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Test showed raised sugar level. What could be the cause? - Online Doctor Chats

Date : 14-Mar-2013
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User:Hello Doc
Doctor:How are you doing?
User:m fine!! How u doing today?
Doctor:I am doing good, thankyou
Doctor:Please proceed with your query
User:I did the blood sugar test for my Dad today
User:Fasing it rates as 141 mg/dl and non fasting its 246 mg/dl
User:Two months back I did the same test ,he was normal
User:How did it increase all of a sudden?
User:any specific reason that as triggered it?
Doctor:I believe your father was not a diagnosed case of diabetes, Is that right?
Doctor:It is possible that he had pre-diabetes at that stage
Doctor:Can you recall the readings 2 months ago?
User:yes, fasting 91 mg/dl and non fasting 156 mg/dl
Doctor:This is being done with a glucometer aat home, right?
Doctor:A non fasting reading of 156 mg/dL does reflect impaired glucose tolerance
User:The test that was done two months back was done in a lab where as the present test is done by a glcometer at the hospital
Doctor:Actually between 140-200 mg/dL is impaired glucose tolerance
Doctor:How did he land up in the hospital?
User:As he was pretty normal before two months
User:suddenly he had BPH
User:and was undergoing treatment
User:He takes the medcine Tamdura
User:During that time he was askedto do some test, so in the urine test they found sugar level ++
User:So I did the sugar test again at hospital but the did it byglucometer
Doctor:A glucometer is not always accurate
Doctor:Secondly, I would like you to get it reconfirmed at a laboratory
Doctor:If the fasting glucose is >125 and PP >200
Doctor:Then it would be diabetes
User:What is P
Doctor:2 hours after having a carbohydrate XXXXXXX meal
Doctor:we take a sample and then then measure glucose levels
User:Can you suggest some good meal and do's and don'ts for a diabetic patient
Doctor:A 1600 calorie diet
Doctor:Small frequent meals are to be taken
Doctor:No refined sugar, sweets, oily food
Doctor:No added sugar basically
Doctor:Has your father been assessed for a high blood pressure?
Doctor:and then I'
Doctor:ll tell you how to treat it,
Doctor:Then a couple of tests first to assess what we are looking at
Doctor:First, I need a blood pressure, a weight and height measurement
Doctor:and some blood tests
Doctor:like fasting blood glucose, post prandial blood glucose, complete lipid profile ( to be done in fasting)
Doctor:and urine microalbumin
Doctor:After you get the reports, just mail them to me at YYYY@YYYY
Doctor:with attention to Dr. XXXXXXX in the subject line
Doctor:Did you follow?
Doctor:Next, the management
Doctor:First, a proper diet
Doctor:No added sugar, no sweets, oily or fried food
Doctor:He has to eat small meals at frequent intervals
Doctor:I'll get our dietitian to design a plan for him
Doctor:Is that ok?
User:Yes definitely....
Doctor:atleast 5-6 servings of fruits and vegetables every day
Doctor:No banana, chikoo, pineapple, coconut aand mango
Doctor:Next, exercise
Doctor:atleast 3-40 minutes of brisk walk daily
Doctor:I want him to keep a check on symptoms like dizziness, blurring of vision, sweating
Doctor:If he ever has those symptoms, please give him something sweet to eat immediately
Doctor:He always should have something sweet in his bag
Doctor:If you do not follow anything, just stop me right there, ok?
Doctor:next, I want him to always wear his slippers and never go around barefoot
User:Just one thing that I want to brng to ur notice is that, after the tratment for BPH he nowdays get frequet thirst and freqent urination. He was pretty well before
Doctor:The smallest injury also should be seen by a doctor and addressed immediately
Doctor:Please dont self treat it
Doctor:These are symptoms of diabetes
Doctor:You might have just noticed it after that
Doctor:We're looking at something that has been going on for years
Doctor:How old is he?
Doctor:Then I want an ECG also to be done
Doctor:to have a baseline
Doctor:Please save this chat
Doctor:I want to make sure that the message is communicated properly and on time
Doctor:Tomorrow, you'd be off work right?
Doctor:Assuming you get the tests done tomorrow and we have the reports by day end
Doctor:Just email them to me
Doctor:I'll look at them and revert back to you
Doctor:so you can have a consult this sunday
Doctor:Sounds ok to you?
User:He told me that he is getting frequent thirst only after the treatment of BPH, earlier he use to be pretty normal
User:I mean he use to drink 2 litres of watr ony
Doctor:Its possible that the diabetes got overt in the lasst 2 months
Doctor:You will notice that once his diabetes gets controlled, these symptoms would go away
Doctor:The most important thing is that with lifestyle modification, exercise and weight loss
Doctor:you can control diabetes to a large extent
Doctor:without medication
User:Ok doctor... Thanks so much
Doctor:If you cannot control this, medication will not help
User:I will keep you inform on this
Doctor:and the complications will increase
Doctor:I wish your father all the best
Doctor:Any help any time
Doctor:just contact us here
Doctor:Any more questions I can answer?
User:Thnks so much
Doctor:Thanks for consulting me
Doctor:Have a nice day
Doctor:Bye for now
User:same to you :)
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