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What Causes Elevated Sugar Levels?

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Posted on Thu, 7 Apr 2016
Question: My name is Munish .. My age is 36 yrs. Last week street dog has bite me and doctor has suggest me tetnus and Rabipur injection . i have take two dose of rabipur injection and also tetnus injection.but today my parents has done the sugar level for both fasting and sugar pp level and i am also done these testes . surprisingly my sugar level of fasting is 137 and sugar level of PP is 246
doctor
Answered by Dr. Dr. Abhay A Mali (32 minutes later)
Brief Answer:
You need treatment for Diabetes.

Detailed Answer:
Hi Mr. XXXX,

Thanks for your question.
Noted your concern.

Your blood sugar levels both Fasting & Post-prandial are in diabetic range.
Which confirm the diagnosis of diabetes.

In such newly diagnosed cases I may suggest-
- Detailed clinical examination. Estimation of Body Mass Index (BMI).
- Diet.
- Exercise.
- Medicines.
- Investigations.

Diet:
- Usually we recommend 1800 kcal diet for diabetic male patient, though exact calories can be suggested depending upon BMI.
- Avoid sugar in any form.
- Consult near by dietitian who can plan diet considering your BMI, food habits.

Exercise:
- Usually I recommend at least 150 min of moderate degree physical activity per week.
- Start exercise gradually.
- Brisk walking, yoga can be preferred for long term.

Medications:
- Considering your age and history of diabetes in parents (interpretation based as your parents also underwent blood sugar test) there is most likely possibility of Type 2 Diabetes in your case, though it needs to be confirmed depending upon detailed clinical examination.
- Considering diagnosis of Type 2 Diabetes, I may suggest to start Tablet containing Metformin 500 mg once a day with gradual increase to 1500 to 2000 mg per day in divided doses by the end of 10 to 15 days according to tolerance.
- Metformin is a first-line drug in the treatment of Type 2 diabetes, it decreases insulin resistance (body insulin requirement) which is the basic pathology of Type 2 diabetes.
- Medicines need to be modified depending upon periodic blood sugar test results.

Investigations:
I may suggest following blood tests-
- Complete Blood count.
- Renal function test.
- Liver Function Test.
- Urine Examination.
- HbA1c.
- Complete Lipid profile.

Complete the Anti-rabies vaccination as scheduled.

Better to consult near by diabetologist for better opinion.

You can directly ask questions to me on following link-
http://www.HealthcareMagic.com/doctors/dr-abhay-a-mali/69954

Hope this helps you.

Regards,
Dr. Abhay Mali.
Diabetologist.


Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Dr. Abhay A Mali (12 hours later)
Family has no diabetic history.. Parents report shows normal report means father sugar fasting 102 and sugar Pp is with in range.. My sugar report is also in normal in previous six month.. Doctor can it possible this is due to tetanus or rabipur injections that we taking from last week.. Please suggest may this this reasons blood sugar level increases.
doctor
Answered by Dr. Dr. Abhay A Mali (4 hours later)
Brief Answer:
OGTT & HbA1c may be suggested.

Detailed Answer:
Though blood sugar may fluctuate with any type of stress, food intake.
But this level of blood sugar may not be related to Tetanus or Rabipur injections.

In your case I may suggest to verify blood sugar levels by doing OGTT (Oral Glucose Tolerance Test) and HbA1c.

Hope this helps you.

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 807 Questions

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What Causes Elevated Sugar Levels?

Brief Answer: You need treatment for Diabetes. Detailed Answer: Hi Mr. XXXX, Thanks for your question. Noted your concern. Your blood sugar levels both Fasting & Post-prandial are in diabetic range. Which confirm the diagnosis of diabetes. In such newly diagnosed cases I may suggest- - Detailed clinical examination. Estimation of Body Mass Index (BMI). - Diet. - Exercise. - Medicines. - Investigations. Diet: - Usually we recommend 1800 kcal diet for diabetic male patient, though exact calories can be suggested depending upon BMI. - Avoid sugar in any form. - Consult near by dietitian who can plan diet considering your BMI, food habits. Exercise: - Usually I recommend at least 150 min of moderate degree physical activity per week. - Start exercise gradually. - Brisk walking, yoga can be preferred for long term. Medications: - Considering your age and history of diabetes in parents (interpretation based as your parents also underwent blood sugar test) there is most likely possibility of Type 2 Diabetes in your case, though it needs to be confirmed depending upon detailed clinical examination. - Considering diagnosis of Type 2 Diabetes, I may suggest to start Tablet containing Metformin 500 mg once a day with gradual increase to 1500 to 2000 mg per day in divided doses by the end of 10 to 15 days according to tolerance. - Metformin is a first-line drug in the treatment of Type 2 diabetes, it decreases insulin resistance (body insulin requirement) which is the basic pathology of Type 2 diabetes. - Medicines need to be modified depending upon periodic blood sugar test results. Investigations: I may suggest following blood tests- - Complete Blood count. - Renal function test. - Liver Function Test. - Urine Examination. - HbA1c. - Complete Lipid profile. Complete the Anti-rabies vaccination as scheduled. Better to consult near by diabetologist for better opinion. You can directly ask questions to me on following link- http://www.HealthcareMagic.com/doctors/dr-abhay-a-mali/69954 Hope this helps you. Regards, Dr. Abhay Mali. Diabetologist.