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Is Blood Sugar Reading Of 6.8 Mmo/L A Cause For Concern?

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Posted on Thu, 17 Nov 2016
Question: Can an 85 year old with Type II diabetes stop taking Metformin. Blood sugar ranges around 6.8 mmo/L.
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Answered by Dr. Shehzad Topiwala (19 minutes later)
Brief Answer:
Possibly yes

Detailed Answer:
6.8 is quite good.

Metformin in anyone older than 80 should be used only after ensuring good kidney function.

However, I would generally avoid metformin in this situation and prefer an alternative like sitagliptin.
Typically, the glucose targets in older individuals are not as stringent as in the younger group. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid) 12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
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
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Is Blood Sugar Reading Of 6.8 Mmo/L A Cause For Concern?

Brief Answer: Possibly yes Detailed Answer: 6.8 is quite good. Metformin in anyone older than 80 should be used only after ensuring good kidney function. However, I would generally avoid metformin in this situation and prefer an alternative like sitagliptin. Typically, the glucose targets in older individuals are not as stringent as in the younger group. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) 12 hour Fasting Lipid profile Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney) 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.