Doctor insights on:
Can You Have Diabetes With Normal Blood Sugar
The blood sugar concentration or blood glucose level is the amount of glucose (sugar) present in the blood of a human or animal. The body naturally tightly regulates blood glucose levels as a part of metabolic homeostasis. Glucose is the primary source of energy for the body's cells, and blood lipids (in the form of fats and oils) are primarily ...Read more
Over treatment: The most common cause of low blood sugar in a diabetic is overtreatment with diabetes medications (either you give Insulin and didn't eat or eat enough, or you started doing more activity beyond what you usually do). If this is a consistent problem, make sure you talk to your doctor to get your treatment regimen reevaluated. ...Read more
Let me explain: In a person without diabetes, ketone production is the body’s normal adaptation to starvation. Blood sugar levels never get too high, because the production is regulated by just the right balance of insulin, glucagon and other hormones. However, in an individual with diabetes, dangerous and life-threatening levels of ketones can develop. ...Read more
Can someone with just a slightly high blood sugar level (not diabetes) develop diabetic retinopathy?
Diabetic retinopathy: The course of diabetic retinopathy (dr) varies from person to person and is dependent on how long they have their diabetes and how well controlled it is. How do you know you are not diabetic? Is your hb a 1c normal, or elevated? Dr is dependent on two things, glucose and hbp control. Looking at the figure, you can see that BP control reduces dr better than glucose control. Speak to your physician. ...Read moreSee 2 more doctor answers
It is possible.: It is possible to have actual hypoglycemia without having diabetes in the background. This is generally reactive hypoglycemia, which tends to occur one to two hours after a meal containing largely simple sugars. We can prevent this by including complex carbohydrates and fiber in each meal. ...Read more
Low threshhold: Ordinarily the kidney does not spill sugar into the urine until the blood level reaches about 180. However, if this kidney threshhold happens to be set at a much lower level, the sugar will begin to spill at a much lower level. This goes by the scientific name of renal glycosuria and has no relation to diabetes. ...Read more
Needs confirmation: A single fasting blood sugar over 125 needs confirmatory tests to diagnose diabetes. this can be a second fasting blood sugar over 125, or a Hemoglobin A1c test over 6.5%. However any sugar over 300, or any sugar over 200 associated with vision change, excessive thirst or urination, or weight loss while eating more than usual is diagnostic for diabetes without a need for confirmatory testing. ...Read more
Potentially: However, most diabetic retinopathy occurs after several years of high blood sugar, particularly in combination with high blood pressure. Studies show that individuals are less likely to have severe vision loss from diabetic retinopathy if the hemoglobin A1c is less than 7.0. ...Read moreSee 1 more doctor answer
I'm overweight and crave sugar all the time.I have been diagnosed with low blood sugar. I never have any energy. Should i be concerned about diabetes.
No: In my 35 years of practice, I have never seen a case of reactive hypoglycemia. The disorder doesn't exist, if you're overweight the symptoms are a natural response to your glucose level returning to normal. A glucose tolerance test (if you've had one) is not and never will be a valid diagnostic test for hypoglycemia. Don't waste your money o GTT or any fad diets of treatments. Lose wt if heavy. ...Read more
Question isn't clear: There are 2 criteria for diagnosis of diabetes. One is fasting blood glucose higher than 126 mg/ml. Another is 2 hour glucose tolerant blood glucose higher than 200 mg/ml. Either one abnormal makes the diagnosis. So if fasting test is normal, it is still possible to have diabetes. ...Read more
Is it possible to feel shaky and tired with normal blood sugar levels if you are use to having high blood sugar?
No: Do get checked from time to time. If it's over 126 mg/dL perhaps on more than one occasion, the diagnosis might be made. ...Read more
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