Q: My fasting sugar is 80 to 100. But after meals within one hour it reaches 220. After 2 hours it come down to 150. Normally the postprandial sugar level are measured after 2 hrs of meals. But in my case at what time should I measure my postprandial sugar?
If the sugar rises maximum with in an hour, is it danger to health? Is there any special treatment required? Now I am taking Glycinorm M80 (Gliclazide and Metformin Hydrochloride) 1/2 tablet in morning and 1/2 tablet in evening.
This is normal. Your fasting sugar levels are alright.
After taking a meal, the food is digested and this causes an immediate increase in the blood sugar. With most people, the levels are high during the first 1 hour of food intake and becomes lower within the next hour. Your doctor is aware of it and takes this into consideration while checking the postprandial value.
Is This Glucose Surge Bad?
It is good that you are conscious about this glucose surge. Yes, such surges are bad, and the reason behind them is the type of food we are taking these days.
Ideally, a person should consume only whole food and, no refined stuff, like, whole wheat, brown rice, whole dals, vegetables and raw fruits. Such a food is rich is dietary fibers. After entering the blood stream, glucose is released from them in a slow and constant basis over a period of several hours.
On the other hand, refined food stuff like, white rice, white sugar, less of fruits and vegetables and all junk food lack dietary fibers. They enter the blood stream and immediately release a lot of glucose into it. A surge is hence produced which is managed by insulin on an urgent basis. Also, the glucose reserve gets depleted in lesser time, making you feel hungry again.
Let your body face lesser of such surges.
- Eat whole foods, vegetables and raw fruits as much as possible.
- Also, avoid all junks like biscuits, burgers, breads, chips etc. Restrict to refined food stuff as far as possible like white rice, white sugar etc.
- Drink plenty of plain water. Avoid sugared and carbonated drinks.
- Limit tea, coffee or alcohol.
Hb A1c Is a Better Indicator to Be Measured in Diabetes
Measuring fasting or PP blood sugar levels don’t fully convey the status of diabetes in your body. The better indicator is Hb A1c.
Read more on why Hb A1c is a better indicator and how and when should it be measured.