What should I do if my blood sugar is 5.4 before meals?

If you are not pregnant, then this is a normal range of blood glucose values and not something to worry about.

First of all, the clinical diagnosis of diabetes should be based on venous plasma glucose (venous blood draw) rather than capillary glucose test results (what the common people call a finger prick).

An oral glucose tolerance (OGTT) test is required to confirm a diagnosis of diabetes, and blood glucose is measured in venous blood 8 hours after fasting, called fasting blood glucose, and then again 2 hours after taking 75 g of glucose orally, where 2 hours after meals is what people call postprandial blood glucose. So if you are not pregnant, your blood sugar is in the normal range.

Of course, if you are pregnant, you need a different story, and if you have such a blood glucose value, you need an OGTT test, a 75g OGTT at any time during pregnancy, 5.1 mmol/L ≤ fasting blood glucose <7.0 mmol/L, OGTT 1h blood glucose ≥10.0 mmol/L, 8.5 mmol/L ≤ OGTT 2h blood glucose <11.1 The diagnosis of gestational diabetes is made when one of the above blood glucose values is reached, and for gestational diabetes, in addition to diet and exercise control, the only treatment option available is insulin therapy, which still needs to be kept in mind.