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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do The Following Blood Sugar Indicate?

about 2 months ago I was tested with fastening suger as 170 and aftter eating food it was 240..then my doctor suggested me to take glycomet sr 500 two times a day.. then again I got my sugar checked and then my fasting was 118 and after eating 163.. is this fine.... apart from this I had completely abolished taking sugar and also brisk walking daily for 45 minutes. ... is this fine... but yesterday my after eating was 185... is it fine or not... I have doctor appointment as well next week.
Mon, 20 Apr 2015
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Diabetologist 's  Response
Hi,
After going through your case details, I want to know-
1) Your Age.
2) Your Height and weight (It very encouraging that you have lost significant weight with diet and exercise) to evaluate degree of overweight.
3) Family history of obesity, diabetes.
4) Current medicines other than Glycomet (metformin) if any.
5) Any associated high blood pressure or cholesterol problem.

You should not worry about single BSL reading of 185.

I would like to advise you -
1) Continue Low calorie diet and regular exercise.
2) Quarterly check your HbA1c level that give much better idea regarding your diabetes control. Also check Blood sugar level Fasting and postprandial once in a month or two months.
3) If it is feasible for you to do Self monitoring of blood sugar level (BSL done by glucometer at different times of the day (Fasting, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, early morning sugar 3am) all sugar not daily but whole profile in a week at least once in a month.
If there are symptoms of low BSL or High BSL you should confirm it.
5) Regular BP check, clinical examination to rule out microvascular complications of diabetes (retinopathy - fundiscopy, foot examination for neuropathy)
6) Check your Lipid profile, it is advisable to take statin (lipid lowering drugs) in diabetes patients above 35yrs though normal lipid level.
7) It better for you to take metformin in maximal tolerated dose, as it will help in reducing insulin resistance which is a basic pathology of diabetes. Metformin is weight neutral (may help in decreasing weight) and rarely causes hypoglycemia.
8) Depending upon your BSL control and HbA1c level other antidiabetic medicines can be added.
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What Do The Following Blood Sugar Indicate?

Hi, After going through your case details, I want to know- 1) Your Age. 2) Your Height and weight (It very encouraging that you have lost significant weight with diet and exercise) to evaluate degree of overweight. 3) Family history of obesity, diabetes. 4) Current medicines other than Glycomet (metformin) if any. 5) Any associated high blood pressure or cholesterol problem. You should not worry about single BSL reading of 185. I would like to advise you - 1) Continue Low calorie diet and regular exercise. 2) Quarterly check your HbA1c level that give much better idea regarding your diabetes control. Also check Blood sugar level Fasting and postprandial once in a month or two months. 3) If it is feasible for you to do Self monitoring of blood sugar level (BSL done by glucometer at different times of the day (Fasting, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, early morning sugar 3am) all sugar not daily but whole profile in a week at least once in a month. If there are symptoms of low BSL or High BSL you should confirm it. 5) Regular BP check, clinical examination to rule out microvascular complications of diabetes (retinopathy - fundiscopy, foot examination for neuropathy) 6) Check your Lipid profile, it is advisable to take statin (lipid lowering drugs) in diabetes patients above 35yrs though normal lipid level. 7) It better for you to take metformin in maximal tolerated dose, as it will help in reducing insulin resistance which is a basic pathology of diabetes. Metformin is weight neutral (may help in decreasing weight) and rarely causes hypoglycemia. 8) Depending upon your BSL control and HbA1c level other antidiabetic medicines can be added.