Recently when I tested my random blood sugar level was 160 mg/do. Am I to take medicine to bring it to normal level or enough if restrict my diet.
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Your random BSL is on higher side. You need to do Fasting BSL/ post prandial BSL and HBA 1c. Seeing these reports I may consider of starting medicines. Meanwhile you should consider restriction of sugar and sweets and fruits like banana, chikoo, grapes, mango, etc.
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The levels you are telling are in excess of the prescribed limit. It should not have exceeded 140 mg/dl. Because age etc are not mentioned and considering error by the lab, I would suggest you to consult your physician for clinical examination and lab investigations like HbA1C etc. Only diet control might not be effective so relevant dose of medicine is to be included. High levels of sugar in long run have detrimental impacts on vital organs, so treat on priority.
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