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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does a fasting sugar level of 125 indicate?

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Posted on Sat, 3 Sep 2016 in Thyroid Problem and Hormonal Problems
Question: My name is XXXXXXX and I am 35 years old. No history of diabetes in my family. About 1 years ago I checked my hBA1c it was 7.2 and same test performed 3 months ago and it was 6.8. I have sugar test machine in my home. In fasting my sugar level average is 125 - 130. Am I Diabetic patient? What should I do now?
doctor
Answered by Dr. Shehzad Topiwala 52 minutes later
Brief Answer:
Yes

Detailed Answer:
It is very likely you have diabetes based on the test results you have shared with me. You will be best served by consulting an endocrinologist in-person who will evaluate you thoroughly. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)    12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D   levels   (ideal range 40 to 60 ng/ml =  100 to 150 nmol/liter)     


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala 11 hours later
My creatinine ,tsh aur all other tests are excellent. hba1c result alredy shared with you. What should I do now as my hba1c is 7.2.
doctor
Answered by Dr. Shehzad Topiwala 11 hours later
Brief Answer:
Follow up

Detailed Answer:
You will need to see a dietitian to learn healthful eating. You will also need be physically active. If you are overweight, 5 to 7% of body weight loss is recommended. With these, there is a chance you may succeed in reversing diabetes.
But most importantly, you will need a diabetes specialist doctor to guide you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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