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How To Control Blood Sugar Levels With Medications?

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Posted on Wed, 11 Jun 2014
Question: I had some blood work done a few days ago. Today my doctors office called stating my sugare was alittle high 113. They want me to come in for more test. I had fast and had not eating since 7 the night before. I come from a family with most of my sibling suffer from this. they are on medication and injections to help control it. But every time I talk to them they are having trouble keeping it controled.
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Answered by Dr. Shehzad Topiwala (2 hours later)
Brief Answer:
Glucoses

Detailed Answer:
I am sorry to learn about your medical conditions.

The sugar reading of 113......was that a fasting sample or just a random one?

If it was fasting then, it is called IFG (Impaired Fasting Glucose). Another term used to describe this is Pre diabetes. It is a risk fact, as the name suggests, for the development of diabetes.

Your doctor appears to have ordered the OGTT (Oral Glucose Tolerance test) to screen for diabetes/pre diabetes in the most scientific and recommended way by performing this particular test.

After the fasting sample is taken, it is likely you will be requested to drink 75 grams of glucose and a blood sample will be taken again at 2 hours. If the 2 hour value exceeds 140 then you have IGT (Impaired Glucose Tolerance). This is also compatible with pre diabetes. However, if it equals or exceeds 200 then you have type 2 diabetes.
During these hours, you are not supposed to eat or drink anything (except water), nor can you smoke or walk around. You have to be comfortably seated only.

It is possible the doctor may have ordered only the fasting glucose alone. In this instance another blood test called HbA1c is quite useful to make a diagnosis of diabetes versus pre diabetes in a convenient manner without the 2 hour ritual.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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How To Control Blood Sugar Levels With Medications?

Brief Answer: Glucoses Detailed Answer: I am sorry to learn about your medical conditions. The sugar reading of 113......was that a fasting sample or just a random one? If it was fasting then, it is called IFG (Impaired Fasting Glucose). Another term used to describe this is Pre diabetes. It is a risk fact, as the name suggests, for the development of diabetes. Your doctor appears to have ordered the OGTT (Oral Glucose Tolerance test) to screen for diabetes/pre diabetes in the most scientific and recommended way by performing this particular test. After the fasting sample is taken, it is likely you will be requested to drink 75 grams of glucose and a blood sample will be taken again at 2 hours. If the 2 hour value exceeds 140 then you have IGT (Impaired Glucose Tolerance). This is also compatible with pre diabetes. However, if it equals or exceeds 200 then you have type 2 diabetes. During these hours, you are not supposed to eat or drink anything (except water), nor can you smoke or walk around. You have to be comfortably seated only. It is possible the doctor may have ordered only the fasting glucose alone. In this instance another blood test called HbA1c is quite useful to make a diagnosis of diabetes versus pre diabetes in a convenient manner without the 2 hour ritual.