Fasting Blood Glucose 194, Random BG 204 mg/dL

by Fre
(Ethiopia)

Am 31 and with diabetes type 2, Taking daonil 1 pill every morning for 6 months now, but my fasting blood glucose level (BGL) and Random after meal is 194 and 204 consecutively.

Why is that am not showing difference?

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May 20, 2017
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Lowering fasting sugar level 194 & after meal 204?
by: Dr.Albana

Hello Fre,

I read your message and understood your medical problem.

I see you are a 31 years old type 2 diabetes patient on Daonil treatment 1 pill/day for 6 months now. Your current fasting BGL is 194 and the random BGL after a meal is 204.

Type 2 diabetes is also known as maturity onset diabetes or non-insulin-dependent diabetes. It is caused because of the insulin resistance in the body. Usually, this condition develops in people older than 40 years old but it may present in younger patients as well like in your case.

The good news about type 2 diabetes is that you can make a more independent life as it is treated initially with pills and you are not dependent on insulin injections and pumps from the start. If you had type 1 diabetes, you would be tied forever to insulin injections or pumps.

Type 2 diabetes is treated with pills in conjunction with diet control and regular exercise.

Daonil (glibenclamide) is a drug used to low the blood glucose levels in type 2 diabetes by increasing the amount of insulin produced by your pancreas.

This drug can be used alone as monotherapy or in combination with other anti-diabetic drugs.

As the disease progresses, you may need insulin injections in the future that is why it is very important that you must keep your disease under control.

Keep in mind that in type 2 diabetes the target BGL are:
-fasting BGL = 90-126mg/dl
-postprandial BGL under 155mg/dl

Your blood glucose levels are obviously higher than the target. This means that the treatment needs more attention to work.

Please make lifestyle changes to improve the control of blood glucose levels. Do regular exercise, do some easy sports you may like, or just take a long walk every day will be helpful too.

If you are overweight try hard to lose some weight as it is very important to improve the outcome of the treatment and prevents complications.

Try to maintain new habits of eating. Reduce carbs you are taking, eat healthy based on vegetable dishes, fish, and fruits. Avoid saturated fats and sugars.

If the lifestyle changes along with the Daonil pills do not work please contact the doctor for a close look at the problem. You may need to substitute Daonil with another drug or just changing the dosage.

Hope this is helpful for you.

Thank you.

Mar 20, 2018
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Fasting sugar 90, after meal 204. Is symptom of diabetes?
by: Lazmikant

QUESTION: Hello,

My fasting sugar level is 90 and aftermeal is 204.
Is this the symptom of diabetes?

ANSWER: Hello Lazmikant,

Thank you for sharing your concern with us.

First, let me admit that the diagnosis of diabetes is not that simple.

Next, if I was your caring doctor would ask if you are having any other sign of diabetes like:
- being thirsty all the time?
- frequent urination?
- unusual hunger?
- any other sign?

You have measure blood sugar fasting. That is perferctly normal.

After meal it resulted 204. Here I need to know at what time did you measure your blood sugar.
That is very important because we should wait for at least 2 hours before measuring blood sugar after meal.

It is normal for blood glucose to raise immediately after eating for the first couple of hours. After that if not diabetic, they will get normalized on their own.
If you are a diabetic, then, it might require a bit more time or you might start changing your diet menu and lifestyle regimen to correct the glucose levels.

Another important point is to measure HBA1C level, in order to understand the mean of your blood glucose the last 3 months. So , will have the full picture and say the last word.

Hope this answers your query. Let me know if you have any other concern.

Dr.Albana

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