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What causes high blood sugar levels?

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Posted on Tue, 14 Feb 2017
Question: Hi Sir
Good Evening.
I have for the first time got a high level of Sugar in my blood test.
Fasting : 256, PP: 529,
HbA1C : 10.5. Glucose in Urine : 4.
Kindly suggest. For last 5/6 months I stopped morning walk because of high level of polution (I was otherwise regular). In my last blood test report the the sugar level @ fasting was 110. My question is; What is the first level of treatment? or, what is the clinical pathway for this conditon? Also can I lead a normal life without medication. I am laready hypertensive. My father acquired Type-II Diabetes at the age of 55.
Thanks and Regards,
XXXX
doctor
Answered by Dr. Saumya Mittal (43 minutes later)
Brief Answer:
Suggestions

Detailed Answer:
Hi.
I am Dr Mittal.
I have read your message
I think I can help you.

Your sugars are high currently.
You say your sugar's were normal when you were walking.
It would be better to start exercising again.

Thereafter start medicines.
However, it may not be sufficient alone.

As per this descriptions, your fasting blood sugars were normal.
You never tested HbA1c or PPBS before as per your query.
So it may have been still high.

It might be of help to buy a glucometer and watch your sugars.
It would be good to start a medicine initially and increase dose gradually.
A dose of Metformin 500 can be initiated and gradually stepped up.
Watch your sugars once you start the medicines with the glucometer.

Watch your diet. And start your exercises again.
If possible, just get admitted to a hospital for a few days for perfect dose adjustment of the anti-diabetic medications.

Let us know the further sugar chartings so that we may be able to help you further.

Best of luck.
Dr Mittal


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
Dr.
Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2893 Questions

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What causes high blood sugar levels?

Brief Answer: Suggestions Detailed Answer: Hi. I am Dr Mittal. I have read your message I think I can help you. Your sugars are high currently. You say your sugar's were normal when you were walking. It would be better to start exercising again. Thereafter start medicines. However, it may not be sufficient alone. As per this descriptions, your fasting blood sugars were normal. You never tested HbA1c or PPBS before as per your query. So it may have been still high. It might be of help to buy a glucometer and watch your sugars. It would be good to start a medicine initially and increase dose gradually. A dose of Metformin 500 can be initiated and gradually stepped up. Watch your sugars once you start the medicines with the glucometer. Watch your diet. And start your exercises again. If possible, just get admitted to a hospital for a few days for perfect dose adjustment of the anti-diabetic medications. Let us know the further sugar chartings so that we may be able to help you further. Best of luck. Dr Mittal