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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes The Blood Glucose Level At 187 With No Other Symptoms?

Hello. The health fair bus just came to my company and I got my finger pricked for a blood test. I am 28 years old, I don't have a history of any illness, 5'4 and 127 lbs, very active outside of work. My blood glucose came back as 187. Can that be right? Seems awfully high and alarming.
Wed, 30 Jul 2014
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Internal Medicine Specialist 's  Response
Thank you for the query.
As per the information provided, you are 28 yrs old (gender not mentioned), with a BMI of 22 kg/m2 (within normal limits) and no known comorbidities. A single Random blood glucose reading was recorded at 187mg%.
One high reading of blood sugar, may not be sufficient to diagnose as Diabetes mellitus. You need to go for a complete blood sugar screening, which should comprise of Fasting blood sugar (which should be more than or equal to 126 mg%), 2hr Post Prandial blood sugar (more than 200mg%) and HbAic (more than 6.5%). The values indicated in the parenthesis are the cut off values. I would like to know whether you suffered from any conditions like Urinary Tract Infection, which increases the risk for Diabetes and also whether you have a family history of Diabetes.
Since, a single high reading has been recorded, please follow a dietary regimen, avoiding refined carbohydrates.
Please do visit your primary physician, who can perform a thorough check up and advise for the blood investigations.
Hope this helps you out.
Regards
Dr. Ayusmati Thakur
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What Causes The Blood Glucose Level At 187 With No Other Symptoms?

Thank you for the query. As per the information provided, you are 28 yrs old (gender not mentioned), with a BMI of 22 kg/m2 (within normal limits) and no known comorbidities. A single Random blood glucose reading was recorded at 187mg%. One high reading of blood sugar, may not be sufficient to diagnose as Diabetes mellitus. You need to go for a complete blood sugar screening, which should comprise of Fasting blood sugar (which should be more than or equal to 126 mg%), 2hr Post Prandial blood sugar (more than 200mg%) and HbAic (more than 6.5%). The values indicated in the parenthesis are the cut off values. I would like to know whether you suffered from any conditions like Urinary Tract Infection, which increases the risk for Diabetes and also whether you have a family history of Diabetes. Since, a single high reading has been recorded, please follow a dietary regimen, avoiding refined carbohydrates. Please do visit your primary physician, who can perform a thorough check up and advise for the blood investigations. Hope this helps you out. Regards Dr. Ayusmati Thakur