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Blood sugar level under fasting is 123 and postmeal is 180. Am I diabetic?

DOCTOR OF THE MONTH - Aug 2012
Aug 2012
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HI MY NAME IS XXXXXXX AND MY AGE IS 44 YEARS.MY BLOOD SUGAR LEVEL IS 123 UNDER FASTING AND 180 UNDER PP.MAY I DIBETIC.
Posted Sun, 28 Oct 2012 in Diabetes
 
 
Answered by Dr. Madhuri Patil 22 minutes later
Hello, XXXXXXX Thank you for the query.

Your both the readings of sugars- fasting as well as the postmeal- show you have something known as ' impaired glucose tolerance' (IGT). This term can be used for 'pre-diabetes'. But not necessarily all the people with IGT develop full blown diabetes in future.
Your IGT can be pre-diabetes meaning you might develop full blown diabetes ( Fasting sugar going beyond 140 and post meal sugar going beyond 200) or you might just remain IGT forever without letting the sugars go beyond these limits.
If you are overweight, have family history of diabetes, have hypertension (high BP), family history of heart disease (ischemic heart disease), have stressful work, sedentary lifestyle then you are at risk of developing diabetes- type 2.
So what should you do? Please see a good nutrition consultant or diabetologist who is trained in giving nutrition advice suitable for you, start exercising, try to identify stress and talk with spouse/ family member/ friends how you can alleviate stress, do not smoke, do not consume excess alcohol and your sugars will drop down to normal and you can avoid having diabetes for really a long long time. Some people are successful in avoiding diabetes for more than 25 years!
You do not need medications at this stage for sure for such sugars.
If you do not have any of the risk factors listed above, then still you follow the lifestyle measures and keep watch on blood glucose levels every six months.
As of now, before you start your lifestyle changes please make sure you get your average sugar test (HbA1c), Lipid profile, Serum creatinine and eye checkup for retina done. Keep records and keep in touch for any further query you have.
Keep in mind, your involvement in taking care of yourself is far more important and take it positively that this is a warning sign, you can avoid diabetes for many years and stay fit and feel healthy if you follow the guidelines.
Wish you all the best. Take care.

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