Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

146 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Fasting blood sugar and postprandial blood sugar above normal range. Should I start medications?

Answered by
Dr.
Dr. Om Lakhani

Endocrinologist

Practicing since :2004

Answered : 319 Questions

default
Posted on Thu, 14 Feb 2013 in Diabetes
Question: My husband is having fasing blood sugar 136 mg/dl & random is 152 mg/dl.This was observed from past 6 months,he is not on any medication,his height is 164 cm & weight is 50 kgs. What should be done to bring his blood sugar level to normal ,should he start on any Medication. Kindly guide.
doctor
Answered by Dr. Om Lakhani 47 minutes later
Hi XXXXXXX

If the fasting blood sugar is >126 mg/dl or the postprandial is >200 mg/dl it is termed as Diabetes Mellitus

Your Husband's fasting sugars is above the normal range The post prandial is also high but in prediabetic range ie 140-200 mg/dl and not in diabetic range. However if the fasting has been high on more than one occasion it is enough to call him a diabetic

I would advice you to get an HbA1c done ie Glycosylated hemoglobin. This report tells us about the average sugar control over last 3 months. If the HbA1c is >6.5 it would confirm our diagnosis

I would also advice you to get a fasting lipid profile and urine microalbumin done. These will tell us about your husbands cholesterol status and kidney status. Dysplipidemia and protein leakage in urine are often seen with diabetes and can easily be prevented. Have his blood pressure also checked. In Diabetics the blood pressure target should be <130/80 mm Hg and not <140/90 mm Hg as it is in normal people.

Diabetics often have retinopathy and I would advice you to get your husband checked with a retinal surgeon for presence of diabetic retinopathy. This screening of the eyes has to be repeated every year
.
All in all he may require medications for control of his sugars. We generally started an extended release metformin as the first line therapy. Any local doctor can prescribe you the same. We check the HbA1c every 3 months till it is in control and then every 6 months. If the blood pressure and cholesterol is also high we may require medications for that as well. Low carb diet, atleast 30 min a day excercise and weight loss of about 10-15 percent over 6-12 months would also help in the diabetes management. You can consult a good dietician who would prescribe you a diet chart which would help in diabetes control as well as weight loss

Hope this was helpful.

With Warm regards
Dr Om Lakhani, MD
Diabetologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Treatment/Therapy
Lab Tests

Recent questions on  Diabetes

doctor1 MD

Hi I have been having pain in my left leg and its in nowhere particular but i do have diabetes and I did not hurt injure my leg or nothing to that effect and I do get muscle spasms in my feet almost every night...what could this be or could i it be one of the meds i take for chlorestrol?

doctor1 MD

I have very heavy swelling in my both foot & lower portion of legs for last 2 months. It reduces occasionally but flares up again . I am 54 years & weighing 130 kg. Lipid profile , LFT ,KFT blood tests are normal. No BP or Diabetes problem. What is the cause & treatment. FROM : M.K. VERMA

doctor1 MD

I was diagnosed with primary hypertension at age 25. My average reading at diagnosis was 145/110, with peak reading at 185/120. In the past few years, my blood pressure readings have averaged out to slightly above normal with medications, averaging 125/95. However, yesterday I had a higher reading of 150/105 and earlier tonight my blood pressure spiked to 140/115 but has now dropped back down to 135/90. I was diagnosed with Type 2 diabetes at age 25 with a fasting blood sugar of 185. Now my blood sugar is in close to normal levels and is treated with Metformin and diet. My A1C is also in normal ranges. I was diagnosed with high cholesterol at age 26. At diagnosis, my total cholesterol was 310. Now it is down to 210 with medication and diet. At diagnois, my LDL cholesterol was 220 and has now dropped to 135 with medications. At diagnosis my HDL cholesterol was 90 and has now risen to 75 with my total cholesterol level being 210 at my last appointment with my cardiologist which was two weeks ago. I have been obese for most of my life and have been unable to lose much weight even with diet and exercise. At my heaviest, I weighed 285 pounds and am now down to 245 pounds which is about 110 pounds overweight.; Relevant drugs:I take Metformin, Benicar, and Vytorin. ) on Sat 10, Jul 2010 09:57pm : Last night, I felt naseous and had waves of slight pain and pressure in my chest. I also felt pain in my jawline and left elbow area, which came and went in waves. I was sweating more than usual and was dizzy, but felt better with rest. Today I went about my normal routine, but felt dizzy when I went on my evening walk and now my left arm is numb. With my history, should I go to the ER just be sure this isn t cardiac related?

doctor1 MD

Hello. My husband is in post pancreatitis stage and is home leading a normal life . The cause of this illness remains a mystery to the doctors that attended to him as he does not drink alcohol and gall stones were also ruled out. My question is, what kind of foods shld he be eating? I don t want to know about diets that help lose your belly, I want to know about nutrition. What my husband does is if he gets an ache and upset tummy, he reviews what he ate over the last few meals and assumes a certain food caused and just says he wont eat it again, and this goes on til the next tummy ache. He does still take creon and he is not a diabetic at this stage based on tests that have been done. We are based in Cairns Aussie. Any advice or education on these issues wld be most appreciated. Regards Ruth Young

doctor1 MD

Yes, really I would like to know why after I eat I feel drained, sometimes shaky and need to go to sleep

doctor1 MD

Hello. For the past few weeks I have been urinating a lot and my urine is very clear. Is this cause for concern?

doctor1 MD

We have consulted a doctor and she has prescribed Tab Duphaston (10 mg) twice daily. Could you advise us of its purpose and if it has any side effects in long-term. We would really appreciate your advice on this.