DETERMINATION OF HUMAN BLOOD SUGAR LEVEL AND
PREDICTION OF TRENDS BY AGE
                        SUBMITTED BY:
                          Roshin Khadka
                           Bio-Science
                            Grade-XII
                        Admission Roll No:
                        SUBMITTED TO:
                      Department of Biology
                      Orchid Science College
                      Bharatpur-10,Chitwan
      For the partial Fulfillment of requirement of +2 Science
                               2081
                                     APPROVAL
The project work entitled “DETERMINATION OF HUMAN BLOOD SUGAR LEVEL
AND PREDICTION OF TRENDS BY AGE” was prepared by Roshin Khadka and submitted
as partial fulfillment of the requirements for the Secondary Level Education.
                                                                  ……..……………………..
                                                                   Dr. Manoj Kumar Lal Das
                                                                 Department Head of Biology
                                                                      Orchid Science College
                                                                   ...…………………………
                                                                                  Sarita Giri
                                                                                 Supervisor
                                                                      Orchid Science College
                                              II
                      RECOMMENDATION LETTER
It is certified that Mr. Roshin Khadka of this college has carried out the Project work
“DETERMINATION OF HUMAN BLOOD SUGAR LEVEL AND PREDICTION OF
TRENDS BY AGE” under our guidance. We recommend the project work in the partial
fulfillment for the Requirement of Class 12 Biology Practical.
This project work entitled “DETERMINATION OF HUMAN BLOOD SUGAR LEVEL
AND PREDICTION OF TRENDS BY AGE” submitted by Roshin Khadka of Orchid
Science College Bharatpur, Chitwan, Nepal has been carried out under our supervision as a
partial fulfillment for the class 12 of Biology course. I, therefore, recommend the project
work report for evaluation.
Signature:
Name of Supervisor: Sarita Giri
Date:
                                             III
                                       ABSTRACT
This paper examines the different types of blood sugar level present in human. The survey
work entitled “DETERMINATION OF HUMAN BLOOD SUGAR LEVEL AND
PREDICTION OF TRENDS BY AGE” was conducted on 13th Dec, 2024 on Orchid Science
College, Bharatpur Chitwan.
Early detection of blood sugar irregularities is essential for preventing and managing
diabetes. This study aimed to assess blood sugar levels among both students and teachers in a
high school setting through a school-based screening program. The tests were conducted
using a standard glucose meter under the supervision of healthcare professionals.
Participants’ blood sugar levels were recorded and analyzed based on factors such as age,
dietary habits, and lifestyle choices. The results provided valuable insights into potential risk
factors for both students and teachers, emphasizing the importance of routine health
screenings in schools. This study highlights the need for increased awareness and preventive
measures to promote long-term health and well-being within the school community.
                                               IV
                            ACKNOWLEDGEMENT
Grateful thanks go to the Department of biology, Orchid Science College for providing the
facilities for project work. I would like to express my sincere gratitude to my advisor Sir Dr.
Manoj Kumar Lal Das for the continuous support of my related research for his patience and
motivation. His guidance helped me in all the time of research and writing of this project
report.
Besides my advisor, I would like to thank my Botany Teacher MKL sir for his insightful
comments’ encouragement and invaluable help during the project work. Without his precious
support it would not be possible to conduct this research. I would also like to thank my friend
Sumit Mandal for his sincere help and friendship for completing this project. I want to
remember all my classmates who directly and indirectly contributed to this work. I would like
to remember all my teachers and family members who have supported, helped and
encouraged me.
Last but not the least I would also like to place on record my sense of gratitude to everyone
involved.
                                              V
                                   DECLARATION
I hereby declare that the project report is based on my original work except for quotations and
citations which have been duly acknowledged. I also declare that it has not been previously or
concurrently submitted for any other institutions.
……………………….
Roshin Khadka
Grade-XII
Orchid Science College
                                              VI
                                                              CONTENTS
FRONT PAGE………………………………………………………………………………………..I
APPROVAL………………………………………………………………………………………….II
RECOMMENDATION LETTER……………………………………………………………………III
ABSTRACT…………………………………………………………………………………………..IV
ACKNOWLEDGEMENT ..................................................................................................................... V
DECLARATION .................................................................................................................................. VI
CONTENTS………………………………………………………………………………………….VII
CHAPTER 1: INTRODUCTION ........................................................................................................ 1-3
   Background of the study........................................................................................................................
   Objective of the Study ..........................................................................................................................
   Study Area .............................................................................................................................................
CHAPTER 2: LITERATURE REVIEW ................................................................................................ 4
CHAPTER 3: MATERIALS AND METHODS .................................................................................... 5
   3.1 Materials .........................................................................................................................................
   3.2 Methods ...........................................................................................................................................
CHAPTER 4: RESULTS ..................................................................................................................... 6-7
CHAPTER 5: DISCUSSIONS AND CONCLUSIONS ......................................................................... 8
CHAPTER6: RECOMMENDATIONS .................................................................................................. 9
CHAPTER 7: REFERENCES .............................................................................................................. 10
                                                                          VII
CHAPTER 1: INTRODUCTION
       A blood glucose test measures the amount of a type of sugar, called glucose, in your
       blood. Glucose comes from carbohydrate foods. It is the main source of energy used
       by the body. Glucose is transported from the intestines or liver to body cells via the
       bloodstream, and is made available for cell absorption via the hormone insulin,
       produced by the body primarily in the pancreas.
Background of the study
       Glucose levels are usually lowest in the morning, before the first meal of the day, and
       rise after meals for an hour or two by a few millimolar. Blood sugar levels outside the
       normal range may be an indicator of a medical condition. A persistently high level is
       referred to as hyperglycemia; low levels are referred to as hypoglycemia. Diabetes
       mellitus is characterized by persistent hyperglycemia from any of several causes, and
       is the most prominent disease related to failure of blood sugar regulation. Intake of
       alcohol causes an initial surge in blood sugar, and later tends to cause levels to fall.
       Also, certain drugs can increase or decrease glucose levels.
       The body's homeostatic mechanism keeps blood glucose levels within a narrow range.
       It is composed of several interacting systems, of which hormone regulation is the
       most important. There are two types of mutually antagonistic metabolic hormones
       affecting blood glucose level:
       Catabolic hormones (such as glucagon, cortisol and catecholamine’s), which increase
       blood glucose Anabolic hormones (such as insulin), which decrease blood
       glucose.There are different types of blood sugar test:
   •   Fasting blood sugar (FBS): measures blood glucose after you have not eaten for at
       least 8 hours. It is often the first test done to check for prediabetes and diabetes.
                                              1
•   2-hour postprandial blood sugar: measures blood glucose exactly 2 hours after you
    start eating a meal. This is not a test used to diagnose diabetes. This test is used to see
    if someone with diabetes is taking the right amount of insulin with meals.
•   Random blood sugar (RBS): measures blood glucose regardless of when you last ate.
    Several random measurements may be taken throughout the day. Random testing is
    useful because glucose levels in healthy people do not vary widely throughout the
    day. Blood glucose levels that vary widely may mean a problem. This test is also
    called blood glucose test.
•   Oral glucose tolerance test: is used to diagnose prediabetes and diabetes. An oral
    glucose tolerance tests is a series of blood glucose measurements taken after you
    drink a sweet liquid that contain glucose. This test is commonly used to diagnose
    diabetes that occur during pregnancy (gestational diabetes). Women who had high
    blood sugar levels during pregnancy may have oral glucose tolerance tests after
    pregnancy.
•   Hemoglobin A1C, or glycohemoglobin+ Hemoglobin A1C, or glycohemoglobin:
    measures how much sugar (glucose) is stuck to red blood cells. This test can be used
    to diagnose diabetes. It also shows how well your diabetes: has been controlled in the
    past 2 to 3 months and whether your diabetes medicine needs to be changed. The
    result of your A1C test can be used to estimate your average blood sugar level. This is
    called your estimated average glucose, or EAG.
                                            2
Objective of the Study
   •   To identify blood sugar level that are high or low.
   •   To learn how diet and exercise affect blood sugar levels.
   •   To understand how other factor, such as illness or stress, affect blood sugar levels.
Study Area
The study was conducted at the Orchid Science College of Nepal which is located in
Bharatpur of Chitwan district.
                                               3
CHAPTER 2: LITERATURE REVIEW
Without knowing something about the history of blood sugar level and the major disorder
caused because of excess blood sugar level it is completely vague to learn its modern
discoveries. We need to appreciate the pioneers who helped in the discoveries of such things.
Nevertheless, to provide some historical perspective, we indicate here some of the major
trends in the history of the subject and identify the most prominent early contributors.
Diabetes mellitus is a group of metabolic diseases involving carbohydrate, lipid, and protein
metabolism. It is characterized by persistent hyperglycemia which results from defects in
insulin secretion, or action or both. Diabetes mellitus has been known since antiquity.
Descriptions have been found in the Egyptian papyri, in ancient Indian and Chinese medical
literature, as well as, in the work of ancient Greek and Arab physicians. In the 2nd century
AD Aretaeus of Cappadocia provided the first accurate description of diabetes, coining the
term diabetes, while in 17th century Thomas Willis added the term mellitus to the disease, in
an attempt to describe the extremely sweet taste of the urine. The important work of the 19th
century French physiologist Claude Bernard, on the glycogenic action of the liver, paved the
way for further progress in the study of the disease. In 1889, Oskar Minkowski and Joseph
von Mering performed their famous experiment of removing the pancreas from a dog and
producing severe and fatal diabetes. In 1921, Frederick Banting and Charles Best extended
Minkowski’s and Mering’s experiment. They isolated insulin from pancreatic islets and
administrated to patients suffering from type 1 diabetes, saving thus the lives of millions and
inaugurating a new era in diabetes treatment.
                                                4
CHAPTER 3: MATERIALS AND METHODS
3.1 Materials
The materials required for conducting the experiment are listed below:
   •   Glucometer
   •   Glucose test strip
   •   Lancets
   •   Cotton
   •   Rectified spirit
   •   Hand-wash
3.2 Methods
At first, we should wash our hand with soap and water. Then, insert a test strip in the
glucometer. After that prick the side of the finger with the help of needle (lancet) provided
with blood sugar test kit. Touch and hold the edge of the test strip to the drop of blood. Then,
read the blood glucose level display on the meter. The meter displays the blood sugar level in
the unit of mg/dl.
                                      Fasting                         Postprandial
Persons Category          Glucose Minimum           Glucose           2-3 Hours after Eating
                          Value (mg/dl)             Maximum value     (mg/dl)
                                                    (mg/dl)
Hypoglycemia                       -                       <59                  <60
Early hypoglycemia                60                        79                 60-70
Normal                            80                       100                 <140
Early Diabetic                   101                       126                140-200
Diabetic                         >126                        -                 >200
                                                5
CHAPTER 4: RESULTS
During the survey of 30 people, a range of glucose level from 71-134 mg/dl was found. Table
below represent the total number of people surveyed and their various blood sugar level along
with their age, gender, fasting/post prandial and occupation accordingly.
S.N. Name Of Participants      Age Gender         Occupation Fasting/Post     Glucose
                                                                              Level
                                                              Prandial (PP)
                                                                              (mg/dl)
1.    Kapil Gyawali            56     M           Teacher     PP              105
2.    Manoj Kumar Lal          56     M           Teacher     PP              134
      Das
3.    Indrakanta poudel        40     M           Teacher     PP              114
4.    Yesis Khanal             32     M           Teacher     PP              99
5.    Swikar Devkota           16     M           Student     PP              93
6.    Salina Dhakal            17     F           Student     PP              88
7.    Sajan Raj Sapkota        18     M           Student     PP              87
8.    Dipson Rijal             18     M           Student     PP              85
9.    Suhana Sapkota           16     F           Student     PP              91
10.   Biplov Dhakal            17     M           Student     PP              83
11.   Sarita Giri              24     F           Teacher     PP              95
12.   Luckyes Neupane          18     M           Student     PP              87
13.   Sashi Magar              16     M           Student     PP              71
14.   Bishwash Poudel          17     M           Student     PP              84
15.   Kristina Sigdel          17     F           Student     PP              74
16.   Prasan Dawadi            17     M           Student     PP              83
17.   Kritika Poudel           18     F           Student     PP              93
18.   Prapti Sapkota           17     F           Student     PP              103
19.   Royal Chaudhary          17     M           Student     PP              84
20.   Sweta Acharya            17     F           Student     PP              88
                                              6
21.   Sumika Thapa       17   F       Student   PP   90
22.   Asmita Karki       23   F       Teacher   PP   87
23.   Simon Poudel       17   M       Student   PP   104
24.   Abishant Sharma    17   M       Student   PP   99
25.   Asmit Dahal        17   M       Student   PP   102
26.   Dinesh Neupane     40   M       Teacher   PP   102
27.   Arnesh Tamang      17   M       Student   PP   84
28.   Subigya Poudel     17   M       Student   PP   105
29.   Bibek Kuwar        17   M       Student   PP   91
30.   Shailesh Upadhya   30   M       Teacher   PP   84
                                  7
CHAPTER 5: DISCUSSIONS AND CONCLUSIONS
This survey shows that majority of people had a normal sugar level. Where one person had
early diabetes and one person had diabetes. My sugar level was found to be 83 mg/dl which
was normal.
Diabetes is a slow killer with no known curable treatments. However, its complications can
be reduced through proper awareness and timely treatment. Three major complications are
related to blindness, kidney damage and heart attack. It is important to keep the blood glucose
levels of patients under strict control for avoiding the complications. One of the difficulties
with tight control of glucose levels in the blood is that such attempts may lead to
hypoglycemia that creates much severe complications than an increased level of blood
glucose. Researchers now look for alternative methods for diabetes treatment. The goal of
this paper is to give a general idea of the current status of diabetes research.
                                                 8
CHAPTER 6: RECOMMENDATIONS
While conducting the test, application of following measures is recommended:
   •   Preparation : Ensure all equipment is ready and inform about test.
   •   Health and Hygiene : Use sterilized and single use equipments.
   •   Testing procedure : Clean the fingertips, collect blood and test.
   •   Monitoring and documentation : Identify abnormal readings and recommend medical
       follow ups.
                                               9
CHAPTER 7: REFERENCES
   •   www.cdc.gov (table representing high, low blood sugar level)
   •   www.slideshare.net (various blood sugar test)
   •   Kahn. CR., Weir. GC. Joslin’s diabetes mellitus, 14th ed. (2005)
   •   Peumery JJ. Illustrée du diabète, Paris: Les Éditions Roger Dacosta; (1987)
   •   Geneva: World Health Organization, (2012)
                                         10