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Hi, Just Wondering If You Wouldn't Mind Explaining My Glucose

Posted on Tue, 18 Dec 2018

Question: hi, Just wondering if you wouldn't mind explaining my glucose tolerance test please? after 2 hours my dr said my sugars were 8.1 After 1 hour they are 10.2 just wondering what this means? he did explain that they were only going to check every year and to see if i could change my diet. diabetes is in my family. should I be on medication? is it pre diabetes? thank you so much

Answered by Dr. Saumya Mittal (1 hour later)

Brief Answer:
Suggestions as asked specifically

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

Normal blood values for a 75 gram OGTT used to check for type 2 diabetes in people who are not pregnant are as follows-
Fasting: 60 to 100 mg/dL (3.3 to 5.5 mmol/L)
1 hour: less than 200 mg/dL (11.1 mmol/L)
2 hours: less than 140 mg/dL (7.8 mmol/L).

Considering these values I would recommend HbA1C levels as well.
I will agree that this readings are suggesting prediabetes.
Weight loss and diet control are the first steps of control.
If this doesn't help medication like Metformin would be needed.

Feel free to contact me if you want any information.
Best wishes.
Dr Mittal

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Saumya Mittal (3 hours later)

hi, thank you for your detailed answer. how long should i try diet for and re test before medication? should i do the HbA1c now after my glucose test? can pre diabetes be prevented with diet alone and what kind of diet should i follow? what can pre diabetes do to your body if you dont do anything about it? thank you so much, can it cause vision problems? and a dry mouth?

Answered by Dr. Saumya Mittal (53 minutes later)

Brief Answer:
specific information as asked

Detailed Answer:
Hello,
It is good to hear from you again.
Those are some very interesting questions.
I will try to answer them all 1 by 1.

how long should i try diet for and re test before medication- at least a month on both, exercise and diet

should i do the HbA1c now after my glucose test- it tests average sugars over 3 months. So no, i wont be affected by OGTT.

can pre diabetes be prevented with diet alone and what kind of diet should i follow- frequently diet and exercise do help control sugars enough to help us delay the onset of initiation of medications. A DASH diet would help.

what can pre diabetes do to your body if you dont do anything about it- DIABETES AND PREDIABETES both gradually affect almost every system in the body- eyes, nerves, kidneys, heart etc.

can it cause vision problems- yes, as mentioned above it can.

a dry mouth- this is a symptom of raised sugars, and so can occur in all patients with raised sugars.

I hope this helps.
Feel free to contact us if you need more information.
Dr Saumya Mittal

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Saumya Mittal (27 minutes later)

hi, thanks again for detailed answers. ill try and follow the dash diet as suggested. i have osteoarthritis in my hips and have been advised to do hydrotherapy. i tried high intensity exercise for a year however i never lost any weight. could this have been the start of my problems? along with the dry mouth and the vision problems (my sight gets very blurry and it comes and goes) I get thrush and utis a lot i also get pins and needles a lot in my arms and legs. is this common in pre diabetes? thank you :)

Answered by Dr. Saumya Mittal (3 hours later)

Brief Answer:
specific information

Detailed Answer:
Hello again.
Yes, some of these problems are suggestive of diabetes related issues.
The thrush, the dry mouth are symptoms of diabetes.
Similarly pins and needles suggest a neuropathy secondary to diabetes.
And yes, in diabetic patients osteoarthritis is associated.
It indicates that your sugars have probably remained high for a long time.
A good control of sugars is the chief treatment for all of these.
I hope this helps explain your symptoms.
Best wishes,
Dr Mittal

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Saumya Mittal (8 hours later)

thanks so much! this explains a lot of things that are going on with me. should i take my results to a different doctor for another opinion and managment instead of my main doctor, as im wondering why this has been maybe missed. ive had blood tests to monitor blood sugar which has always fine, ive had fasting bloods done and one was 8 and another was 11. thank you so much for all your help

Answered by Dr. Saumya Mittal (6 hours later)

Brief Answer:
Meet endocrinologist

Detailed Answer:
Hi.
Thank you for your message.
It is never a problem in taking a second opinion.
Especially if you are in doubts about the first doctors diagnosis and treatment information.
However if you are planning to go for a second opinion, I would recommend meeting with an endocrinologist.
I hope this helps.
Best of luck.
Dr Mittal

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Saumya Mittal (2 hours later)

thank you, i really appreciate your time in answering my questions. ill ask for a referal for an endocrinologist i hope you have a good week

Answered by Dr. Saumya Mittal (2 minutes later)

Brief Answer:
Best regards

Detailed Answer:
Thank you XXXXXXX
I look forward to hearing from you in case you need anything else.
And I wish you good health.
Best of luck.
Dr Mittal

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy