Test showed raised sugar level. What could be the cause? - Online Doctor Chats
How are you doing?
m fine!! How u doing today?
I am doing good, thankyou
Please proceed with your query
I did the blood sugar test for my Dad today
Fasing it rates as 141 mg/dl and non fasting its 246 mg/dl
Two months back I did the same test ,he was normal
How did it increase all of a sudden?
any specific reason that as triggered it?
I believe your father was not a diagnosed case of diabetes, Is that right?
Can you recall the readings 2 months ago?
yes, fasting 91 mg/dl and non fasting 156 mg/dl
This is being done with a glucometer aat home, right?
The test that was done two months back was done in a lab where as the present test is done by a glcometer at the hospital
Actually between 140-200 mg/dL is impaired glucose tolerance
How did he land up in the hospital?
As he was pretty normal before two months
suddenly he had BPH
and was undergoing treatment
He takes the medcine Tamdura
During that time he was askedto do some test, so in the urine test they found sugar level ++
So I did the sugar test again at hospital but the did it byglucometer
A glucometer is not always accurate
Secondly, I would like you to get it reconfirmed at a laboratory
If the fasting glucose is >125 and PP >200
Then it would be diabetes
What is P
we take a sample and then then measure glucose levels
Can you suggest some good meal and do's and don'ts for a diabetic patient
A 1600 calorie diet
Small frequent meals are to be taken
No refined sugar, sweets, oily food
No added sugar basically
Has your father been assessed for a high blood pressure?
and then I'
ll tell you how to treat it,
Then a couple of tests first to assess what we are looking at
First, I need a blood pressure, a weight and height measurement
and some blood tests
like fasting blood glucose, post prandial blood glucose, complete lipid profile ( to be done in fasting)
and urine microalbumin
After you get the reports, just mail them to me at YYYY@YYYY
with attention to Dr. XXXXXXX in the subject line
Did you follow?
Next, the management
First, a proper diet
No added sugar, no sweets, oily or fried food
He has to eat small meals at frequent intervals
I'll get our dietitian to design a plan for him
Is that ok?
atleast 5-6 servings of fruits and vegetables every day
No banana, chikoo, pineapple, coconut aand mango
atleast 3-40 minutes of brisk walk daily
If he ever has those symptoms, please give him something sweet to eat immediately
He always should have something sweet in his bag
If you do not follow anything, just stop me right there, ok?
next, I want him to always wear his slippers and never go around barefoot
Just one thing that I want to brng to ur notice is that, after the tratment for BPH he nowdays get frequet thirst and freqent urination. He was pretty well before
Please dont self treat it
These are symptoms of diabetes
You might have just noticed it after that
We're looking at something that has been going on for years
How old is he?
Then I want an ECG also to be done
to have a baseline
Please save this chat
I want to make sure that the message is communicated properly and on time
Tomorrow, you'd be off work right?
Assuming you get the tests done tomorrow and we have the reports by day end
Just email them to me
I'll look at them and revert back to you
so you can have a consult this sunday
Sounds ok to you?
He told me that he is getting frequent thirst only after the treatment of BPH, earlier he use to be pretty normal
I mean he use to drink 2 litres of watr ony
Its possible that the diabetes got overt in the lasst 2 months
You will notice that once his diabetes gets controlled, these symptoms would go away
The most important thing is that with lifestyle modification, exercise and weight loss
you can control diabetes to a large extent
Ok doctor... Thanks so much
If you cannot control this, medication will not help
I will keep you inform on this
and the complications will increase
I wish your father all the best
Any help any time
just contact us here
Any more questions I can answer?
Thnks so much
Thanks for consulting me
Have a nice day
Bye for now
same to you :)
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