Get E-Book on COVID-19

Q. My grandma has low fasting sugar level and stomach pain for the past four days. Why?

Answered by
Dr. Zulfiqar Ahmed
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jul 16, 2020 and last reviewed on: Aug 04, 2020

Hello doctor,

This query is for my 71-year-old grandmother. She is facing some issues in fasting sugar and glucose levels for three to four days. Other conditions are blood pressure, thyroid and minor arthritis issues.

Since four days she is having low levels of fasting sugar. Before having a meal the levels are around 65-70 mg/dl and just after eating it reaches 114-118 mg/dl. Also, her stomach aches when she feels hungry and the sugar gets low. Please guide us so as to how we regulate her sugar level. Even on having something sweet the level is not increasing appreciably.

She is following the below medications:

Empty stomach: Metformin Hydrochloride.

After breakfast: Pioglitazone hydrochloride and Peneligliptim (15 mg).

Insulin: Basalog, 8 units every day in the night two hours after dinner. Please reply.

Dr. Zulfiqar Ahmed

Diabetology Endocrinology


Welcome to

She needs to decrease her Basalog to 6 units and check her blood sugar fasting if it is between 90-120 it is fine. But if it is still less than 90 the next day decrease another 2 units and give 4 units then. If fasting blood sugar increase over 130 then you can increase 2 units of Basalog. So by titrating Basalog you need to keep her fasting sugar between 90 to 130 mg/dL.

It is better to do HBA1c (glycated hemoglobin) which will show your average sugar over two to three months previously. Diabetes has many complications so it is not just to bring down the numbers but to monitor and treat complications associated with diabetes. Check your eyes for retinopathy. Kidneys with urine albumin creatinine ratio. Check your feet.

Lifestyle modifications are the best treatment of diabetes. Low carbohydrates diet and no added sugar. No sugary juices. No bread, rice, pasta, and potatoes if you cannot stop at least take as less as possible. Take more vegetable salads. Consume fruits only as a sweet dish. Do not take mango, grapes, and banana. Apple not more than one piece. Strawberries and other berries are fine.

Sleep well. Do exercise at least walk 30-40 minutes daily. The more you will practice these things the better will be your control. Check your sugar frequently. Your fasting target should be 90-130 mg/dL, and two hours after eating 150-160 mg.dL. Your HBA1c should be less than 7.

Was this answer helpful?


Related Questions:
Can you recommend some supplements to reduce HbA1c?
Kindly advise how to manage high fasting blood sugar level?
What do HbA1c of 8 and fasting glucose of 140 signify?

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

Lifestyle Modifications for Women's Health

Article Overview: Learn about simple lifestyle changes and healthy habits that can help a woman stay disease-free and enjoy life to the fullest. Read Article

Dr. Shakti Mishra
Fitness Expert

Women of today find it very difficult to juggle between their personal and professional life, especially if they are mothers. But, having two incomes at home has become a necessity rather than a luxury. Yes, it does feel very good to call oneself a working woman, but the working hours are taking a t...  Read Article

Lifestyle Modifications in Hypertensive Patients

Article Overview: You can reduce the ill effects of hypertension like heart attack, stroke, and kidney disease by making changes to your lifestyle. Read the article to know more. Read Article

Dr. Rahul Rathee

Hypertension is defined as any of the following: Systolic pressure or upper value of blood pressure more than 140 mmHg. Diastolic pressure or lower value of blood pressure more than 90 mmHg. There is no substitute to drugs/medications to keep blood pressure levels under control in a hyper...  Read Article

Can you tell the reason for fasting blood sugar level higher than postprandial?

Query: Hi doctor, My fasting blood sugar is 130 to 135 over last four years. My postprandial sugar is between 90 to 110. Yes, my postprandial is less than my fasting sugar level. Usually, the reading will be taken after 1 hour 45 minutes or 2 hours after eating breakfast. I am unable to bring down the fast...  Read Full »

Also Read

Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»
I was diagnosed with Celiac disease a year back. Can you suggest any medicine?
Having celiac fromnlast 10 year dignosis recently ayear ago since then i am gluten free still cant absorb food feeling w...  Read more»
My head is shivering from 20 days, and it feels like head trauma. What is the cause?
Hello sir, My head is shivering like anything , feeling like trauma is head. And its start anytime in a day and when s...  Read more»

Ask your health query to a doctor online?

Ask an Endocrinologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.