Brief Answer: Raised hepatic glucose output Detailed Answer: Dear sir As per your query you have persistently raised fasting blood sugars It is caused due to two reasons 1. Raised hepatic glucose output 2. Deficiency of basal insulin secretion Liver constantly release glucose which constituents most of the blood sugar in fasting state, it happens more in obese patients... it is usually decreased by metformin, which is routinely taken for diabetes Secondly if beta cells looses potency to secrete or to counter hepatic glucose output. Usually it is corrected by using basal insulin. It happens usually in lean diabetes patients As you are associated with hypertension it might be due to raised hepatic glucose output.. it is corrected usually by increasing the dosage of metformin or starting metformin. Please discuss with your treating doctor and choose treatment accordingly Thanks

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