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What Do These Fasting And Post Pradial Blood Sugar Levels Indicate?

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Posted on Tue, 8 Sep 2015
Question: Fasting sugar is 101,post prandial 163,am I diabetic? if I am pre diabetic what steps I need to follow to stop the progression to diabetis.
doctor
Answered by Dr. Shehzad Topiwala (10 minutes later)
Brief Answer:
Likely pre diabetic

Detailed Answer:
Normal blood glucose levels are

65 to 99 mg/dl in the fasting state.

100 to 125 is considered Pre diabetic i.e. a risk factor for the development of type 2 diabetes. An alternative technical term for this condition is IFG (Impaired Fasting Glucose).

126 and above is tantamount to a a diagnosis of diabetes

Post prandial the blood glucose levels normally remain under 140. However the standardised way to assess this is through the 75 grams OGTT (Oral Glucose Tolerance Test).
2 hours after the glucose load, blood glucose levels are

Normal if less than 140

140 to 199 is Pre diabetes or IGT (Impaired Glucose Tolerance)

200 or more is sufficient to make a diagnosis of diabetes.

Random glucose levels of more than 200 with symptoms of high blood sugar such as increased thirst, urination, hunger and weight loss are also sufficient to make a diagnosis of diabetes.

So you seem to have both IFG and IGT, although the latter is best determined after a proper 75 gram glucose challenge and not just any meal. It is quite likely you have Pre diabetes. But to be certain whether or not you have diabetes, one needs to do either the OGTT or Glycosylated Hemoglobin (HbA1c) test.
This is because some people have fasting glucoses in the pre diabetic range but their 2 hour post glucose challenge readings or the HbA1c cutoffs meet criteria for diabetes.

Once the correct diagnosis is made, and if you meet criteria only for pre diabetes then lifestyle modification has been shown to be effective in preventing the progression to diabetes.
Lifestyle change includes healthy eating, increased physical activity and weight control to achieve and maintain healthy body weight.
Some medications like metformin and acarbose have also been studied but none is as effective as a lifestyle modification program.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (11 minutes later)
how many years can I stop progression of this to diabetis if I change life style and do walking.now am walking 4kms a day after diagnosed.I don't want to use tablets cause if I start now I should use life long.31 years is too early right.are there cases who got diabetis 30yrs
doctor
Answered by Dr. Shehzad Topiwala (2 minutes later)
Brief Answer:
Follow up

Detailed Answer:
Yes there are even children as young as 12 getting type 2 diabetes nowadays.

There is no definitive number of years. You can avoid it forever by staying at a healthy body weight through eating right and exercising regularly.

You should consult a dietician and see an exercise physiologist to create an exercise program individualised for you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (5 minutes later)
can I leave healthy by eating right and exercising,not getting complications from diabetis.am depressed ,please help me gaining some confidence.do u want me to start medication? can u elobarate ur answer.cause I have seen a guy with diabetis from 10years.leg broken and blindness because of diabetis.that happens to me also?
doctor
Answered by Dr. Shehzad Topiwala (13 hours later)
Brief Answer:
Second follow up

Detailed Answer:
1 HEALTHY EATING: Please see a DIETITIAN to learn about healthy food choices

2 WEIGHT CONTROL (if you are overweight/obese) : Even losing 5 to 10% has been proven to have health benefits

4 Increased PHYSICAL ACTIVITY:

Start gradually and aim to lose half (1/2) kg per week by cutting 500 calories per day to begin with.

Participate in at least 150 minutes per week of moderate intensity aerobic activity (50 TO 70% of maximum heart rate), over at least 3 days per week with no more than 2 consecutive days without exercise. Also perform resistance training (muscle strengthening exercises involving all major muscle groups) at least twice weekly, unless advised against it by other doctors such as cardiologist / ophthalmologist

Before you start an exercise regimen, please see an Exercise Physiologist to customize an exercise program for you or consult your Family doctor or Cardiologist to TAKE sure your heart is ok.

In general, start with 10 minutes daily and gradually increase the duration and intensity of exercise. Weight loss often requires 90 minutes of vigorous exercise on most days of the week.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (46 minutes later)
fasting is 83 and two hours after eating breakfast 106 .I checked through accu check meter.now its fine right?
doctor
Answered by Dr. Shehzad Topiwala (22 minutes later)
Brief Answer:
Third follow up

Detailed Answer:
yes this is fine
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. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Do These Fasting And Post Pradial Blood Sugar Levels Indicate?

Brief Answer: Likely pre diabetic Detailed Answer: Normal blood glucose levels are 65 to 99 mg/dl in the fasting state. 100 to 125 is considered Pre diabetic i.e. a risk factor for the development of type 2 diabetes. An alternative technical term for this condition is IFG (Impaired Fasting Glucose). 126 and above is tantamount to a a diagnosis of diabetes Post prandial the blood glucose levels normally remain under 140. However the standardised way to assess this is through the 75 grams OGTT (Oral Glucose Tolerance Test). 2 hours after the glucose load, blood glucose levels are Normal if less than 140 140 to 199 is Pre diabetes or IGT (Impaired Glucose Tolerance) 200 or more is sufficient to make a diagnosis of diabetes. Random glucose levels of more than 200 with symptoms of high blood sugar such as increased thirst, urination, hunger and weight loss are also sufficient to make a diagnosis of diabetes. So you seem to have both IFG and IGT, although the latter is best determined after a proper 75 gram glucose challenge and not just any meal. It is quite likely you have Pre diabetes. But to be certain whether or not you have diabetes, one needs to do either the OGTT or Glycosylated Hemoglobin (HbA1c) test. This is because some people have fasting glucoses in the pre diabetic range but their 2 hour post glucose challenge readings or the HbA1c cutoffs meet criteria for diabetes. Once the correct diagnosis is made, and if you meet criteria only for pre diabetes then lifestyle modification has been shown to be effective in preventing the progression to diabetes. Lifestyle change includes healthy eating, increased physical activity and weight control to achieve and maintain healthy body weight. Some medications like metformin and acarbose have also been studied but none is as effective as a lifestyle modification program.