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Is My Blood Sugar too High?

By Peter Hibberd, M.D.   |   Tuesday, 22 Oct 2013 09:40 AM

Question: I am 50 years old and my sugar level is 140. Please tell me how to reduce it?

Dr. Hibberd's answer:
A random blood sugar level of 140 means nothing. It may be quite normal, if you've just had something to eat or drink.

But a 12-hour fasting blood glucose of 140 means you are probably diabetic, and in need of treatment. So what do you do? Have a more definitive hemoglobin A1C blood test done for a better indication of your glucose metabolism and your average blood sugar over the prior three months.
A reading under 6.0 is normal. If your A1C is elevated, see your physician for an evaluation for diabetes and other conditions than can make it appear like you have diabetes (such as hypothyroidism, adrenal, or pancreatic disorders). We usually start treating Type 2 diabetes — the most common type at your age — with dietary changes with weight management. Sometimes, people take an oral medication to help sensitize your cells to the insulin your body is producing.
In some cases, insulin shots may be needed to normalize the elevated glucose tolerance.
See your doctor and do not self-treat this condition. Unchecked high blood sugar levels set the stage for premature heart disease, stroke, circulation disorder, kidney failure, vision loss, and sometimes life-threatening complications.

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A random blood sugar level of 140 means nothing, but more definitive hemoglobin A1C test can flag diabetes.

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