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

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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?

Answered by Dr. Ankush Gupta

Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

This doctor is not available for online consultations on the platform anymore.

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.

Medically reviewed by Dr. K. Shobana
Published At March 23, 2016
Reviewed At June 30, 2023

Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Fasting vs. Postprandial Sugar Decision Helper

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Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

This doctor is not available for online consultations on the platform anymore.

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