HomeAnswersDiabetologydiabetesWhy is my fasting sugar more than postprandial?

My fasting sugar is more than postprandial. Is this serious?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At March 23, 2016
Reviewed AtJune 30, 2023

Patient's Query

Hi doctor,

My fasting sugar has been more than postprandial sugar levels consistently in the last few reports. The last four months values are 130 and 120 mg/dL, 125 and 113 mg/dL, 121 and 127 mg/dL, 118 and 99 mg/dL respectively. With these data, I have not been given any medicines for diabetes. At present I am taking medicines for BP; Stamace 5 and Atorsave 10. Can you guide me on this? Is it abnormal or serious?

Hi,

Welcome to icliniq.com.

The decrease in postprandial blood sugar can be explained by stimulation of insulin release after food which will decrease the blood sugar. Increase in blood sugar in empty stomach is due to glucagon secretion which will increase the blood sugar level. You have not mentioned your weight and family history of diabetes. But, looking at your fasting blood sugar levels over time, it is more than normal range. So you have risk of developing diabetes in the future.I would suggest you to start on tablet Glyciphage 500 mg (Metformin) once daily. Keep a track of your fasting blood sugar and report to me the progress. Lifestyle modification is very important and it is a part of keeping diabetes under control. Go for daily walk and avoid lifts. In food, avoid oily and high fat diet.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ankush Dhaniram Gupta
Dr. Ankush Dhaniram Gupta

Diabetology

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