A member asked:

Had a fasting blood work done 3 days ago. my glucose level was 274, triglycerides was 356 and a1c was 9.1. please advise.

9 doctors weighed in across 5 answers

Diabetes.: You have diabetes type 2. Based upon the numbers you can probably be treated with oral medications, but the primary treatment for this is diet, exercise and weight control. If you are lacking in any of these departments, now is the time to get motivated.

Answered 3/19/2013

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Type 2 Diabetics: My guess is that your are obese and probably have low hdl. If those are correct, you will need life style modification including excercise, diet modification and weight loss , medication and monitoring of your blood sugar. Follow up with physician and monitor you BP and microalbuminuria.

Answered 6/10/2014

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Diabetes: These lab values indicate that you are diabetic and have high triglycerides which is usually associated with diabetes. You should follow up with your doctor quickly to get proper treatment.

Answered 9/28/2016

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Dr. William Harris answered

Specializes in Family Medicine

Uncontrolled Type 2 : This is a chicken and the egg thing. You have diabetes out of control and need to start metformin and Bydureon (exenatide) for a >2 point a1c reduction. The high triglycerides are poisoning your pancreas and liver such that they are having a hard time "turning the corner." you may need to treat the triglycerices and the sugars to get out of your current toxicity; and stick with a diabetic lifestyle program!

Answered 6/24/2014

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You have diabetes: If you were not previously aware of it, you currently have uncontrolled diabetes. If you are overweight, you need to lose weight through a low carbohydrate/starch diet, increase exercise. You also need medication for this. There are many choices of meds, that will depend upon your personal factors. You need to see your doctor about this.

Answered 3/26/2013

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