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Have stress hyperglycemia. Good blood sugar rates. Feeling tired and dizzy. Suggestions?

I was diagnosed diabetic, but after year, my doctor told me that I had stress hyperglycemia and I am not diabetic. Now my blood sugar rates are good. Fasting level is below 6 some times below 5 and 3 hours after food its below 7 or close. the problem is that for last 3 months I am always feel lazy, tired and dizzy like I will faint anytime. I am very confused and upset about my health. could you please suggest.
Asked On : Sun, 23 Dec 2012
Answers:  2 Views:  89
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General & Family Physician 's  Response
Dear Concerned.,
Thanks for writing to us.,
Stress Hyperglycemia is a Type of Impaired Glucose Tolerance(IGT).This is also called Impaired Fasting Glucose(IFG).More than 70 % of persons with IFG eventually become diabetic.With the development of diabetes, however, there is a large increase in risk for CVD, as well as for long-term complications affecting the eyes, kidneys, and nervous system.As per present knowledge ,FBS levels between 101 to 125 mg % constitute IGT/IFG.More than 126 mg% with a corresponding 2 hour Post Prandial Glucose increase to more than 199mg% constitutes Diabetes.
It is imperative now that you control your diet adopt Diabetic Diet and start Excercising.Life Style Management especially Stress Reduction by your own will power and Cognitive Behavioural Therapy will be helpful. Physical Excercise is also a Stress Reliever.Physical Excercise will make you sleep very well. Sleeping for more than 06 hours were less likely to develop Diabetes.
Metformin works by improving insulin sensitivity in muscle cells, decreasing glucose absorption in the intestinal cells and decreasing the amount of glucose released by the liver.This will help only those young obese individuals.Acarbose helps by preventing the absorption of direct sugars.
>Relax before bedtime, as stress may contribute to elevated blood sugar while you sleep. Try meditation or deep breathing exercise.
>There is no cure for type 2 diabetes, but pre-diabetes can be reversed and your risk of developing diabetes with all of its associated health risks may be lowered if you can get your fasting glucose levels under control
Wishing you a speedy recovery,
Best regards.,
Dr Lt Cdr ASN Bhushan.,

Answered: Mon, 24 Dec 2012
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General & Family Physician Dr. Syed Zia Hussain's  Response
Hi there,
Thank you for writing to us.
The main thing that you should know here is that "stress hyperglycemia" is something that is common but you should also know that even with stress hyperglycemia you should have your blood glucose monitored regularly which I am sure that you are doing already.
Plus I would like you to have an HbA1c level done which is a blood test for glucose that estimates the blood glucose in the past three months time.
If that is normal then you almost certainly do not have diabetes.
Regarding your other symptoms like "feeling lazy, tired, dizzy" I would like that you should have the following tests done:
1. Thyroid function test --- to rule out a thyroid disease as a cause of your symptoms.
2. Serum cortisol or 24 hour urinary cortisol or synacthen test to see if your adrenal glands are functioning as they should because a low functioning adrenal glands can also cause such symptoms.
Kindest Regards
Answered: Mon, 24 Dec 2012
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