Good Morning Dr. I am 49 yrs old and been diabetic for 17 yrs. Off late, have noticed my fasting sugar level are high around 120-144. By evening the level is around 90-108. I was asked to maintain a record of readings after dinner and fasting. The level 2 hrs after dinner is in the range 144-166. What could be the reasons for having higher levels in the morning? Thanks

Ans: The fasting blood sugar levels are reflections of your meal at the dinner time in the previous evening. It is also reflection of how much insulin is being produced in your body.

Having said that, your most of the blood sugar values are in normal range for someone who is on treatment for diabetes. However, you can do better in your fasting sugar levels by increasing antidiabetic medications in the dinner time and also walk and physical activity after dinner. Change in the composition and content of dinner may also help.

We need to remember that even if someone has good blood sugar control, after a few years, the medicines need to be reviewed by physician to fine tune and up or down titrate.

Best wishes
Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi