A member asked:

Does diabetes always show in a random glucose blood test? i had gestational diabetes but random glucose has been clear for 6 years. now im having strog sweet smell in urine and heart palps and jitters

4 doctors weighed in across 3 answers

Diabetes: Random blood sugar of 200 + is suggestive of diabetes if associated with symptoms of the latter - increased thirst, urination, appetite, weight loss, fatigue, etc. Strong sweet urine smell is often misinterpreted and heart palpitations is not a symptom of high blood sugar.

Answered 8/14/2013

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Dr. Gebrehana Zebro (formerly Woldegiorgis) answered

Specializes in Internal Medicine

Yes: Diabetes show in random blood sugar . However , the standard test to diagnose diabetes is fasting blood sugar . I would recommend you have fasting blood sugar . If its is >124 , it fulfill the diagnostic criteria of diabetes according to ada.

Answered 8/14/2013

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Dr. Gerald Neuberg answered

Specializes in Cardiology

Not always: Random glucose fluctuates. The more accurate blood test is the hemoglobin a1c which gives an average level over a period of weeks/months. Still it's good news that you had so many normal results.

Answered 2/25/2014

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