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Sugar level low with OGTT - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   Hello. I am a male 34 yrs old. 170 pounds / 5'9" in excellent physical condition. I recently went to get a comprehensive blood tests. Everything was in normal reading range. I exercise 5 times a week for at least 1 1/2 hours. Running and weight training.
A few weeks later I took a 3hr glucose tolerance test. The readings were as follows: Glucose, fasting 85 mg/dl
1 hour 54 mg/dl
2 hour 59 mg/dl
3 hour 84 mg/dl
Those initial two hour readings are below the reference values. What does it means? What steps should I take to bring it back to normal. Thanks.
Doctor :   Hi
Doctor :   I am Dr.
User :   Hello.
Doctor :   Let me read your query
User :   Ok
Doctor :   You do not have to worry about those readings
Doctor :   If you are too worried about them, get a repeat result after a week at a different lab
Doctor :   *test
User :   Why such a low reading?
User :   Do I have hypoglycemia?
Doctor :   How much of sugar is given to you?
User :   75 grams glucose load
User :   Fasting for 8 hours.
Doctor :   Fasting should be done for 10 hours minimum
User :   You are right...i ate at 8:00PM and nothing more and took the test at 7:00 AM. So I fasted more than 8..I did 11 hours
Doctor :   Ok, Oral glucose tolerance test has no significance of lower values
Doctor :   It is a time tested for Diabetes mellitus only
Doctor :   The hypoglycemia cannot be comment
Doctor :   with the above results
User :   What steps should I take? Should I worry about it?
Doctor :   Actually no
Doctor :   You can get a re test
User :   OK. And what if I get similar results?
Doctor :   You have to go to the Doctor for other tests like Serum Insulin, Serum Glucagon etc
User :   OK. Many thanks
Doctor :   Is there anything else I can help you with?
User :   No. Thanks
Doctor :   Do you have any of the below symptoms , sweating, palpitations, hunger, trembling, and anxiety
User :   No.
Doctor :   confusion, hallucinations, blurred vision, and sometimes even coma and death
User :   NO
Doctor :   The hypoglycemia can start with the above symptoms
Doctor :   I mentioned
Doctor :   If not addressed it can cause more problems
Doctor :   and lead to coma
User :   OK
Doctor :   Since you have got only OGTT which has not relevance to comment on Hypoglycemia
Doctor :   I suggest you a repetition
User :   OK. I will do so.
Doctor :   and if same values, check for any reason for low blood glucose levels
Doctor :   Ok
Doctor :   Thanks for consulting me
Doctor :   Bye for nwo
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