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I'm 45 and my fasting and PP sugar levels spiked. Why?

Dr Chandrakant

Dr Chandrakant Lahariya  |93 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 22, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more
Dibyajyoti Question by Dibyajyoti on Sep 24, 2024Hindi
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Dear Sir, I am 45 years male. I am taking amlodipine-20 at morning and amlovin-5 at night for bp. Five month before I have checked my sugar and found fasting-280 and pp-285 and hba1c-5.9. Then doctor prescribe me metformin-1 gm. One tab daily after breakfast. I was taking it for 21 days and my sugar was come down to normal range. Then I stop to taking medicine and every Sunday I have checked my sugar and always I have found fasting under 110 and pp under 130. But day before yesterday I have found fasting 143 and pp 243.Why it suddenly spike. I never taking any sugary food when from I was detected as high sugar. Please advice me what to do. Thank you in advance.

Ans: You are diabetic and some of the variations in sugar might be related to meal size. However, you need a regular medicine for diabetes and keep healthy lifestyle.
There is a discordance in your Fasting, PP and HbA1c, which means please get these tests done from a NABL accredited laboratory.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Hello ! My fasting sugar is 140 and after BF sugar goes to 140-210. I am taking metformin sr.500 mg in Morning and 1000 mg at Night. Still not stable. Please advise what else to do. I do brisk walking and jogging and diet is mostly fruits and vegetables.
Ans: The level of blood sugar you have indicated are suggestive of diabetes mellitus type 2 and the metformin you are taking is clearly insufficient.

Ofcourse, need to have more dietary modifications and increased physical activity. Get body weight within normal range (please see previous answer if you wish to understand more).

Please do following:
1. A comprehensive blood test. Specially when people have diabetes, there are chances of high Bp, deranged lipid profile. and other blood parameter changes.
2. Please get HbA1c done along with fasting adn 2 hr after breakfast blood sugar levels.
3. Your medications need to be increased as currently, the sugar levels are high. There is a concept called, legacy effect. which essentially mean a tight and early control in blood sugar results in better diabetes outcome in long run. The Hba1c should be less than 7, preferably around 6.5% to reduce the possibility of macro and microvascualr complications of diabetes.
4. Do charting of your blood sugar level for some time, with Glucometer. May consider CGMs (Continuous Glucose monitoring), which provides 14 day reading for every five minutes of sugar level in once body. This may help a physician to suitably modifiy your medication.
5. Visit a physician with above set of information.

Best wishes,
PS: In such queries, mentioning age, duration of diabetes, BMI/Body Fat, height, weight and BP can help in providing more personalised information.

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Resected Madam, I am a 72 years male . I had undergone left hemicolectomy with diversion ileostomy ( open "Surgery" )for carcinoma descending colon on 23 March,2024 and the stoma closure was done on 17th July,2024. As per the consultant Oncologist the carcinoma was localized , did not spread to other parts of the body and I was not advised to undergone chemotherapy etc for the same reason. Kindly advise which Yoga postures I can practice now to ease constipation and also the yoga postures I must not / avoid now. With Kind Regards,
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