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What causes high fasting blood sugar level? - Online Doctor Chats

Date : 05-Feb-2014
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:hi doctor
User:good afternoon
Doctor:How can I help you?
User:yesterday, me and my sister went for sugar test
User:as she is pregnant
User:her fasting level is 120 and mine was 103
User:earlier we don't have daibetes history
User:my mom is diabetic
User:we took test 2 hrs after having break fast
User:i had 7 puris and my sister 4 puris
User:the test was done using accu-check strips
User:strangely she got a value of 140
User:and mine 203
User:in doubt i repeated
User:now it shown 186
Doctor:May I know if all the tests was performed using accu-check strips
Doctor:or was any of the tests done at a laboratory?
User:all of these using accu-check strips
User:none of them were done in lab
User:i am 32 yrs age and my sister 26 yrs
Doctor:You said you repeated the tests, may I know after how long did you repeat the tests?
Doctor:And did some one ask you to get the test?
User:2 hr after
User:no one told
Doctor:Let me brief you.
Doctor:I tell my patients to use accu-check strips to monitor blood sugar.
Doctor:we do not diagnose a patient based on accu-check readings.
Doctor:Since there are lots of bias with its use.
Doctor:Therefore if you have any suspicion, you need to repeat the tests at a recognized laboratory
Doctor:preferably one which has NABL certification.
Doctor:You can repeat the test on fasting as well as 2 hours post prandial.
Doctor:The further steps of management will be based on those 2 readings.
User:sir, which one is more reliable - fasting or post prandial
Doctor:Each of these have individual significance.
Doctor:They are part of diabetes testing and not different forms of tests.
Doctor:Abnormality in any of the tests need to be evaluated further.
Doctor:Have you followed?
Doctor:Do you have any questions?
User:is there any relation of what i eat before test?
Doctor:Generally body has capability to manage sugar levels based on what you eat.
User:because i had banana after having 7 puris of breakfast
Doctor:however if you eat very little or almost none
Doctor:the sugar fluctuations may not be very much.
Doctor:Therefore I suggest my patients to eat normally what they do at breakfast.
Doctor:If your body is secreting enough insulin, they should be able to control blood sugar with time
Doctor:Please get them tested at a good laboratory.
Doctor:You can have answers to all your question.
User:today morning i gave fasting sample
User:and 1 hr 30 min after having breakfast (6 idlis) i gave another sample
User:in lab
User:they told me 1 hr 30 min to 2 hr
User:after break fast
User:is that ok
User:or do we need to give only after 2 hr
User:the snd sample
Doctor:If you already given the tests at lab, please wait for the results.
Doctor:1 hour and 30 minutes is ok.
User:thank you doctor
User:i will chat again once the results are out
Doctor:If the values are abnormal, we can plan further tests accordingly to reconfirm the value.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:pls let me know the valid range for fasting as well as post prandial
Doctor:At present fasting sample within 104 and post prandial sugars within 126 is considered in limits.
Doctor:Do you have any other query?
User:thank you doctor
User:i don't have any
Doctor:Thanks for consulting me.
User:bye for now
Doctor:Bye for now.
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