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What Causes High Blood Glucose Levels And Hot Flashes While Treating Depression?
Question: I am a 62 year old female, my glucose level has always been around 90 except for the last few weeks, it is running around 137. I need to lose 15 pounds, but I have also been having hot flashes which I am too old for, I drink a lot of water, have been going to the bathroom a lot, twice in the middle of the night. I take prestiq and wellbutrin for depression and I know it can raise glucose levels but never had that problem before. Could I be on my way to type 2 diabetes? I know not know my A1C level. Thank you.
Brief Answer:
it seems that you already have diabetes!
Detailed Answer:
Hello,
although a self glucose measurement is not enough to establish the diagnosis, two measurements equal or above 126 mg/dL (fasting glucose) mean diabetes. Since you've had several high measurements, you probably have diabetes right now. The increased nightly urination could be related to hyperglycemia although I could not confirm it without urine (or blood testing). If your morning urine contains glucose then it's very likely that you have very high blood glucose during the night.
In order to find out for sure you should do the oral glucose tolerance test (OGTT). This test consists of two measurements of blood glucose. The 1st one is the fasting glucose. The 2nd follows consumption of 75 grams of glucose. The measurement has to be taken 2 hours after ingesting the glucose drink. A glucosylated hemoglobin (HbA1c) would be very helpful to determine the need for treatment.
In the meantime trying to loose some weight (if you're overweigth) and adopting a healthy diet would help to reduce your chances of having diabetes and also achieve a better control if you're diabetic after all. Physical activity helps a lot. Consult your cardiologist before engaging into any activity more strenuous than walking.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.
Kind Regards!
it seems that you already have diabetes!
Detailed Answer:
Hello,
although a self glucose measurement is not enough to establish the diagnosis, two measurements equal or above 126 mg/dL (fasting glucose) mean diabetes. Since you've had several high measurements, you probably have diabetes right now. The increased nightly urination could be related to hyperglycemia although I could not confirm it without urine (or blood testing). If your morning urine contains glucose then it's very likely that you have very high blood glucose during the night.
In order to find out for sure you should do the oral glucose tolerance test (OGTT). This test consists of two measurements of blood glucose. The 1st one is the fasting glucose. The 2nd follows consumption of 75 grams of glucose. The measurement has to be taken 2 hours after ingesting the glucose drink. A glucosylated hemoglobin (HbA1c) would be very helpful to determine the need for treatment.
In the meantime trying to loose some weight (if you're overweigth) and adopting a healthy diet would help to reduce your chances of having diabetes and also achieve a better control if you're diabetic after all. Physical activity helps a lot. Consult your cardiologist before engaging into any activity more strenuous than walking.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.
Kind Regards!
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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