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What Causes High Blood Sugar Despite Taking Glimepiride?
How concerned should I be about effects from high blood sugar on my heart or other organs when my last test was 155 - 55 over the 100 mark my doctor says is where I should be. I have only had high blood sugar for about 3 years. It developed at the same time I was having pains in my right side but it took a year for my doctor to send me for a CT which showed my gall bladder was full of stones. Removed it last year and my surgeon said I would probably see the blood sugar go back to normal after the operation. My GP has had me on Glimpiride all this time which has brought it down to the 155 reading. I need to mention also that my weight is about 215, which developed after menopause. I m now 70.
Wed, 4 Jan 2017
Hello and welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Fasting blood sugars (after no meals/drink for 8 to 10 hours) and 2 hour post meal blood sugars are the blood sugar tests done to check for diabetes.Another test is the HbA1c. All three of these would indicate if a person has diabetes or is at risk of developing diabetes. According to the medical guidelines, a fasting blood sugar of greater than 126, means a person is diabetic.
Medication is supposed to bring it down to 70 to 130 before meals and less than 180, 2 hours after a meal. If 155 is a fasting reading or before lunch/supper, it is too high. If it is 2 hours after a meal, it is good. If it is too high, then you need to get blood sugar control as soon as possible because the longer the blood sugar is out of control the more damage it does. It mainly affects the kidneys (causes kidney failure), heart, eyes (cataract and glaucoma), nerves. The medication would need to be adjusted and you would have to try to make lifestyle changes (diet and activity). It has been shown that lifestyle changes can make a big difference in diabetes control.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Michelle Gibson James
I have reviewed your query and here is my advice.
Fasting blood sugars (after no meals/drink for 8 to 10 hours) and 2 hour post meal blood sugars are the blood sugar tests done to check for diabetes.Another test is the HbA1c. All three of these would indicate if a person has diabetes or is at risk of developing diabetes. According to the medical guidelines, a fasting blood sugar of greater than 126, means a person is diabetic.
Medication is supposed to bring it down to 70 to 130 before meals and less than 180, 2 hours after a meal. If 155 is a fasting reading or before lunch/supper, it is too high. If it is 2 hours after a meal, it is good. If it is too high, then you need to get blood sugar control as soon as possible because the longer the blood sugar is out of control the more damage it does. It mainly affects the kidneys (causes kidney failure), heart, eyes (cataract and glaucoma), nerves. The medication would need to be adjusted and you would have to try to make lifestyle changes (diet and activity). It has been shown that lifestyle changes can make a big difference in diabetes control.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Michelle Gibson James
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