Q. How to confirm diabetes when we receive unlike values from different lab?

Answered by Dr. Raveendran Sr and medically reviewed by Dr. Nithila A

 

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Hello doctor,

I am a-32-years old male. Two days ago my wife and I had diabetes tests, and as of now, we do not have diabetes. Three to four months ago when we tested my result was 120, and my wife result was 140. But two days ago when we had tested, I have 122 before breakfast and 240 after two hours of breakfast. My wife had 142 at fasting and 242 after two hours of breakfast.

We were shocked and worried. My mom and dad do not have diabetes and wife side her mom had diabetes, but her father does not have. My weight is 81 kg, and I am 5'5" height. My wife is about 87 kg weight and 5'5" height. Again we did a test at another place using glucometer after four hours after lunch, and surprisingly I got 102, and my wife had 170. The lady who did our test in front of us and confirmed that we do not have diabetes. Please help us. We do not know how to proceed. Awaiting for your response.


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Dr. Raveendran Sr
MBBS., MD., FSM
Andrology, Diabetology, Microbiology, Sexology

Hello,

Welcome to icliniq.com.

A glucometer is not the standard gold method it has a variability of 30 Plus or minus for conforming. Do HbA1c (glycated hemoglobin), FBS (fasting blood sugar), PPBS (postprandial blood sugar level) and urine complete. If these all reports turn to be normal, then there is nothing to worry. Maybe from tomorrow do regular exercise and take the test after seven days.

 

Thank you doctor,

We have done the suggested steps for my wife and me. I am attaching the test reports. Kindly help us. Awaiting for your response.

 

Dr. Raveendran Sr
MBBS., MD., FSM
Andrology, Diabetology, Microbiology, Sexology

Hello,

Welcome back to icliniq.com.

Reports of, a 31-year-old female.

HbA1c is 8.8 which is high, and she needs medications. Also, her FBS is 157, and PPBS is 220. What medicines is she is using now? If she is not on any drugs, we need to start,

1. Tablet. Metsmall 500 mg (Metformin) two times a day morning and evening after food for 15 days along with,

2. Tablet Pan 40 mg (pantoprazole) before food once a day morning for 15 days.

3. Tablet Neurokind LC (Levo-carnitine, Methylcobalamin,and Folic acid) once a day morning after meal for 15 days.

If she is on any other medications, kindly share details about her drugs, and blood pressure (BP).

Reports of a 32-year-old male.

HbA1c is 7.3, FBS is 139, and PPBS is 204. If you have not started any medications, need to start,

1. Tablet. Metsmall 500 mg once a day morning alone after food for 15 days along with,

2. Tablet Pan 40 before food once a day morning for 15 days.

3. Tablet Neurokind LC once a day morning after meal for 15 days.

Both can have the same medication. Since she has high value, we may need to increase the dose next time. I have started with basic treatment and shared the drug names considering that you are not allergic to a given medications.

 

Thank you doctor,

I am not using any medicine, but my wife had PCOD and migraine problems. Her BP is 110/80. She is using Folinal plus tablets daily once everyday afternoon for PCOD, and Topamac 50 mg tablets daily once everyday night for migraine. Kindly let us know if she needs to stop those medicines or she can continue. Also, please advice the food diet. Can we use Paracetamol and generic drug when needed? And finally mentioned medications for 15 days so what is the next process?

Please let us know will diabetes be controlled for us if we take medications for some time period. We are entirely down with these results, and we are expecting the best medicine, and we are ready to follow all your suggestions. Kindly help us.

 

Dr. Raveendran Sr
MBBS., MD., FSM
Andrology, Diabetology, Microbiology, Sexology

Hello,

Welcome back to icliniq.com.

Yes, she can continue her PCOD and migraine medication along the with the medications I sent you. I can be able to stop the medicine if you follow a proper diet and exercise considering your low level of blood sugar. Regarding diet, it is essential for you to consult a nutritional specialist, so you will have a proper diet follow-up. I can only advice, in general, to take less sugar, oil in food and take chapati for dinner. Yes, you can use Paracetamol no harm unless any allergy is involved.

 
 
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