HomeAnswersDiabetologyprediabetesHow to reduce PP blood sugar level of 174?

My PP blood sugar level remains in the range of 150 to 176. How to reduce it?

Share
My PP blood sugar level remains in the range of 150 to 176. How to reduce it?

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 November 25, 2017
Reviewed AtJuly 4, 2023

Patient's Query

Hi doctor,

I am a 65 year old male. Before 12 years, I went for my first master checkup without symptoms. The result showed high 2 hours PPBG while FBG and A1c are normal. The consultant physician advised me to eat less at a time and increase the number of feeds in a day and encouraged me to check BG level once in every three months. Accordingly, I have done the tests both at home and labs every three months. My FBG is always normal that is 80 to 85 (rarely crosses 100 but within 105). My A1c is also quite normal of around 4.2 to 5.4. However, my PP (2 hours) is always in the range of 150 to 176 mg/dL. However, when I take reading after three hours of ingestion, the PP value is in the normal range 120 to 140. I do not take any medicine or Insulin. I have no symptoms like frequent urination or too much thirsty and head reeling. Nevertheless, a few months ago, I suddenly developed tinnitus in both my ears. MRI was taken and found normal. My hearing is excellent. Meniere's disease is ruled out. The volume in left ear is more than right ear (Left 6/10 whereas right 3/10). It is the insect cricket's sound. Last week, while I was working on my computer sitting in my usual chair, I developed a catching sensation on both my calves all of a sudden. A bit burning sensation in the calves also felt. It continues. I walk without any difficulty and do the routine. No tickling or pinning sensation. I am in a remote village spending my post retirement with family. My wife being a clinical biochemist advised me to rule out peripheral neuropathy as my 2 hour PP test is always in the range of 150 to 176. I also have a mild pulling sensation at the back of my right thigh. Hence, I request you to suggest tests find out the cause of the problem. Yesterday, my blood sugar levels were FBG 80 mg/dL , PP 176 mg/dL (2 hours after BF bread upma, a teaspoon of ghee and tea with milk) and PP after 3 hours it is 106 (nothing was eaten in between) and randomly done at 7 PM before dinner was 108. Today, my blood sugar levels are as follows: FBG 80 mg/dL, PP 174 mg/dL (2 hours after BF that contained one full banana, cornflakes, milk and one and a half cups of tea with milk) and 2 hours after lunch 178 (that included one whole banana, 4 pieces of papaya, rice, cabbage, rasam and sambar, buttermilk, one teaspoon of ghee). My BP is always 110/70 mmHg or 120/80 mmHg. I generally walk 2 km a day. I do not smoke or drink alcohol, and I am a vegetarian. Lipid did a month ago, and it was quite normal. It may be helpful to mention my total cholesterol, and LDL counts are always low (120 and 45 respectively) for several years now. I weigh 147 pounds and my height is 5' 6". Thank you.

Hello,

Welcome to icliniq.com.

On going through the details provided, it is clear that you are in a prediabetes situation. Following are the criteria for diagnosing diabetes: Normal: Fasting blood glucose (FBG) 70 to 110 mg, PP less than 140 mg and HbA1c% less than 5.9. Prediabetes: FBG 108 to 125 mg, PP 141 to 199 mg and HbA1c% 5.9 to 6.4. Diabetes: FBG 126 mg and above, PP 200 mg and above and HbA1c% 6.5 or more. Considering this, currently, there is no diabetes. You can prevent it from progressing it to diabetes by adopting a modified lifestyle, which includes properly planned balanced diet, with restricted caloric intake, regular exercise for at least 1 hour a day. Brisk walking is a good option. Avoid sweets, deep fried foods, pastries, other bakery items, foods made out of maida, sweetened aerated drinks (colas), sweet corn syrup containing food products, red meat and high-fat dairy. Also, better to refrain from alcohol and smoking. As regards the sound in the ear (tinnitus), there is hardly any treatment. If it is not really disturbing, then better ignore it. As regards sudden catch in the calf muscle, these are cramps, which may occur due to lack of vitamin D3, calcium and sodium. To see if there is any neuropathy, a test with biothesiometer can be done to see there any affection. Presently, there is absolutely no need for taking any drug. Your blood pressure and lipid profile are quite good. If you have any doubts please do come back, I will be glad to clarify.

Investigations to be done

Biothesiometer test may be done to see if there is any affection to peripheral nerve sensation.

Preventive measures

Follow restricted diet and do regular exercise for over one hour every day.

Regarding follow up

For further information consult a diabetologist online.

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

Dr. Prabhakar Laxman Jathar
Dr. Prabhakar Laxman Jathar

Diabetology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Diabetology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare 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. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy