Diabetic Tests

[sundeepdelhi]

Kindly advice the latest and advanced Diabetic Tests for the Diabetic Patient since 7-8 years.

Age of the patient is 35 years.

Sugar F & PP

HbA1c

any other ???

[shrisamarth Volunteer]

You need to following tests at least once in a year. Lipid profile, kidney function test, liver function test, thyroid profile, vitamin B12, vitamin D.

[sundeepdelhi in reply to shrisamarth]

is it for the diabetic patient ???

[sundeepdelhi in reply to shrisamarth]

HbA1c is not essential ??

[shrisamarth Volunteer in reply to sundeepdelhi]

You have already mentioned about Hba1c.

Yes these tests are for a diabetic.

[Hidden in reply to sundeepdelhi]

Fbs PPBS for blood and urine Kidney function Lipid profiles Urine routine and HBA1c hemogram and ecg

These are necessary from diabeticanycomplication arises these test to be done In addition to thie complete eye check is necessary acording to age Thanks

[Hidden in reply to sundeepdelhi]

Fbs PPBS for blood and urine Kidney function Lipid profiles Urine routine and HBA1c hemogram and ecg

These are necessary from diabeticanycomplication arises these test to be done In addition to thie complete eye check is necessary acording to age Thanks

[plus in reply to sundeepdelhi]

If FF & PP is within range then is HbA1C essential ?

[sundeepdelhi]

[e-mail]

+91.8276814990

[everexotic]

If you are a first time diabetic, you should visit lifescan and get complete testing done and learn as much as possible about this disorder. There are tests like c-peptite and GTT tests (google it) which are good markers of progrression of this disorder.

[mapalli]

I advise to get tested for c reactive protein.

Just testing for blood glucose fasting and post prandial will give"that time" food intake carbohydrate response in your blood. More scientific way is to test blood glucose six times in day, since food is taken thrice. If you have glucometet at home test following timings once in tendays.

Fasting expected range is 80-100mgper dl

Post break fast eected range 120-140mg per dl

Prelunch expecte range 80-100mg per dl

Post lunch expected range 130-150 mg per dl

Predinner expected range 80-100mg per dl

Post dinner expected range 120-140 mh dl

This testing gives you where your limits of carbohydrate. If you notice higher values at point of time cut down your carbohydrate in take. This best method to see that your Hb1Ac is under is normal range.

For diabetics it is desireable to test cholestrol and tryglycerides.

If possible once inway get your fasting insulin value and glucose, then get HOMA values.

This tells you about insulin resistance.

DrMKJsarma,

Molecular endocronolist.

[Hidden in reply to mapalli]

@mapalli,

[quote @mapalli]

More scientific way is to test blood glucose six times in day, since food is taken thrice. If you have glucometet at home test following timings once in tendays.

Fasting expected range is 80-100mgper dl

Post break fast eected range 120-140mg per dl

Prelunch expecte range 80-100mg per dl

Post lunch expected range 130-150 mg per dl

Predinner expected range 80-100mg per dl

Post dinner expected range 120-140 mh dl

This testing gives you where your limits of carbohydrate. If you notice higher values at point of time cut down your carbohydrate in take.

[/quote]

Excellent advice.

In addition, perhaps if we take the same food for breakfast, lunch & dinner in a day & take the readings as you have suggested, it might give us some idea, how our individual body is behaving. We can carry out this experiment for a couple of days.

For eg. We can try

BF - 2 chapattis + Ghee + Chutney

Lunch - 2 chapattis + Ghee + Chutney

Dinner - 2 chapattis + Ghee + Chutney

& take the readings.

Thanks

[shrisamarth Volunteer in reply to Hidden]

The testing has to be with different foods. Best strategy (as Jenny Ruhl suggested) is eat to your meter. After meals it is better to have BS <120.

Fasting <90. Before meals it will be hard for most diabetics to go <90 so at least <100.

[mapalli in reply to Hidden]

What is more important is amount of fiber you take. In that also soluble fiber. Since the viscosity reduces the glycemic index foods. For example high glycemic index chapathi can be reduced by adding high soluble fiber containing vegetable like guar, ladies fingers, beans as dieatary source ( amounting to 500 gms per day per person)otherwise fiber supplementation in the form like Fenufiber ( www Fenufiber)can positively help to get good control.

Dr.Mkjsarma

Molecular endocrinologist

[Hidden in reply to mapalli]

@shrisamarth, @mapalli,

Sorry, appears, that my communication was not clear.

What I was trying to suggest was an experiment for a couple of days for an individual.

The objective, Keep one parameter ( Food Input ) constant & observe the way the Body reaction ( Insulin action ) takes place for the same food, at different times of the day.

In addition, to the Timings suggested by @mapalli, I would suggest an additional test immediately on waking up.

Above might perhaps help an individual understand how his own body behaves at different times of the day on getting an input of food.

The Chapatti, etc was just an example of food that could be taken.

Thanks

[shrisamarth Volunteer in reply to Hidden]

@recyan

Same food at different timing gives me different values. My maximum carb intake is for BF. Mostly I eat beans and small quantity of LW for BF. I can not eat the same items for lunch or dinner. It gives me higher readings. Mostly I eat sabjis and salads for lunch and dinner.

[Hidden in reply to shrisamarth]

@shrisamarth,

Thanks for posting your experience.

It definitely gives guidelines.

Thanks

[mapalli in reply to mapalli]

What we do this inn experimental animals is to keep food composition as constant. It is practically impossible when we study human beings , variation is needed in every aspect of food.

I suggest you to get you vitamin "D" levels done also, since we have become sun blind with heavy change in life style, being indoorsm drving in AC cars, working in AC rooms.

Check your physical activity. It should be constany 40 minutes vigorous walk minimum

Mkjsarma

Molecular Endocrinologist

[Hidden in reply to mapalli]

O K Sir But LCHF followers not interesting walking excercises and also in medicines and also they do notbelieve Doctors also thanks

[Hidden in reply to mapalli]

Is it Fenufiber may good for diabetests I want to purchase it can u please inform the dosage and how totake before orafter food andhow much of time ? Thanks

[mapalli in reply to Hidden]

Please refer to website Fenufiber for all details. You will get all information including how to get it.

[Hidden in reply to mapalli]

Thanks for respond Sir I try to use it very soon Thanks

[Hidden in reply to mapalli]

Today I contact the person and he sent mail that 2 bottles of fenfiber may send to me After recevingand using I amsharing the expereince of that powder. Thanks

[Hidden in reply to mapalli]

I think U are DR MKJ sharma Thanks u very much Your suggestion is useful

1 Wehave test FBs for fasting 8 hour from previous night. similarily if w eat morning after 8 hours if we do not take any food then if we test for Bs is it FBS or PPBS or Random what the value for this is normal.

2 What is Normal value of random blood sugar for prediabetic and non diabetic person ?

3 If FBS ismore is it Insulin resistance or Insulin deficiency ?

thanks

[mapalli in reply to Hidden]

The answere to your third question is to test fasting glucose and fasting insulin and called HOMA value. This gives idea for insulin resistance.

Type II diabeties starts with i sulin resistance, then leads to insulin deficiency. The mechanisms are different.

[Hidden in reply to mapalli]

Thanks a lot Sir

[Hidden in reply to Hidden]

Today I recevide 2 bottle of Fenufiber powder by courier I willstart tommorow it wasmentioned3timespeday 5gmeach thanks for your refernce Sir

afte some time Iwill share this matter thanks

[mapalli in reply to Hidden]

Natraj I wrote detailed reply to your first question but got deleted while replying. Sorry. In nut shell it is maintaing glucose homeostatis, where by blood glucose levels sholud 75-100 mg, to maintain acivity, other wis,One goes to hypoglycemia and can be dangerous.

[Hidden in reply to mapalli]

Thanking u very much Sir for your respond . Iamhere in Bangalore I am pre diabetic from last 20 years. now my age is 60. iam her consuted with professor of endocrinologist from M S R Hospital and privately another M B B S MD MR C P

Of course I am healthy no problems ahead MY B+FBS is around 91-96 and PPBS between 98 - 130 depends upon food consume.

Iam taking Glynase MF 1-0-1/2 Some of my friends the members of this forum says that by using sulfunal urea itdamgages the kidney . So only metoformin must beconsume.

Iam from 20 years diabetic now my age is60 I have no any symptoms about it and blood test is normal about kidney function and lipid profiles and urine routine

After it I consult my nearest Doctor about sulfunal urea he says that kidney may not damge by using sulfunalurea but if u cannot control foods and using more sugar items then then only dialysisis necessary ?

Afterwards He advised to change the tab Dianorm 80 mg ( Gliclzide 80 mg and Glycomate 500 mg each 1-1 But I am not using since some more Glynase MF is with me

Can u please guidance about this it help me lot Thanks

[mapalli in reply to Hidden]

Please use fenufibre regularly as suggested in website. It is good functional food with reasonably good souble fiber.it is produced in Bangalore. Get hold of contact numbet.

Dr.Mkjsarma,

Molecular endocrinologist

[Hidden in reply to mapalli]

Thanks a lot Sir Today I contact the person he agreed to give his shop details and send it on courier . Thanks

[Hidden in reply to mapalli]

@mapalli,

Will using fenugreek seeds soaked overnight, have a different effect, as compared to using fenufibre ?

Thanks

[mapalli in reply to Hidden]

The entire basis is on upregulation of insulin receptors, it is seven to ten times higher if fenufiber is taken along with food. Overnight presoaked fenugreek seeds taken in the morning do not contribute to reduction of glucose.it is not based on scientific evidance.

Mkjsarma

Molecular endocrinologist.

[Hidden in reply to mapalli]

@mapalli,

Thanks for the info.

Is there a possibility of reduction in the effect of medicines taken with the meals, if we take fenufibre before meals ?

Thanks

[mapalli in reply to Hidden]

Yes' there is possibility if you take fibre regularly as functional food.some laboratory studies do show such promise.

Drmkjsarma,

Molecular endocronolist

[Hidden in reply to mapalli]

@mapalli,

Thanks.

[zakir375]

Hi teamone, please send details on my e-mail [e-mail] Thanks.

[mapalli]

To object to how you body is reacting to single food , get one meal glucose tolernce test.(MGTT)

This is nothing but taking fixed amount of carbohyrate source like chapathi with desired dishes in the morning and measure glucose levles and insulin levels both in plasma and urine at the following tmings, o hours 10 minutes, 15 minutes,20 minutes, 25 minutes, 30 minutes, 35 minutes, 40 minutes, 45 minutes, 50 minutes 55 minutes, 60.minutes, 65, 70,75'80 ,85'90, 95 minutes so on so forth till 120 minutes. This gives good idea of single source of carbohydrate , with define physical activity.

Mkjsarma

Molecular Endocrinologist.

[mapalli]

I saw the report. It is not dine diabetic persons, it is done obese persons not diabetics. Hence it rquires clarfication,

[mapalli]

I saw this report. It is not done on diabetic subjects. This study was done on obese nondiabetic sibjects. Hence needs further clarification.

Dr.Mkjsarma,

Molecular endocrinologist.

[mapalli]

Let us base our conclusions by doing well desinged experiments on diabetic subjects

[Hidden]

Sorry Both weboth of themtravel in differentbats and on paralel lines so both view s and opinion or different so it cannot coincide

1 Who suggest u asdiabetic patient . If immediately any fever or any disease formed u go t Doctors but not L CH F owners. firstly Doctor prescribed the medicines and onafterwards u maygo medical shop and ask him give the Ame medicines ?

2 i am alsodoin this if he gives costly medicines I am talk with medical shop owner and selectsame chemical in less cost. For this one of member RECYAN advised in previous comments

3 If u do not believe in Doctors why u use metoformin SR 255o mg . Is any medicines not avilable in LCHF blogsshop ?

4 Walking or excercises used not only burnt calorie it helps mind fresh . If u have a bike ortwo wheeler or car If u do not use to go to another place petrol consumption is Zero U have save petrol cost . Your body is also jst like a machinery If u ovral time totime the machinery life increases and vehical safely and repairs notcomesoon If your vehcal is idle then early it hasdamages

3 O K u do not believe in walking or excercise . It may be reason that most of LCHF ( Not all members some were also normal wt. ) may be overwt. Of course this is your personnel issue Sorry

4 At last Iam not interest inargue . Please do not recomonded toall persons to insist LCHF Old persons resistance is different from person to person U may be youngand energetic ucan take only 255o Mg Metoformin SR Some of persons taking more tables.

Thanks

[Hidden]

Sorry Both weboth of themtravel in differentbats and on paralel lines so both view s and opinion or different so it cannot coincide

1 Who suggest u asdiabetic patient . If immediately any fever or any disease formed u go t Doctors but not L CH F owners. firstly Doctor prescribed the medicines and onafterwards u maygo medical shop and ask him give the Ame medicines ?

2 i am alsodoin this if he gives costly medicines I am talk with medical shop owner and selectsame chemical in less cost. For this one of member RECYAN advised in previous comments

3 If u do not believe in Doctors why u use metoformin SR 255o mg . Is any medicines not avilable in LCHF blogsshop ?

4 Walking or excercises used not only burnt calorie it helps mind fresh . If u have a bike ortwo wheeler or car If u do not use to go to another place petrol consumption is Zero U have save petrol cost . Your body is also jst like a machinery If u ovral time totime the machinery life increases and vehical safely and repairs notcomesoon If your vehcal is idle then early it hasdamages

3 O K u do not believe in walking or excercise . It may be reason that most of LCHF ( Not all members some were also normal wt. ) may be overwt. Of course this is your personnel issue Sorry

4 At last Iam not interest inargue . Please do not recomonded toall persons to insist LCHF Old persons resistance is different from person to person U may be youngand energetic ucan take only 255o Mg Metoformin SR Some of persons taking more tables.

Thanks

[Hidden]

At last u agreed that u cannot criticsed medicine criticised only unnecessary drugs and alking

1 As per unnecssarydrugs I have already informed above2 comments

The drug maphia biggest pharmaceuticalcompany unnecessarily prepared so much of combination medicines both diabetic and also alldiseases . For example vitamin b comples is only limited quantity to be consumed bythe body but medicalcompanis were prepared bvery much quantity of B1 B2 etc more than 50 mg etc excess of vitamin b will dissolve inbody and gos immediately through utine. this is adjustament of medical companies and government and also press Doctors through heavy gift and commission this is alreadyinformed uin previous comments .

Simiarily diabetic medcines also unnecessary vitamin C quantity added inevery medicines heavy dosage of statin and sulfunalurea also added.

As good and inteligent Doctrs tsted peson hishistory and how long his problems by blood test by his previous reports etche decided to suitable dosage

We are not Doctors and we only patiens we cannot judge it Because Allopathy medicines are poision alsoif heavy dosage may be consume. but Ayurvdic medicines if it is notcurable but it isnot dangerous to body But here Ayurvdic Doctors should inteligenthe avoided moremoneywe cannot search who Doctor is good ?

2 For drug mapha unnecessary drugs wecanot make any thing it isthe Government tomodify the rules.

[Hidden]

At last u agreed that u cannot criticsed medicine criticised only unnecessary drugs and alking

1 As per unnecssarydrugs I have already informed above2 comments

The drug maphia biggest pharmaceuticalcompany unnecessarily prepared so much of combination medicines both diabetic and also alldiseases . For example vitamin b comples is only limited quantity to be consumed bythe body but medicalcompanis were prepared bvery much quantity of B1 B2 etc more than 50 mg etc excess of vitamin b will dissolve inbody and gos immediately through utine. this is adjustament of medical companies and government and also press Doctors through heavy gift and commission this is alreadyinformed uin previous comments .

Simiarily diabetic medcines also unnecessary vitamin C quantity added inevery medicines heavy dosage of statin and sulfunalurea also added.

As good and inteligent Doctrs tsted peson hishistory and how long his problems by blood test by his previous reports etche decided to suitable dosage

We are not Doctors and we only patiens we cannot judge it Because Allopathy medicines are poision alsoif heavy dosage may be consume. but Ayurvdic medicines if it is notcurable but it isnot dangerous to body But here Ayurvdic Doctors should inteligenthe avoided moremoneywe cannot search who Doctor is good ?

2 For drug mapha unnecessary drugs wecanot make any thing it isthe Government tomodify the rules.

[Hidden in reply to Hidden]

3 U may think I am using only 750mg of metoformin+ 7.5 mg of glibizide But u have taken 2550 mg of metoformin. whois heavy medicines

O K so much of diabetics taken heavymedicines

Iam already informed that diet is 70 % life style 10 % 10 % medicines and remaining 10 % heriditary or unknownreasons of the body sugar may raises first wecontroldiet here u used LCHF Iam used my own diet which is suitable for my resistance of the body

2 Totaly less carb is good agreed I amalso used medium carb in my foodu may alsoseen my diet chart in previous discussions

So manydiabetics cannot control the diets consuming more rice wheat sweets etc their sugar raises hence theywalk hardl O K

But even my diet is medicum carb medcines is too less but also I prefer walking and yogs

If u believe it or not excercise will burn calories notonly it helps body toflexibality and your mind became fresh. Yoga and excercises helps full body flexibality by doingfrontbending back bending and bending lef andright .

3 Even this is no time simply by doing pranayama ( inhale and exhale ) and khaphabatti your mind became fresh

It is not possible toprove u her e As some ofLCHF members alsosays they do this

4 U may also used ALA coq10 supryadan VCo ifudo not use some of LCHF followers use they comment here.

5 O K If u believe drugs and not believe Doctors All Doctos are same type

6 Withou using LCHF or Ada diet system Iam using my own diet my health is good and normal mymedicines isvery less and also doing yoga walking excercises and mymind is fresh.

As for God help my health is good until today futureis left for God

Any members do not think otherwise I am not criticising any members and also LCHF and ADA followers Thanks

[Hidden]

Sorry Cscon it is the story of members whomasy be in this forum previously Whenthey stick on theirownmedicines and their wish what is the necessity to go to othersand criticise ?

Please understandif udonotbeliev modren allopathy medicinesand Doctors and dieticians nutritions Thereis nonecessary go to their shos and loss of money and also publish in blogs.

So it is good thing to leave it Doctorsand medicines andall of them u may be simplyfollowed your own way

If LCHF is good for persons they mustfollows This group there r ADA and mayo clinic Advisefollowers and also LCHFfollowers and neutral inall this tpe members also . So do not force tofollows and always do not give the linkof LCHF blogs

Please donot think I am not personaly against u

This is the blog most of them T2 persons so pleaseshare your personal expereince and test results how much control BS it may help to all. Iam not say only for u Iamrequest all the members to share their personnel knowledge ( Not giving link and other members opinion)

Thanks

[Hidden]

O K If u think I am using havy drugs and heavy food umay consider as u like.

1 I am followed strict diet as ayurvedic theory out of parts 1 part by gains 1 part proteinfat and fruits 1 part by vegitables andremaining1 partofstomach was free .

this is not included wate and cofee teaor milk I consume more than3 litre of ater together 3 cofee and 2 Greentea

2 My medicines is heavy as u think sulfunal urea of 7.5mg As my condition I may stop the medicines fully but I am afaid ifany complicaton raises But shortley I want tostop night dosage of medicines .

3 As u says that SU will damages the kidney my kidney function sinc 20 yars is healthy as ontoday

Last3 monthsback testedresult as follows

urea 21.4 creatine 0.93 uricacid 4.9 I think it is o K Any comments please share

4 Lastly Iam not interesting argue and unnecessary prolong odiscussion. U may happy tocontinue your diet system Iamcontinue my diet system Butboth ofthemaim istocontrol BS level normal

Any reports or expereince if about sulfunalurea ordiabetics please share Thanks

[mapalli]

Dear Nataraj, as per the fenufiber instructions, it should taken preferrably preswollen just before any carbohydrates containig food in take. In case one is other drugs depending nature of drug water , soluble or fat souble it is best take at least 30-35 minutes ( if it is water soluble) or 1.5hours if it is fat slouble. Say it is water soluble vitamins take half vitamins hours before food and it fat soluble vitamins like vitamin D or Vitamin A take one half before or after one half hours after food. You get best of both.

DrMKJsarma,

Molecular Endocrinologst

[ONIL]

LIPID PROFILE SHOULD ALSO BE DONE

[gangadharan_nair]

A: HbA1c. HbA1c is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months. It shows

how well you are controlling your diabetes.

B: Control your high Blood pressure, if any. Normal blood pressure- <120/80 mmHg.

C: Control your blood Cholesterol: Normal cholesterol < 200 mg/dL. LDL <100 mg/dL HDL > 40 mg/dL Triglyceride < 150 mg/dL.

D: Diabetic education.Dental check-up should be done in every 6 months.

E: Eye examination for glaucoma, age-related macular degeneration, diabetic retinopathy and cataract.

F: Foot examination

G: Glucose monitoring. Fasting or postprandial blood sugar may be checked daily and avoid foods that elevates blood sugar.

H: Health maintenance immunization against influenza and pneumococcal pneumonia.

I: Indications for specialty care. Heart, kidney, eye should be checked periodically by concerned specialists.

* Overall, the risk for death among people with diabetes is about twice that of people of similar age without diabetes.

* Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.

* The risk for stroke is 2 to 4 times higher among people with diabetes.