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How to prevent diabetes? - Online Doctor Chats

Date : 06-Feb-2014
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:hi doctor
User:good morning
Doctor:How can I help you?
User:hello sir
User:do you remember me
User:i chatted with you yesterday
Doctor:Yes XXXXXXX how is your sugar value?
User:regardning blood sugar test using strips of accu-chek
User:yes got the reports
User:fasting is 77
User:and post prandial is 114
Doctor:Your sugar value seems to be very well.
Doctor:And not suggestive of diabetes.
User:not sure why accu-check gave such result
Doctor:The accu-check abnormality may be due to two reason.
Doctor:1. Error report
Doctor:2. You may have prediabetes where insulin is not able to immediately control your sugar.
Doctor:We can confirm the second possibility through another test known as glucose tolerance test.
Doctor:Here you will do a fasting blood sugar as you did yesterday.
User:ok. after that.
Doctor:After taking the early morning sample in a fasting state, you will be given a specific amount of glucose.
Doctor:And blood samples will be taken at specific intervals.
Doctor:half an hour, 1 hour, 2 hours and may be 3 hours.
Doctor:the time interval will depend as per protocols of the lab.
Doctor:If sugar values of Glucose tolerance test is normal, then you need not be worried about prediabetes.
User:ok. so i need to ask for glucose tolerance test. right
Doctor:Visit a good laboratory with NABL accredition.
Doctor:Have you followed what I suggested?
User:suppose i am in prediabetes stage. is it possible to prevent it from advancing to diabetes stage
User:i got what you have said
Doctor:A good life style and proper diet will allow you to prevent diabetes in the nearest future.
User:i did lab test for sister as well.
User:she is pregnant
User:her fasting level is 88 and
User:post prandial is 185
User:when she visited gynacologist
User:she suggested one more test
Doctor:her post prandial sugars are not in limits for a pregnant women.
User:she told that hba1c would give accurate result
Doctor:I would have liked to have the values under 180mg/dl.
User:yes doctor also told that
Doctor:If I were to be the treating doctor, I would have ordered another test known as glucose challenge test or the same glucose tolerance test along with Hba1c.
User:so for me also can hba1c will give correct result?
Doctor:But Hba1c is good enough to give a picture of how her sugars have been in the recent past.
User:i mean would it tell me if i am in prediabetese stage
Doctor:This test gives an average sugar values for the last 3 months.
User:so glucose tolerance test would be the better option right?
Doctor:Hba1c is an average blood sugar. It gives us information about sugar control in the recent past.
Doctor:I prefer to do glucose tolerance test for any person suspected with prediabetes / diabetes.
Doctor:Hba1c is an alternate choice.
User:thanks doctor
Doctor:Your sister can follow her gynecologist suggestions.
User:we will do that
Doctor:She would have her protocol set if Hba1c is abnormal.
Doctor:As far as you, glucose tolerance test is good enough.
Doctor:Hope it is clear to you.
Doctor:Do you have any other query?
User:thanks doctor
User:i XXXXXXX t have any
User:bye for now
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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