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Advice on control of blood sugar levels - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   Hi, may I answer your health queries right now ? Please type your query I am an average weight, 46 year old women with hypothyroidism but otherwise healthy. I have a family history of diabetes and autoimmune disorders. I started tracking my blood glucose after a test at the doctor's office came back a little high. For the past two months, with modification of my diet, my fasting blood glucose is between 109-133. My two hour post prandial swings from 125-170, depending on how carb heavy the meal has been. I can spike just over 200 with a baked potato, bagel, etc. My a1c is 5.7. Do I need to do anything else? Medication? Simply monitor? Or are these readings okay? here...
Doctor :   Hi
Doctor :   Iam.dR.xxxx
Doctor :   May i read your post now
Doctor :   you dont have that high readings
Doctor :   anyway do you do any regular exercise
User :   so it looks okay? yes I exercise most days
Doctor :   the reading can go high with potato
Doctor :   as it releases sugar fat
Doctor :   yes its ok
Doctor :   even your hb1 ac
User :   well that's good to know... does it point to diabetes down the road
Doctor :   appears in the normal range
Doctor :   do you take any medicines now
User :   just levoxylthyroxine
Doctor :   even thyroid will cause high sugar
Doctor :   ok
Doctor :   you may do some diet control too
Doctor :   withe xercise
Doctor :   like more fruits and vegetables
Doctor :   avoid banana,potato,sweet ones
Doctor :   and take some relaxation exercises too
Doctor :   what is your recent TSH LEVEL
Doctor :   is it normal
User :   I read that pre-diabetes is indicated with fasting blood glucose >110. should i just ignore the 120s I'm getting? My thyroid levels are fine right now after bumping up to 100
Doctor :   throxine is required for normal metabolism of body
Doctor :   yes you can prevent that by dieting and exercis
Doctor :   along with thyroid control
Doctor :   ok
Doctor :   i feel with some more time you will get good fasting values less than 100
Doctor :   once you control your diet
Doctor :   take only fruits and salads in the night
User :   what if my diet is controlled and I'm still getting these numbers?
Doctor :   that will almost bring that down to 100
Doctor :   yes you may have a predispositon for diabetes
Doctor :   but you thyroid status too will have an impact
Doctor :   eating on fruits and veg in the night will
Doctor :   bring down fasting sugar to less than 100
User :   interesting...I have found that even at a normal weight for my height, it is exceedingly difficult to lose weight. I'll cut out the carbs...see what happens
User :   is metformin indicated or not?
Doctor :   yes thats what you need
Doctor :   yes it can help
Doctor :   to prevent sugar absorption
Doctor :   but take it with only dr advise
Doctor :   try first with diet and exercise
Doctor :   mostly you need that only now
Doctor :   since your HBA1C IS LESS THAN 7
Doctor :   so work out a plan
User :   I wouldn't consider taking it without dr.'s advice. Okay, I'll get serious about improving the numbers with diet and exercise.
Doctor :   and also check your TSH regularly
Doctor :   yes
User :   even if I don't lose additional weight
Doctor :   take more of fruits and veg
Doctor :   avoid sweeter ones like banana
Doctor :   weight loss will come with TSH normalisation
User :   what blood sugar ranges do you recommend?
Doctor :   so dont worry
Doctor :   try to keep it less than 100
Doctor :   it will be good
Doctor :   you can do that
Doctor :   very well
User :   this was helpful. thank you, Doctor.
Doctor :   Thanks fro consulting..
Doctor :   wishing you good health...
Doctor :   nice talking to you...
User :   you, too. have a good day.
Doctor :   Bye for now...\
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