What Causes Elevated Sugar Levels?

Brief Answer:
You need treatment for Diabetes.

Detailed Answer:
Hi Mr. XXXX,

Thanks for your question.
Noted your concern.

Your blood sugar levels both Fasting & Post-prandial are in diabetic range.
Which confirm the diagnosis of diabetes.

In such newly diagnosed cases I may suggest-
- Detailed clinical examination. Estimation of Body Mass Index (BMI).
- Diet.
- Exercise.
- Medicines.
- Investigations.

Diet:
- Usually we recommend 1800 kcal diet for diabetic male patient, though exact calories can be suggested depending upon BMI.
- Avoid sugar in any form.
- Consult near by dietitian who can plan diet considering your BMI, food habits.

Exercise:
- Usually I recommend at least 150 min of moderate degree physical activity per week.
- Start exercise gradually.
- Brisk walking, yoga can be preferred for long term.

Medications:
- Considering your age and history of diabetes in parents (interpretation based as your parents also underwent blood sugar test) there is most likely possibility of Type 2 Diabetes in your case, though it needs to be confirmed depending upon detailed clinical examination.
- Considering diagnosis of Type 2 Diabetes, I may suggest to start Tablet containing Metformin 500 mg once a day with gradual increase to 1500 to 2000 mg per day in divided doses by the end of 10 to 15 days according to tolerance.
- Metformin is a first-line drug in the treatment of Type 2 diabetes, it decreases insulin resistance (body insulin requirement) which is the basic pathology of Type 2 diabetes.
- Medicines need to be modified depending upon periodic blood sugar test results.

Investigations:
I may suggest following blood tests-
- Complete Blood count.
- Renal function test.
- Liver Function Test.
- Urine Examination.
- HbA1c.
- Complete Lipid profile.

Complete the Anti-rabies vaccination as scheduled.

Better to consult near by diabetologist for better opinion.

You can directly ask questions to me on following link-
http://www.HealthcareMagic.com/doctors/dr-abhay-a-mali/69954

Hope this helps you.

Regards,
Dr. Abhay Mali.
Diabetologist.

---

Brief Answer:
OGTT & HbA1c may be suggested.

Detailed Answer:
Though blood sugar may fluctuate with any type of stress, food intake.
But this level of blood sugar may not be related to Tetanus or Rabipur injections.

In your case I may suggest to verify blood sugar levels by doing OGTT (Oral Glucose Tolerance Test) and HbA1c.

Hope this helps you.

---