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What Causes High Fasting Blood Sugar Levels?

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Posted on Tue, 24 Feb 2015
Question: Sir,my blood sugar fasting is 181 and random is 190 without medication.What medication you prefer?
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Answered by Dr. Ajish TP (18 minutes later)
Brief Answer:
Metformin can be started

Detailed Answer:
Hi XXXXXX,

Welcome to HCM. I have gone through the question and understand your concerns.

Your fasting sugars are really high and you have to be started on medications. At your age the ideal medication to start is Metformin. The dose being 500 to 3000 mg per day.

You can start with 500 mg Metformin once daily. If you can tolerate the medication well you can increase the dose to 500 mg twice daily and adjust dose till fasting sugars are below 130 mg/dl and after food is less than 180 mg/dl.

Hope I have answered your questions. If you have any further queries I will be happy to help you.

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ajish TP

Endocrinologist

Practicing since :2002

Answered : 819 Questions

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What Causes High Fasting Blood Sugar Levels?

Brief Answer: Metformin can be started Detailed Answer: Hi XXXXXX, Welcome to HCM. I have gone through the question and understand your concerns. Your fasting sugars are really high and you have to be started on medications. At your age the ideal medication to start is Metformin. The dose being 500 to 3000 mg per day. You can start with 500 mg Metformin once daily. If you can tolerate the medication well you can increase the dose to 500 mg twice daily and adjust dose till fasting sugars are below 130 mg/dl and after food is less than 180 mg/dl. Hope I have answered your questions. If you have any further queries I will be happy to help you. Regards, Dr Ajish TP [MD,DM] Consultant Endocrinologist