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Increased sugar in fasting. What can be the cause ?

Dear Doctor,
I am having 130 sugar in Fasting. It was previously 104 about 2 months ago. What can be the cause and how it has to be tackled. I am 58,obese and have sedentary life style habit. HTN is under control due to medication. There is absolutely nothing abnormal with my other blood reports like LFT,Lipid profile and Haemogram.
Asked On : Mon, 8 Apr 2013
Answers:  3 Views:  43
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General & Family Physician 's  Response
Sep 2013
Hi, thanks for the query. Stress, Strain, Spices,Spirit ( alcohol), Smoking,Sedentary life style all above mentioned "S" are responsible for Hypertension and to some extent Diabetes. Particularly tension is the one reason of diabetes, I have seen hundreds pts just due to this. Ideally blood sugar level is 70-110 mg. Your's fasting level is little bit high but this is an indication i. alarming condition. Still there is a time you can control this disease. Please do following things 1. Tension free life. 2. Sedentary life no way only active and happy life i.e. change life style 3. Regular excercise like rapid walking at least 1/2 an hour slowly increase the time. 4. reduce the weight. Eat fiber food more and more 5. Engage yourself in some social work. GOOD LUCK.
Answered: Mon, 8 Apr 2013
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Internal Medicine Specialist Dr. Mayank Bhargava's  Response
Jan 2013
Thanks for posting your query.
Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications.
Blood sugar both fasting and postprandial must be in controlled range.
Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas.
As you are obese, there could be possibility of insulin desensitization.
You should consult with internal medicine specialist/ endocrinologist and should go for thorough check up.
You should also go for postprandial sugar and glycosylated hemoglobin.
Your blood sugar fasting is in diabetic range and your postprandial sugar must be checked.
You should try to reduce your weight.
Take proper medication for control of sugar.
Take care,
Dr. Mayank Bhargava
Answered: Mon, 8 Apr 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Any fasting blood sugar level above 126,is termed as diabetes however you must get your PP blood sugar estimation done to confirm the diabetes.A post prandial ( two hours after breakfast ) level above 200 is confirmation of diabetes.
If the PP level is between 140 and 200,then it is called as impaired glucose tolerance or pre diabetes.
With control of weight,with prudent diet and with proper exercises,approximately 50% of people with pre diabetes revert back to normal.Some remain in pre diabetes range while others slip into clear diabetic range over a course of time.
It is most important to realise that there is no urgency to put pre diabetic people on oral anti diabetic drugs.However they need proper exercises and diet control and 3 monthly follow up with blood sugar estimation.
Those people who are unlikely to follow diet and exercise regimen can be put on METFORMIN or ACARBOSE.
I hope it helps.
Talk to your doctor regarding this.
Answered: Mon, 8 Apr 2013
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