I have fasting serum glucose -122 mg/dl which is abnormal and post prandial serum glucose of 178 mg/dl which is also abnormal. Can you help me out with how to manage it?

Question

Hello, Thanks for the query. Both values are showing that there is pre-diabetic situation. Following are the criteria for diagnosing diabetes: 1) Normal: Fasting: 70 to 110 mg, PP<140 mg & HbA1c% <5.7. 2) Pre-diabetes: FBG 108 to 125 mg, PP 141 to 199 mg & HbA1c% 5.7 to 6.4 % 3) Diabetes:FBG: > 126 mg, PP: 200 mg, HbA1c% >6.5.So you are in prediabetes condition. This is a warning signal. If proper care is not taken, then you are likely to develop diabetes in next few weeks, months or a year or so. But if you take care, reduce intake of sweets, deep fried foods, pastries, bakery items, foods made from maida and junk foods, plus exercise regularly for over 1 hour a day, maintain near normal weight, avoid central obesity then you may be able to prevent development of diabetes or may postpone it for a long time. Since no age, weight or height is mentioned it is difficult to give any specific suggestions. Thanks.

Prabhakar Laxman Jathar · Accepted Answer

Hello, Thanks for the query. Both values are showing that there is pre-diabetic situation. Following are the criteria for diagnosing diabetes: 1) Normal: Fasting: 70 to 110 mg, PP<140 mg & HbA1c% <5.7. 2) Pre-diabetes: FBG 108 to 125 mg, PP 141 to 199 mg & HbA1c% 5.7 to 6.4 % 3) Diabetes:FBG: > 126 mg, PP: 200 mg, HbA1c% >6.5.So you are in prediabetes condition. This is a warning signal. If proper care is not taken, then you are likely to develop diabetes in next few weeks, months or a year or so. But if you take care, reduce intake of sweets, deep fried foods, pastries, bakery items, foods made from maida and junk foods, plus exercise regularly for over 1 hour a day, maintain near normal weight, avoid central obesity then you may be able to prevent development of diabetes or may postpone it for a long time. Since no age, weight or height is mentioned it is difficult to give any specific suggestions. Thanks.