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Suggest treatment for elevated blood glucose levels

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Posted on Wed, 1 Feb 2017
Question: My gluecose was 6.2 6,4. 6.5 over period time should I worry going see my. Doctor on Thursday for some type of plan what should as and what should I expect from him I was just wondering why did he tell me get moving went I was at 6.2 I could have not my numbler down by then that first test was. XXXXXXX 6 2014 last test was dec 29 2016 now 6.5
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Answered by Dr. Mirjeta Guni (38 minutes later)
Brief Answer:
About prediabetes.

Detailed Answer:
Hello and thank you for asking!
The glucose values you reported are slightly elevated ( if they are fasting), suggesting for prediabetes.
Except of fasting glucose level, postprandial glucose and HbA1c level (the mean value of the blood glucose of the last three months) would give more information regarding to blood glucose levels.
If you are overweight and the other above mentioned tests, will confirm prediabetes, a three months diet and physical activity would be the first line of treatment.
Will be a pleasure to help you further if you will have still queries.
Best wishes,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Mirjeta Guni (41 minutes later)
Ok went I took the test I didn't fast I told doctor that I had pancakes for breakfast with syrup sugar free and I had lunch he said didn't make a different im XXXXXXX XXXXXXX my height is 5:11 my weight is 259 so yes I'm over weight what would be healther weight with diet and workout do. You think went my doctor saw that I was. At 6.2 and 2014 do you think at that time he should have put me on program st that time because now I'm at 6.5 can I bring my numbers to XXXXXXX blood sugar range with out medication my sugar level was 112 what should I ask my doctor went I see him Thursday XXXXXXX 12 what should expect from him can you bring down your number naturally by changing life style and food choice ok thank a lot to absorb there
doctor
Answered by Dr. Mirjeta Guni (23 minutes later)
Brief Answer:
Diet and physical activity are the actual treatment.

Detailed Answer:
Welcome back!
So the numbers 6.5; 6.2 ect represent the HbA1c level? Because blood sugar of the moment can result 6.5 when measured in mmol and not in mg/ dl.
Now i can understand that you have checked the HbA1c level (the median value of the last three months) which resulted 6.5 and the fasting glucose level is 112.
The HbA1c is not necessary to be checked fasting.
At this point your physician will recommend to loose weight. The ideal weight loss is considered if you manage to loose 10% of your actual weight within one year.
The diet will consist in reducing carbohydrates and fat and adding proteins. A dietitian will be of help at your case.
Regarding to physical activity, 30 min cross three times in a week is necessary.
You need to check the lipids too and do a stress test to check the coronary arteries.
These will be the recommendations of the physician on Thursday.
Best wishes,
Dr.Mirjeta



Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2393 Questions

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Suggest treatment for elevated blood glucose levels

Brief Answer: About prediabetes. Detailed Answer: Hello and thank you for asking! The glucose values you reported are slightly elevated ( if they are fasting), suggesting for prediabetes. Except of fasting glucose level, postprandial glucose and HbA1c level (the mean value of the blood glucose of the last three months) would give more information regarding to blood glucose levels. If you are overweight and the other above mentioned tests, will confirm prediabetes, a three months diet and physical activity would be the first line of treatment. Will be a pleasure to help you further if you will have still queries. Best wishes, Dr.Mirjeta