spiking blood sugar will help to keep stress levels AND blood sugar levels more even. Prolonged exposure to stress hormones can cause blood sugar levels to remain elevated, increasing the risk of insulin resistance and type 2 diabetes. Other evidence for the important role for increased glucocorticoid action is provided by recent studies investigating associations between body composition and local and systemic corticosteroids. The Importance of Monitoring Blood Sugar Levels Before and After Drinking Alcohol Q：Does Vinegar Lower Blood Sugar LevelsA：Once diagnosed with prediabetes patients should be checked for progression to type 2 diabetes every one to two years. Adults with prediabetes often may show no signs or symptoms of diabetes but will have blood sugar levels higher than normal. The breakdown of glycogen, the stored form of energy found in muscle and liver tissue, into glucose, which the body can readily use… Use of the oral diabetes drug metformin (brand name Glucophage and others) also helped to delay the onset of diabetes in some study participants; however, it was not as effective as diet and exercise. Coding means that the user has to enter the code on the side of the test strip vial before testing their blood. In fact, one user with diabetes for over 30 years can attest that the Accu-Check Aviva Connect is one of the best she's ever used. One con to this meter is that the test strips are one of the highest priced strips on the market. The user can also view their trends via bar graphs and maps on the app. Whole Grains and Legumes for Blood Sugar Management Opt for varieties made through the traditional method of crushing, fermenting, and distilling apples, which preserve the “mother” — a colony of beneficial bacteria vital to the fermentation process. But recently, apple cider vinegar is also being touted as a home remedy for people living with diabetes, with claims suggesting that it can help manage blood sugars and lower A1c levels. One defining symptom of diabetes is hyperglycemia, resulting in elevated blood and tissue glucose concentrations. In our study, admission blood sugar level was higher in females and patients with diabetes mellitus. Ceylon Cinnamon Benefits for Diabetic Dogs Natural Blood Sugar Suppo Insulin Resistance And Morning Blood Sugar On the other hand, foods with a low GI, such as whole grains and non-starchy vegetables, are digested and absorbed more slowly, causing a more gradual increase in blood sugar levels. Foods with a high GI, such as white bread and sugary snacks, are digested and absorbed quickly, causing a rapid spike in blood sugar levels. The glycemic index (GI) is a measure of how quickly a particular carbohydrate can raise blood sugar levels. For example, whole, unprocessed carbohydrates such as whole grains, fruits, and vegetables are rich in fiber and are digested and absorbed more slowly than refined or processed carbohydrates. The research funded by NIDDK has improved quality of life for people with diabetes by finding better ways to diagnose and treat the disease. When you volunteer to take part in a clinical study, you help health care professionals and researchers learn more about diseases and improve health care for people in the future. Talk with your primary care professional about your goals and whether you need to make any changes to your diabetes care plan. However, some people with type 2 diabetes can develop ketoacidosis if they do not produce enough insulin. what should your fasting blood sugar be Insulin is a hormone that helps regulate blood sugar levels by allowing cells to take in glucose for energy. When your fasting blood sugar level readings are between 100 and 125 mg/dl, then most probably you may have pre-diabetes. Generally, for people managing diabetes, target blood sugar levels before meals are often recommended to be between 80 and 130 mg/dL and lower than 180 mg/dL two hours after starting a meal. After eating, blood sugar levels may temporarily rise but should generally return to normal within a few hours. Q. What is a normal blood sugar while fasting? Extremes are particularly true for people in the 50 plus to 60-year age bracket, where blood sugar control has been established over time as having certain inevitable age-related changes. Non-fasting or random blood sugar levels are the glucose levels obtained at any time, irrespective of when a person last ate. Optimal diabetes management is thus a delicate balance between treating hyperglycemia and avoiding the immediate risk of hypoglycemia (3). However, the use of certain antihyperglycemic medications, namely insulin and insulin secretagogues, to treat type 1 or type 2 diabetes can result in hypoglycemia, a clinical syndrome characterized by abnormally low blood glucose (1,2). Ultimately, health care providers can build patients’ hypoglycemia-related confidence by using a strengths-based approach. While your fasting glucose levels are often measured to check for prediabetes or diabetes, your glucose response after eating a meal — also known as your postprandial glucose levels — is an important indicator of your metabolic health. That’s why it’s recommended that you count your daily carbohydrate intake so you know what you’re consuming – don’t leave it to chance! Therefore, your blood sugar levels are unlikely to change. By being mindful of our diet, staying active, understanding insulin’s role, and vigilantly monitoring our levels, we can ward off the specter of blood sugar disorders and enjoy robust well-being. Natural Ways To Lower Blood Sugar Supplement Reviews So, what's the truth when it comes to vinegar and blood glucose levels? But while some researchers believe vinegar can improve glucose levels, others think the effect is minimal at best. And, yes, there’s some buzz around it having a positive impact on your blood glucose levels too. Higher than normal fasting blood sugar levels could mean you have prediabetes, diabetes, or your diabetes management needs to be evaluated. This includes insulin if you have type 1 diabetes or are otherwise insulin-dependent, and other types of medications (sometimes including insulin) if you have type 2 diabetes. Keeping your blood sugar levels within normal ranges can also be a sign that your treatment is working. As long as your blood sugar levels are not severely high, there are ways to bring them back into the normal range when they become too high. Exercise, food, medications and stress can affect your blood sugar levels. It sounds an alert when blood sugar levels are too high or too low. Why Your Blood Sugar Is Normal in Reports but You Still Feel Symptoms When your blood sugar levels are higher than normal, but still not high enough to be considered type 2 diabetes, you could have ‘prediabetes’. Before being diagnosed with type 2 diabetes, your body may provide signals that there is something not quite right with your blood sugar levels. After eating a food that is high on the index, blood sugar levels will spike dramatically and quickly. The Role Of Gut Microbiota In Blood Sugar Regulation Reversing Blood Sugar Week Diet Guide If SGLT-2 inhibitors are being considered for people with type 1 diabetes for cardiorenal indications, an endocrinologist should be involved to assess whether they are suitable candidates and ensure they have received appropriate education to mitigate the risk of DKA. SGLT-2 inhibitors (i.e. dapagliflozin, empagliflozin) are currently TGA approved and PBS listed in Australia for management of glycaemia in people with type 2 diabetes. Intravenous insulin infusions have long been the standard of care for DKA treatment.1 However, recent guidelines have suggested that subcutaneous insulin can be used to treat mild to moderate DKA effectively.3 If there is a delay in administering intravenous insulin, it is beneficial to administer subcutaneous insulin. Can coffee raise your blood sugar Continuous Glucose Monitoring App Australia Eating a balanced diet rich in fiber, healthy fats, and lean proteins, combined with regular exercise, can support optimal blood sugar control and overall health. Green tea is rich in antioxidants, particularly polyphenols, which have been shown to improve insulin sensitivity and lower blood sugar levels. Apple cider vinegar has been found to help improve insulin sensitivity and lower blood sugar levels after meals. Garlic may help reduce blood sugar levels and improve insulin sensitivity. These toxins can interfere with endocrine function and promote systemic inflammation, contributing to insulin resistance and arterial stiffness. However, intense anaerobic training or fasted workouts may temporarily spike stress hormones, potentially increasing glucose and high blood pressure levels in some individuals. Checking urine for ketones is important when your blood glucose levels are high or when you are sick. And do ask your doctor if you should report results out of a certain range right away by phone. Work with your doctor or diabetes educator to learn what your results mean for you. Q：Avoid that blood sugar spike at night Extend NutritionA：The acetic acid in apple cider vinegar can help regulate blood sugar by lessening the glycemic impact of carbohydrates. But what does the science behind apple cider vinegar say? These range from weight loss and a lower risk of diabetes to a healthier digestion, immune system and heart. It has a milder taste, appears to be nutritious and may offer several health benefits. Type 3 disease covers a wide range of specific types of diabetes including the various genetic defects of β cell function, genetic defects in insulin action, and diseases of the exocrine pancreas. Type 2 diabetes is disease of adult onset, which may originate from insulin resistance and relative insulin deficiency or from a secretory defect. Type 1 includes immune mediated and idiopathic forms of β cell dysfunction which lead to absolute insulin deficiency. Maintaining a healthy blood sugar level during pregnancy is essential for both the mother and the baby. Regular monitoring, balanced meals, and physical activity (as advised by a doctor) help maintain normal sugar levels. This drop-in sugar level at night can also result from what is called post-exercise hypoglycemia. Are some Canadians at higher risk for elevated blood sugar levels than others Hypoglycaemia is commonly the result of taking too much of the medication/s prescribed to treat diabetes, eating less than expected, exercising more than normal or skipping meals. The below information describes what normal blood sugar levels are prior to and after meals and what the recommended HbA1c and Haemoglobin A1c levels are for those with and without diabetes.Testing For Low Blood Sugar Coffee And Diabetes Benefits Of Coffee Effect On Blood Sugar Acv Can Help Support Healthy Blood Sugar Levels Can Drinking Coffee Daily Control Blood Sugar Fact Vs Myth What Is A Normal Fasting Blood Sugar Level In Canada Reactive Hypoglycemia In Non Diabetics Possible Causes What To Do Type Hbac Blood Sugar Level How Blood Sugar Regulation Works Do You Fall Asleep When Your Blood Sugar Is High