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Doctor insights on: What Should I Do For High Fasting Glucose With Normal Random Glucose

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What should I do for high fasting glucose with normal random glucose?

What should I do for high fasting glucose with normal random glucose?

Diet/exercise: It's not normal to have a high fasting blood sugar. By definition, it means you have pre-diabetes. This is an important time to look at your lifestyle choices because you can bring it back to normal with the right diet/exercise routine. If you are overweight, work on losing some weight. Watch portion size and try at least 30 min of moderate exercise 5 days/week. ...Read more

Blood Sugar (Definition)

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


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What are the causes of normal A1c and high fasting glucose?

What are the causes of normal A1c and high fasting glucose?

Several causes: The correlation between a1c and FBS is not perfect. A1c is like a glu average. If you have frequent hypoglycemia, then that may be "balancing" the high glu. Another possibility is a hemoglobinopathy. There are many causes of abnormal hemoglobin, most common is sickle trait, which cause no symptoms but mess up the a1c. An alternate to the a1c is a measure of fructosamine. ...Read more

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Recently had a fasting glucose of 118 (during a time of high stress). Then had AC1 - 5.2 (normal) & non-fasting glucose - 119. Should I ask for OGTT?

Recently had a fasting glucose of 118 (during a time of high stress). Then had AC1 - 5.2 (normal) & non-fasting glucose - 119. Should I ask for OGTT?

Options: Hi. Since an OGTT includes a fasting glucose in the test, you could do the OGTT to get both fasting and challenged glucose. A1c and random glucose are the two least sensitive tests for early glycemic abnormalities. Eat healthily and exercise regularly. Good luck! ...Read more

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Im not diabethic.1month ago fasting glucose 99 and pp 95.Today random measurement with glucometer after breakfast was 160!.Is that too high?Txs

May be normal: A random blood glucose level of 200 mg/dl or more, plus presence of the following symptoms, can mean that you have diabetes: increased urination increased thirst unexplained weight loss as you have normal fasting and post postprandial level, i would say you may not have diabetes. ...Read more

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A1c5.8;was 5.7 about 5 years ago&was never told pre diabetes;non fasting glucose 104;hypothyroid tsh high@8.31;t4-1.6 with high normal 1.7;concerning?

A1c5.8;was 5.7 about 5 years ago&was never told pre diabetes;non fasting glucose 104;hypothyroid tsh high@8.31;t4-1.6 with high normal 1.7;concerning?

Hypothyroid: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your A1c result is not abnormal and is not pre-diabetes level. However you are hypothyroid and should consult your doctor for replacement medication. ...Read more

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Blood protein low 5.8; lymphs high 47% rel/3.8 abs. Fasting glucose 95; non is only 77. Past high liver #s now normal. Rbc ok, stools neg for infect. Eating plenty. Persistent bloody stool. Causes?

Blood protein low 5.8; lymphs high 47% rel/3.8 abs. Fasting glucose 95; non is only 77. Past high liver #s now normal. Rbc ok, stools neg for infect. Eating plenty. Persistent bloody stool. Causes?

Need colonoscopy : When there is persistent bleeding into the toiler a colonoscopy to look inside and take biopsies is critical for appropriate diagnosis and treatment . Inflammatory bowel disease is a consideration and that is the way to diagnose it. ...Read more

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Dr. Cayce Jehaimi
2,569 doctors shared insights

Glucose (Definition)

Glucose is the basic sugar molecule and the source of energy throughout the living kingdom. We are programmed to easily detect it by taste in our foods as it is desirable but can be overdone with the modern diet. It gets out of control ...Read more