Diabetes India
59,883 members11,037 posts

Any possible risk of diabetic complications from high fasting blood glucose?

Hi friends,

Could you please give your opinion if the following numbers will pose any risk of diabetic complications:

Fasting: 110 -120, maximum recommended is 100 mg/dl

Post -meal(2hr): 130 or less. Maximum recommended is 140mg/dl

HbA1c: 5.8%, maximum recommended is 6%.

19 Replies
oldestnewest

No issue

1 like
Reply

Thank you.

Reply

As per existing norms,you are safe,but keep a watch on all health parameters from time to time.

1 like
Reply

Thanks, sir.

Reply

There is no risk factor for diabetic complications at present.

In the mean while, you should undergo other medical tests periodically.

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, thyroid and 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.

2 likes
Reply

Thanks for the info. I will be taking the tests mentioned in your post in the month of Dec.

Reply

If a1c is < 7 and lipids and kidney tests are normal pls donot go to any doctor...stay on low fat and sugar diet.Allah bless you all

Reply

Yes, I read your Glycomark text. Unfortunately, it is currently not available in my area. However, in my case, following on LCHF, blood sugar level does not bounce very much. It is reasonably stable. Moreover, I eat only one meal, therefore, blood sugar does not get many opportunities to dance around. I am more concerned about lipid profile because of extreme dietary changes that I have made. I will get those answers in the month of Dec.

1 like
Reply

Where this GlycoMark test is available at Chennai,?

Reply

Thanks for your reply. Currently, I am in weight loss phase. Once I achieve the target weight, I will increase my calories intake by increasing fat intake. The purpose of one meal a day is not to restrict calories but give body more time to repair the damaged tissues and also promote growth hormone regeneration. Good for people over 60. Not a good idea for general population particularly younger people.

Reply

Glad to hear that. I could never guess that from your picture. Congratulations.

Reply

Probably Dr. Steven Phinney's presentations uploaded on Youtube.

Reply

Fully agree with you that we do not count calories because it is highly unlikely to overeat. we get satiated without eating too many calories.

1 like
Reply

Hi. CICO / net balance of calories matter. Perhaps. High Fat = High Satiety may not be entirely accurate.

sciencedrivennutrition.com/...

Let me know what you think.

1 like
Reply

I do agree with you that strictly speaking CICO equation must be satisfied because that is the law of physics. But one has to consider everything as Aup rightly pointed out.

Now regarding the other point which you raised referring the paper.

I have given a cursory glance at it and found it strange. With due respect to its author, I must say he is being extremely pedantic in an effort to prove unsuccessfully that LCHF claims are false-e.g. he agrees that LCHF results in weight loss but he says it is because of the absence of (or reduced) carbohydrate. Agreed, but does that prove LCHF is not working! Same way regarding satiety. One has to look at well studied and documented body's response to Carbohydrate, fat and protein intakes. In carb-rich diet, wide blood sugar swings are so well known to cause various issues including frequent hunger and feeling of sleepiness when satiated. Are we looking for that kind of satiety? In contrast, LCHF diets result in a very stable blood sugar response and no feeling of frequent hunger and sleepiness.

A good researcher while analyzing/refuting some claims takes into account - theoretical as well as experimental results which in this case will be the experience of thousands of people who are successfully following LCHF diets. I am sorry to say this paper fails in that respect.

My personal view is that high carb food pyramid diet is suitable for a very small percentage of the population who are leading very active (physically demanding) lifestyle e.g. athletes, sportsmen, weight lifters, body builders, and others engaged in tough manual activities where a burst of energy is demanded at short notice. Average population with modern lifestyle will tend to accumulate unused energy as fat like a long-term fixed deposit which body will never have a chance to spend because it is fuelled by a never-ending- supply of Carb which has priority over fat as fuel.

Reply

Thanks for the info. 6% is the upper limit given by NHS UK and also ADA US. I understand we should keep it on the lower side as far as possible. I will be very happy if I can achieve the lower target. Currently, it is limited by the achievable basal value in my case. The post-meal increment value on LCHF is very low-hardly 10-15 points. Let us see if there is an improvement in the basal value time passes.

Reply

will try. It depends on my GP if he agrees. I believe insulin level must have reduced significantly. Am I right?

Reply

Sorry, I did not realise it must be past midnight for you. Go and rest, please.

Reply

Your Diabetic clock is on! Your goal must be to bring it to an off condition.

Reply

You may also like...