What Do These Following Blood Sugar Values Indicate?

Posted on Fri, 9 Dec 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 9 Dec 2016 Answered on

Sat, 31 Dec 2016 Last reviewed on

Question : Hgt

I have fasting sugar at 140/145 but post meal is always within 140 so do i need medication.

Answered by Dr. Dr. Abhay A Mali (1 hour later)

Brief Answer:
Fasting sugar above 125 (done using venous blood sample) denote diabetes.

Detailed Answer:
Hi,

Thanks for your question.
Noted your concern.

If Fasting blood sugar is done by laboratory method using venous blood sample then blood sugar level of 140 or 145 confirms diagnosis of diabetes.

If done by HGT (by glucometer) then it need to be confirmed by doing OGTT (oral glucose tolerance test) by laboratory method.

Once diagnosis of Diabetes is confirmed there may be need to start on medications depending upon your height, weight (BMI Body Mass Index), detailed physical examination, family history of diabetes and food habits.

Hope this helps you.

Regards,
Dr. Abhay Mali.
Diabetologist.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Dr. Abhay A Mali (23 hours later)

My G.p says that if your fasting is 130/140 but after lunch and dinner,it remains within 140, then medication can be avoided ! I walk 5 km 5 days a week and don't eat sweets, but my mother,brother and sister are highly diabetic! My 3 monty average is 6.9 and at times 7 also!

Answered by Dr. Dr. Abhay A Mali (14 minutes later)

Brief Answer:
I may suggest Tablet containing Metformin.

Detailed Answer:
Considering HbA1c of 7 and strong family history of diabetes I may suggest to start Tablet containing Metformin.
Staring with 500 mg once day with gradual increasing dose over 7 to 10 days to 1500 mg per day in divided doses.
Along with it continue following strict diabetic diet and regular exercise as are currently following.

Hope this helps you.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Dr. Abhay A Mali (15 hours later)

Thanks! I can start with zomet 500 with my dinner and thereafter if my fasting is within 126 and two hours after meal is within 140, then still I should increase to 3 times? Lastly,what are the side effects of metformin.!

Answered by Dr. Dr. Abhay A Mali (3 hours later)

Brief Answer:
Metformin act on insulin resistance.

Detailed Answer:
Metformin is a primary drug in the treatment of Type 2 Diabetes.
Insulin resistance is responsible for increased insulin requirement of body.
Metformin decreases insulin resistance and there by decreases insulin requirement of body.
Effective dose of metformin is 1500 to 2000mg per day.
Also metformin rarely has significant side effects.
In the initial period there may be metallic taste and abdominal upset for few days body get adopted to it over period of time.
Abdominal symptoms can be reduced with staring metformin in low dose with gradual increase in its dose.

Hope this helps you.

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar