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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fluctuating Blood Sugar. Suggest Something

My blodd sugar usually is 320 when i first get up. I usually eat breakfast and in 2 hours its down to 140. Today it was 326(highest it has ever been). I ate some eggs and peppers. 2 hours late it was down to 275. I dran 60 ounces of water and walked at lunch. When I got back to my place it was 275, I went to dinner and I will check it again in a couple hours. Am I ok to go to sleep. My Dr is going to start me on medication tomorrow.
Mon, 22 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM,
Your blood sugar is more than 300 mg/dl,you are diabetic and I am wondering why you are not taking treatment already.
Please visit your doctor tomorrow and take care of Diabetic diet 25 Kcal /kg body weight and anti diabetic medicine as prescribed by your doctor and also take care of exercise regularly.
It is important to take care of blood sugar level to prevent ccomplications of diabetes.
Please see if you are over weight try to reduce some weight.
In my opinion if blood sugar level is too high then we can start with Insulin therapy to control blood sugar level.
Diabetes is long term management with drugs,diet and exercise, in case you take alcohol or smoke please stop both as they are harmful .
Please take care
Good Luck.
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello,
There are couple of factors which can cause high fasting blood sugar levels.
In people with type 2 diabetes,liver dumps more sugar in the blood during night and since there is associated insulin resistance present,it results in even more high levels of fasting blood sugar levels.
Your post meal blood sugar levels are also very high and it becomes very important on your part to control your blood sugar levels throughout the day.
Uncontrolled diabetes can result in various micro as well as macro vascular complications in future which tend to damage various internal organs like heart,kidney,eyes,nerves,blood vessels etc.
Consult your doctor and take proper medicines to control your sugar levels.
Make sure to control your blood pressure and blood lipids as well.
Control your diet and avoid high carbohydrate and fatty diet.
Avoid sugar and colas.
Do regular aerobic exercises for 45 minutes a day.
Along with control of sugar levels,your target BP should be below 120/80  and LDL cholesterol  below 80 and triglycerides below 150 .
Thanks
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Fluctuating Blood Sugar. Suggest Something

Hi, Welcome to HCM, Your blood sugar is more than 300 mg/dl,you are diabetic and I am wondering why you are not taking treatment already. Please visit your doctor tomorrow and take care of Diabetic diet 25 Kcal /kg body weight and anti diabetic medicine as prescribed by your doctor and also take care of exercise regularly. It is important to take care of blood sugar level to prevent ccomplications of diabetes. Please see if you are over weight try to reduce some weight. In my opinion if blood sugar level is too high then we can start with Insulin therapy to control blood sugar level. Diabetes is long term management with drugs,diet and exercise, in case you take alcohol or smoke please stop both as they are harmful . Please take care Good Luck.