HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Do These Blood Glucose Readings Indicate?

default
Posted on Mon, 2 Mar 2015
Question: Last week as part of my health check up , i got the following result for Blood sugar.

Fasting: 90
After break fast: 81.

Then i repeated this test this week again. and got the result as follows.

Fasting: 81
After break fast: 60.

Is there anything to worry much about this reduction in blood sugar level after food..?

thanks in advance
doctor
Answered by Dr. Ajish TP (35 minutes later)
Brief Answer:
It could be due to high insulin levels

Detailed Answer:
Hi XXXXXXX

Welcome to HCM. I have gone through the question and understand your concerns.

Please share with us your weight and height. Do you have anyone in the family with diabetes?

Decreased after food blood sugars when compared to fasting is due to high insulin in blood. This is a very early sign of diabetes. The first defense system of our body to diabetes is by increasing insulin levels in blood. This usually will normalise fasting sugars but will usually decrease the after food blood sugars. These changes are seen many years before development of diabetes.

Don't worry. You just need to decrease the sugar content of food and try to have frequent small quantities of food high in fiber.

Additional test you can do is HbA1c (3months average blood sugars).

Hope I have answered your questions. If you have any further queries I will be happy to help you.

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ajish TP (5 minutes later)
Thanks for the quick replay.

I am with 90kg with 5 feet and 10 inch height.

My cholesterol levels were quite high (above 200) 2 year back , since then i am taking statin drugs and now cholestrol levels are in normal range.
But my HDL is bit on lower side (37)

i didnt understand one thing , my sugar levels are low in the reports right..? but still i want to reduce sugar intake..?

what kind of diet pattern are you suggesting..?

Thanks in advance
doctor
Answered by Dr. Ajish TP (4 hours later)
Brief Answer:
See detailed answer

Detailed Answer:
Hi XXXXXXX

Welcome back.

Your sugars are low. I truly understand that the common logic is to eat more sugars when you have low sugars. But it is not true.

There is something called reactive hypoglycaemia. This is because when you are obese and at risk of diabetes, your insulin levels are high. When you eat food the glucose in food stimulate more insulin secretion. This insulin will bring down the sugars low after food.

The diet you should follow is similar to diabetic diet. 3 major meals ( breakfast. lunch and dinner) and 3 snacks should be there. More vegetables, fruits like apple, orange and banana can be taken. Less refined sugars and more fibres.

Have regular exercise of 1/2 hour per day.

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ajish TP

Endocrinologist

Practicing since :2002

Answered : 819 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Do These Blood Glucose Readings Indicate?

Brief Answer: It could be due to high insulin levels Detailed Answer: Hi XXXXXXX Welcome to HCM. I have gone through the question and understand your concerns. Please share with us your weight and height. Do you have anyone in the family with diabetes? Decreased after food blood sugars when compared to fasting is due to high insulin in blood. This is a very early sign of diabetes. The first defense system of our body to diabetes is by increasing insulin levels in blood. This usually will normalise fasting sugars but will usually decrease the after food blood sugars. These changes are seen many years before development of diabetes. Don't worry. You just need to decrease the sugar content of food and try to have frequent small quantities of food high in fiber. Additional test you can do is HbA1c (3months average blood sugars). Hope I have answered your questions. If you have any further queries I will be happy to help you. Regards, Dr Ajish TP [MD,DM] Consultant Endocrinologist