HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

High Sugar Levels. Prescribed With Glynase. Can You Explain The Test Result?

i am 41 years old women (Weight 57.9kg, height 151cm)i consult the doctor he say blood suger level 320 so he give the tablet RAMY, GlynaseXL5,
Xmet-SR,Ecosprin NU 75Mg. (i follow this treatment fast 20 days)
Blood: HBA1C : 56.6 mmol/mol (7.3%)
Average Blood Gluscose :158 Mg/dl
Urine Microalbu :Creat RAio :4.1 mg/mmol
u give me details you understand my health level
Sat, 4 May 2013
Report Abuse
General & Family Physician 's  Response
HI, thanks for using healthcare magic

Diabetes can be diagnosed by an elevated fasting blood sugar, 2 hr post meal blood sugar or HbA1c.
An HbA1c of greater than 6.5 % is diagnostic of diabetes. After a person has been diagnosed, the goal is an HbA1c of less than 7% though some doctors aim for less than 6.5%.
Your value is presently above the goal but can be reduced by taking your medication, exercise and change in diet- reducing the use of carbohydrates which increase the blood sugar such as rice/pastry/pasta/potatoes/bread.

The urine test is checking for the presence of microalbumin, if this level is increased, it means that the kidneys are not working as well as they should.
Unfortuately your value is slightly above- it should be less than 3.5. To reduce any further damage you need to control your blood sugar, your blood pressure should be less than 130/80.

I hope this helps
I find this answer helpful

2 Doctors agree with this answer

General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hello, thanks for the query to H.C .M. Forum.
Blood HBAIC===56.6mmol/mol (7.3). This is the level of blood glucose level of previous three months to find out whether some one is a patient of diabetes or not.
Normal============Less than 5.7%
Pre-diabetic=========5.7% to 6.4%
Diabetic============More than 6.5%
Clearly in your case it is diabetes.
Current blood glucose was 300 Mg /dl when your doctor examined it i.e. diabetes.
Urine Microalbuminuria:creat raT====4.1
This test is to be preformed to find out any disease in KIDNEY or not.
In your case your KIDNEY functioning very well as this is normal level.
Now it is established that you are a patient of diabetes.
Slightly you are over weight , if possible ,please reduce your weight 3-4 kg according to your's height.
Good luck Dr. HET
I find this answer helpful

1 Doctor agrees with this answer

Internal Medicine Specialist Dr. Akhilesh Dubey's  Response
Hi,
Welcome to HCM,
You are Diabetes Type II with overweight, Hypertension and your reports show high blood sugar level that is 320 mg/dl it is not clear that is this Fasting blood sugar or Postprandial blood sugar level.
Your HbA1c is 7.3% which is high slightly.
Your average blood glucose for last 2 month is 158 mg.
Your ACR (albumin/creatinine ratio) is 4.1 mg/mmol, microalbuminuria is defined as ACR ≥3.5 mg/mmol (female) .
If it is your first test positive for microalbumin then repeat after 3 months and keep good control of blood sugar.
Rmamipril ACE inhibitor is also known to retard nephropathy and albuminuria.
Please take care of diet and regular exercise and keep periodic checkup of blood sugar and kidney function and HBA1c .
your treatment seems all right please consult internal medicine specialist and follow up regularly.
Take care
Good Luck
Dr.Akhilesh dubey M.D>
I find this answer helpful

1 Doctor agrees with this answer

General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello,
Your reports suggests that you are going in right direction and treatment given to you is absolutely right.You must understand some basic things about the diabetes.
Diabetes is a lifelong disease and can not be cured but controlled.
You must make all efforts to keep your blood sugar level in control as uncontrolled blood sugar level results in various micro as well as Macrovascular complications in future which results in damage to kidneys,eyes,heart,nerves,blood vessels etc.
Along with medicines,you must observe proper dietary restrictions and do regular aerobic exercises for 45 minutes a day.
Keep your BP below 120/80 and LDL cholesterol below 80.
Keep triglycerides below 150.
Thanks
I find this answer helpful

1 Doctor agrees with this answer


Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Blood donation


Loading Online Doctors....
High Sugar Levels. Prescribed With Glynase. Can You Explain The Test Result?

HI, thanks for using healthcare magic Diabetes can be diagnosed by an elevated fasting blood sugar, 2 hr post meal blood sugar or HbA1c. An HbA1c of greater than 6.5 % is diagnostic of diabetes. After a person has been diagnosed, the goal is an HbA1c of less than 7% though some doctors aim for less than 6.5%. Your value is presently above the goal but can be reduced by taking your medication, exercise and change in diet- reducing the use of carbohydrates which increase the blood sugar such as rice/pastry/pasta/potatoes/bread. The urine test is checking for the presence of microalbumin, if this level is increased, it means that the kidneys are not working as well as they should. Unfortuately your value is slightly above- it should be less than 3.5. To reduce any further damage you need to control your blood sugar, your blood pressure should be less than 130/80. I hope this helps