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What Do The Blood Sugar Level Readings Indicate?
Question: My father is diagnosed with diabetes and he is consuming diabetics tablets (glimestar m2) daily in afternoon.
To monitor the sugar level he uses accu chek machine.
And it reads as follows :
Before Meal i.e fasting : 125
two after having a meal (poha and sujji halwa(sweet) ) : 115
The pattern we noticed is that sugar level reading is always higher for fasting than Post meal.
Usually people sugar level increases post meal however here it is reverse and it holds true every time test is done.
Highly appreciated if all of my queries are answered :
1. why is it so ? (sugar level increases post meal)
2. Is there anything to be worried about ?
3. What checks/diagnosis are required ?
4. What is the remedy ?
5. To whom i need to visit ?
6. Medicine taking to control sugar level is correct or not ?
7.Shall he continue with the same medicine or need to visit the doctor or you prescribe any medicine ?
8.Is it normal to be found diabetics at this age i.e is it common ?
9.Whether accu chek machine reading is reliable to know the exact sugar level or there are differences with the actual sugar level (test done at diagnostic center)
10. What should be ideal sugar level before and after meal for my Father.
Note :
My father walks in morning daily and also post meal whenever possible.
My father parents are not diabetics.
My Father sister is diagnosed with diabetes.
To monitor the sugar level he uses accu chek machine.
And it reads as follows :
Before Meal i.e fasting : 125
two after having a meal (poha and sujji halwa(sweet) ) : 115
The pattern we noticed is that sugar level reading is always higher for fasting than Post meal.
Usually people sugar level increases post meal however here it is reverse and it holds true every time test is done.
Highly appreciated if all of my queries are answered :
1. why is it so ? (sugar level increases post meal)
2. Is there anything to be worried about ?
3. What checks/diagnosis are required ?
4. What is the remedy ?
5. To whom i need to visit ?
6. Medicine taking to control sugar level is correct or not ?
7.Shall he continue with the same medicine or need to visit the doctor or you prescribe any medicine ?
8.Is it normal to be found diabetics at this age i.e is it common ?
9.Whether accu chek machine reading is reliable to know the exact sugar level or there are differences with the actual sugar level (test done at diagnostic center)
10. What should be ideal sugar level before and after meal for my Father.
Note :
My father walks in morning daily and also post meal whenever possible.
My father parents are not diabetics.
My Father sister is diagnosed with diabetes.
Brief Answer:
Consult diabetologist/endocrinologist.
Detailed Answer:
Hi,
Thanks for your question.
Noted your concern.
One by one answers to your questions-
1) Diabetes is due to insulin resistance (opposition to action of insulin).
Insulin resistance usually affect liver (which is responsible for mainly fasting blood sugar level) and peripheral tissues like muscles (which is responsible for mainly postprandial blood sugar level.
Difference in insulin resistance at two different level is responsible for higher fasting than postprandial blood sugar level.
2) At present his blood sugar levels are under control. So no worry. But diabetic education is important.
3) At the time of diagnosis with age of 62, I usually suggest following investigations-
Complete Blood Count
HbA1c
Renal function Test
Liver Function Test
Urine examination.
Ultra TSH
ECG
2DEcho of heart
4) Diet restriction, regular exercise as tolerated, medications and regular follow ups with treating doctor.
5, 6, 7) Treatment may need to be modified depending upon his physical examination and above test results.
For which it may be advisable to consult diabetologist or endocrinologist.
Also consult near by dietician who can plan diet for him considering his BMI (Body Mass Index) and food habits.
8) In general diabetes incidence is increasing world wide.
9) Glucometer reading help in guiding blood sugar control, it doesn't give absolute reading. It show variation in blood sugar levels when compared with laboratory values.
10) Considering his recent detection of diabetes and age his Fasting blood sugar should be below 120 and postprandial below 180.
Hope this helps him.
Regards,
Dr. Abhay Mali.
Diabetologist.
Consult diabetologist/endocrinologist.
Detailed Answer:
Hi,
Thanks for your question.
Noted your concern.
One by one answers to your questions-
1) Diabetes is due to insulin resistance (opposition to action of insulin).
Insulin resistance usually affect liver (which is responsible for mainly fasting blood sugar level) and peripheral tissues like muscles (which is responsible for mainly postprandial blood sugar level.
Difference in insulin resistance at two different level is responsible for higher fasting than postprandial blood sugar level.
2) At present his blood sugar levels are under control. So no worry. But diabetic education is important.
3) At the time of diagnosis with age of 62, I usually suggest following investigations-
Complete Blood Count
HbA1c
Renal function Test
Liver Function Test
Urine examination.
Ultra TSH
ECG
2DEcho of heart
4) Diet restriction, regular exercise as tolerated, medications and regular follow ups with treating doctor.
5, 6, 7) Treatment may need to be modified depending upon his physical examination and above test results.
For which it may be advisable to consult diabetologist or endocrinologist.
Also consult near by dietician who can plan diet for him considering his BMI (Body Mass Index) and food habits.
8) In general diabetes incidence is increasing world wide.
9) Glucometer reading help in guiding blood sugar control, it doesn't give absolute reading. It show variation in blood sugar levels when compared with laboratory values.
10) Considering his recent detection of diabetes and age his Fasting blood sugar should be below 120 and postprandial below 180.
Hope this helps him.
Regards,
Dr. Abhay Mali.
Diabetologist.
Above answer was peer-reviewed by :
Dr. Prasad
Thanks for the in-depth details about the queries.
Could please let me know what is the approx cost of making all of the above test.
Kindly suggest some doctor to whom i could visit for the complete examination in XXXXXXX
Could please let me know what is the approx cost of making all of the above test.
Kindly suggest some doctor to whom i could visit for the complete examination in XXXXXXX
Brief Answer:
I personally not aware of doctors at XXXXXXX
Detailed Answer:
The cost of above mentioned investigations vary from lab to lab but it may not cost more than Rs. 5000.
You should consult endocrinologist (DM Endocrinology) or diabetologist (Diploma or Fellowship in Diabetology) or physician (MD Medicine) who specifically practice diabetology.
I personally don't know any such doctor from XXXXXXX
If needed you can contact Healthcare magic customer support.
I personally not aware of doctors at XXXXXXX
Detailed Answer:
The cost of above mentioned investigations vary from lab to lab but it may not cost more than Rs. 5000.
You should consult endocrinologist (DM Endocrinology) or diabetologist (Diploma or Fellowship in Diabetology) or physician (MD Medicine) who specifically practice diabetology.
I personally don't know any such doctor from XXXXXXX
If needed you can contact Healthcare magic customer support.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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