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High fasting sugar levels, normal post prandial sugar levels, medication adjustment - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   hi doctor
Doctor :   please proceed with your query
User :   had a query
Doctor :   tell me please
User :   needed to know why the sugar readings while fasting is higher than pp
Doctor :   may i know what are the readings and for whom were the tests done?
User :   150 fasting and 120 pp, this is for my friend who is 54 years old
Doctor :   ok
Doctor :   is he a known diabetic ?
User :   yes
Doctor :   ok
Doctor :   is he on medicines ?
User :   yes
Doctor :   ok
Doctor :   may i know when this test was done and was it in a lab or a glucometer at home ?
User :   tests were done a cpl of months back... and in a lab
Doctor :   ok
Doctor :   let me explain it to you
Doctor :   a fasting blood sugar of less than 110 to 120 is considered normal
Doctor :   if they exceed this we expect diabetes
Doctor :   it is fasting blood sugar which is important
Doctor :   as they determine the over night glucose levels
Doctor :   the post prandial blood glucose may show some variations
Doctor :   as he is on medications it may be expected to be low
Doctor :   any value of more than 140 mg/dl is considered as diabetic range
User :   ok
Doctor :   did he consult the physician with the reports ?
User :   yes
Doctor :   what did the doctor suggest ?
Doctor :   i feel he needs an adjustment of the dose of medicines he is on
Doctor :   are you with me
User :   yes doc
User :   doc i need to check with him and revert...
Doctor :   ok
User :   thanks
User :   thanks a lot doc
Doctor :   i would suggest to get a review with the reports as 15o fasting is not a fair control of diabetes
Doctor :   150
Doctor :   i mean
Doctor :   we always aim at keeping it below 120 in diabtes as well
Doctor :   with medicines in the form of tabs and insulin as well
Doctor :   i hope he is following the right diet and good physical activity
User :   he is not
User :   i will fwd ur suggestions
User :   thanks a lot doc
Doctor :   he msut do it as in diabetes control of sugar will only happen if he takes good diet and does exercise
Doctor :   ok , did i answer all your questions ?
User :   yes doc ...

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