HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

High Fasting Blood Sugar Diagnosed. AC1 Lowered. How To Control The Sugar Levels?

default
Posted on Sat, 14 Jul 2012
Question: Hi, my fasting blood sugars is 128, I am not on medication.I was diagonised with 434 reading two years back, was on medication for 8 months then my AC1 lowered to 4.8% and slowly my medications were reduced to nill, from past 1 year I am controlling by diet and exercise. I was on oral medication then, type 2. My hba1 has been 5.8% -6.6% range.

doctor
Answered by Dr. Pavan Kumar Gupta (29 minutes later)
Hello XXXXXXX
Thanks for the query.
It is good that you are controlling your sugar levels by diet and exercises.
Your fasting sugar level is slightly high but you have not mentioned about your PP sugar levels.
Your HBA1c levels are also desirable.
You must keep up with your diet and exercise regime but must always keep a watch on your sugar levels and monitor them at regular intervals.
Simultaneously get a lipid profile also done.
The moment you find that sugar levels are getting out of control,you should immediately start with oral anti diabetic drugs.
Please also get an eye check up also done.
Please revert to me for any further query on this issue.
Best of luck.
Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Pavan Kumar Gupta (53 minutes later)
Dear Dr XXXXXXX

Than you for the reply. The below are the readings from past 20 days.

26/05- f- 143,after morning gym-131,2hrs-167
27/05-f-131
28/05-f-116
29/05-f-141, 2hr-113
30/05-f-115
31/05-f-115,before dinner-106
01/06-f-115
02/06-f-119
03/06-f-104
04/06-after morning gym-122,2hrs- lunch-158
05/06-f-116,before dinner-88
06/06-before dinner-94
07/06- before dinner-92
08/06-2 hrs post dinner- 107
11/06-2 hrs post lunch- 142
12/06-f-106,2 hrs post lunch-121
15/06-3.5 hrs of eating-100
16/06-f-128

Regards
Raghu
doctor
Answered by Dr. Pavan Kumar Gupta (1 hour later)
Hello
After going through your reports I feel that your sugar levels are definitely slightly deranged.
To prevent longterm micro as well as macro complications,your sugar levels should be tightly controlled.
I advocate use of medicine like METFORMIN 500 mg twice daily.
Talk to your physician regarding this.
Thanks
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
High Fasting Blood Sugar Diagnosed. AC1 Lowered. How To Control The Sugar Levels?

Hello XXXXXXX
Thanks for the query.
It is good that you are controlling your sugar levels by diet and exercises.
Your fasting sugar level is slightly high but you have not mentioned about your PP sugar levels.
Your HBA1c levels are also desirable.
You must keep up with your diet and exercise regime but must always keep a watch on your sugar levels and monitor them at regular intervals.
Simultaneously get a lipid profile also done.
The moment you find that sugar levels are getting out of control,you should immediately start with oral anti diabetic drugs.
Please also get an eye check up also done.
Please revert to me for any further query on this issue.
Best of luck.
Thanks