Brief Answer:
Repeat the test

Detailed Answer:

Hi,

Thanks for posting your query.

You need to avoid sugary foods like potato, fruits, juices, etc and recheck the values again after fasting overnight. The test must include fasting, 2-h plasma glucose (2-h PG) value after a 75-g oral glucose tolerance test (OGTT) and HbA1C Levels. If its still raised, metformin is the medicine that will need to be started. I will suggest that you start treatment under guidance of a local doctor, preferably internal medicine or diabetes specialist.

Diet and regular exercise is a must to keep sugar levels in control. In diet sugary foods are to be avoided. Green leafy vegetables are good. Chana is good. Cleaner drinking water from RO system and hygienic food needed to avoid GI infections. Exercise daily for atleast 30 min a day. It can include gym, walk, yoga, swimming, cycling, etc.

Know the Glycemic Index (GI) of your food. GI is a measure that indicates how fast the food would get converted to glucose after digestion. Higher GI value indicates a higher conversion ratio of the diet to glucose. Therefore it is advisable to avoid the foods with high GI values.

High GI foods: potato, banana, grapes, custard apple, sugar and foods that contain sugar, refined cereals and its products like white bread and corn bread, white rice, corn and its products. Also the regular milk flavoring powders like chocolate mixes etc. have added sugar and thus high GI values.

Low GI foods: Low fat dairy, vegetables and fruits (except those mentioned in the high GI list), whole grains and cereals, salads, oats, barley, pulses and non-sugary peanut butter.

The intake of fluids should be maintained to approximately 2-3 L per day to avoid dehydration. Take calcium and vitamin D after checking their blood levels. Alcohol can also increase blood sugar levels.

Hope it helps. Let me know if I can assist you further.
Dr Vaishalee

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