Greetings Sir They say if a diabetic patient takes a sweet it will get reflected in pre and post-sugar levels. I have seen several times the pre and post-sugar are well under the range despite eating sweets. Is it because of the medicine impact?

Ans: Not true. Glucose levels throughout the day matter. A combination of high and low glucose levels on some days will still give a good HbA1c. We need to avoid both highs and lows. “Time in range” is the latest concept and you need a CGM (continuous glucose monitor) device to estimate that.

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

Ans: Insulin resistance Diabetes Mellitus are so stubborn to be addressed. Improving one's physical activity is one of the effective ways to check the illness. Physical activity makes the insulin receptors to become sensitive