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Suggest Treatment For Elevated Blood Sugar Levels

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Posted on Mon, 16 Apr 2018
Question: Been experiencing hypoglycemia for about 1 week after strenous work. Blood sugar seems to go up and down several times daily. Had severe dehydration/heat exhaustion little over year ago, with many complications associatied with it. Blood sugar fasting is 95-100. after meal about 140-160. cannot get control of crashing. Is it possible damage to adrenals or some other organ? Have had numerous test all within standard ranges.
thanks for any suggestions. XXXX
doctor
Answered by Dr. Panagiotis Zografakis (50 minutes later)
Brief Answer:
your measurements are not bad...

Detailed Answer:
Hello,

although your postprandial glucose levels are a little higher than in most individuals none of the values you've mentioned is bad or completely abnormal. Regarding your postprandial measurement, the 'normal' values depend a lot on the time of measurement. For example the highest value is expected 1 hour after meal. The normal fasting values are between 75-99. The normal 1-hour postprandial values are not as precisely defined but values below 140 are considered to be normal.

You haven't also mentioned the glucose levels during hypoglycemia... If you've really had hypoglycemia (which means glucose under 70-75mg/dL AND symptoms) then there are various things to check. One fairly common cause is early diabetes (prediabetes) although it may sound strange. Some prediabetic patients may experience hypoglycemia 3-4 hours after a meal. If adrenal or pancreatic causes have been excluded then the aforementioned cause may be more likely.

If you'd like to inform me about the tests you've already done then it may help me to get a better idea of your situation.

I hope you find my comments helpful!
Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3810 Questions

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Suggest Treatment For Elevated Blood Sugar Levels

Brief Answer: your measurements are not bad... Detailed Answer: Hello, although your postprandial glucose levels are a little higher than in most individuals none of the values you've mentioned is bad or completely abnormal. Regarding your postprandial measurement, the 'normal' values depend a lot on the time of measurement. For example the highest value is expected 1 hour after meal. The normal fasting values are between 75-99. The normal 1-hour postprandial values are not as precisely defined but values below 140 are considered to be normal. You haven't also mentioned the glucose levels during hypoglycemia... If you've really had hypoglycemia (which means glucose under 70-75mg/dL AND symptoms) then there are various things to check. One fairly common cause is early diabetes (prediabetes) although it may sound strange. Some prediabetic patients may experience hypoglycemia 3-4 hours after a meal. If adrenal or pancreatic causes have been excluded then the aforementioned cause may be more likely. If you'd like to inform me about the tests you've already done then it may help me to get a better idea of your situation. I hope you find my comments helpful! Kind Regards!