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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Rise In Fasting Blood Sugar Level After Eating?

Hi dear doctor My mother is a diabetics for 7 years. And take 70/30 insulin every day; morning 20 Iu/ml - evening 40 iu/ml. Here is the thing: My mother s FBS is normal(80), but after meal(2hpp) is high, around 209. HbA1c: 6.6 Everything is normal, cholestrol, fbs, triglyceride... everything, apparently. question : What s wrong with her 2hpp? She is 48 , bmi 29 and her a1c was 6.6 as tested last week. thank you for helping me. Thank you in advance.
posted on Sun, 24 May 2015
Twitter Wed, 24 Feb 2021 Answered on
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General & Family Physician,  's  Response
Hello,

- Since your mother's HbA1c is 6.6, I feel that her diabetic control is adequate at this point
- The general goal for someone with diabetes is a 2hpp of less than 180mg/dl
She is slightly above that limit. But I am not too concerned. You can explore the option of adding a short acting insulin before meals to control the post prandial rise in glucose. I don't believe it is necessary at this point.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pranav Balakrishnan, General & Family Physician
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What Causes Sudden Rise In Fasting Blood Sugar Level After Eating?

Hello, - Since your mother s HbA1c is 6.6, I feel that her diabetic control is adequate at this point - The general goal for someone with diabetes is a 2hpp of less than 180mg/dl She is slightly above that limit. But I am not too concerned. You can explore the option of adding a short acting insulin before meals to control the post prandial rise in glucose. I don t believe it is necessary at this point. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pranav Balakrishnan, General & Family Physician