BLOOD SUGER FASTING: 197Mgms/100ml.
by atish
(mumbai)
Question
Hello doctr…m 4m mumbai,
my dad( age-58yrs) just have done blood glucose test,who have diabetes(diabetes type2) 4m last 7-8 yrs,so the report on blood glucose as follows;
BLOOD SUGER FASTING: 197Mgms/100ml.
FASTING URINE SUGER : PRESENT(+++).
POST PRANDIAL BLOOD SUGER : 291Mgms/100ml
POST PRANDIAL URINE : PRESENT(+++),
so all dis count is more dan normal range,n m 2much worry abt dis,plz tel me is der ne 2much serious issue 4 my dad’s health?wat should i do nw???plzzzz…. help me…m waitg yr repl…
also tel me,which type of diet must be use 4 my dad,means which type of food take in breakfast?lunch? and dinner?n any health supplement?
—Atish, Mumbai
Quick Answer
Atish, your father’s fasting glucose of 197 mg/dL and post-meal glucose of 291 mg/dL are clearly above the usual targets for many adults with diabetes. These results suggest that his current treatment is not controlling glucose adequately and should be reviewed promptly.
The urine sugar marked +++ means glucose has spilled into the urine. It does not measure insulin and does not tell us which medicine or dose he needs. Please arrange a medical appointment within the next few days, or sooner if he feels unwell.
Answer by Dr. Albana Greca, MD, MMedSc
Hello Atish,
I understand your concern. “Mg per 100 mL” is the same as mg/dL. Fasting 197 is above the common premeal target of 80–130, and post-meal 291 is above the common target below 180 mg/dL.
See our guides to blood sugar from 127–200 mg/dL and after-meal blood sugar.
How Serious Is This?
These numbers are not automatically an emergency if he feels well, but persistent glucose at this level increases dehydration and complication risk. It should not be left untreated.
Tell the doctor exactly when the post-meal sample was taken. Even so, 291 mg/dL warrants treatment review.
When He Needs Urgent Care
Seek urgent medical help if he has vomiting, abdominal pain, deep or rapid breathing, severe thirst, very frequent urination, inability to drink, marked weakness, confusion, unusual drowsiness, chest pain, or shortness of breath.
Also seek prompt care if glucose repeatedly reaches or exceeds 300 mg/dL or continues rising. Our guide to dangerous blood sugar levels explains why symptoms and persistence matter.
What Does Urine Sugar +++ Mean?
When blood glucose exceeds what the kidneys can reabsorb, glucose spills into urine. This glycosuria result is only approximate and varies with hydration, kidney function, timing, and some medicines.
Urine insulin testing is not used for routine type 2 diabetes management. Decisions rely on glucose patterns, HbA1c, symptoms, medicines, kidney function, and hypoglycemia risk. See our answer about glucose in the urine.
What Should His Doctor Review?
- HbA1c, which estimates average glucose over about three months
- His exact medicines, doses, timing, missed doses, and side effects
- Kidney function, electrolytes, and urine albumin-to-creatinine ratio
- Blood pressure, cholesterol, eye checks, and foot examination
- Infection, steroids, reduced activity, dietary changes, and meter accuracy
Treatment is individualized, not chosen simply because he is 58. Depending on HbA1c and health, the clinician may adjust tablets, use a GLP-1–based medicine or SGLT2 inhibitor, or prescribe insulin. See our type 2 diabetes treatment overview.
Do not increase, stop, or borrow medicine without medical advice. If he has missed doses, tell the clinician honestly rather than doubling the next dose.
A Practical Indian-Style Eating Plan
No single menu suits everyone. Portions depend on body size, medicines, kidney health, culture, and glucose response.
Simple Plate Method
- Half the plate: non-starchy vegetables such as bhindi, cauliflower, cabbage, spinach, brinjal, beans, cucumber, tomato, or mixed salad.
- One quarter: dal, chana, rajma, fish, chicken, eggs, tofu, or paneer.
- One quarter: measured carbohydrate such as one small whole-grain roti or a small serving of rice, millet, or another grain.
- Choose water, unsweetened tea, or unsweetened coffee instead of juice or sugary drinks.
Breakfast may include vegetable oats, a small upma portion, besan chilla, eggs with vegetables, or unsweetened curd with measured carbohydrate. Lunch and dinner can use the same plate structure. Choose whole fruit over juice.
Brown rice and whole-grain roti still raise glucose, so portions matter. See our plate-method guide and carbohydrate guide.
Snacks and a bedtime snack are not automatically required. They depend on hunger, medication timing, and hypoglycemia risk.
Should He Take Cinnamon or a Diabetes Supplement?
No supplement replaces prescribed treatment. Cinnamon and other products may vary, interact with medicines, and delay effective care. Do not add one without professional review.
What About Exercise?
If he feels well, regular walking is helpful. A common goal is 150 minutes of moderate activity weekly, with resistance exercise when appropriate.
Avoid strenuous exercise when ill, dehydrated, or when very high glucose is accompanied by ketones. Use proper footwear and inspect the feet daily.
What I want you to remember: fasting 197, post-meal 291, and urine glucose +++ indicate inadequate control. He needs prompt treatment review, HbA1c and kidney testing, and a sustainable meal plan—not urine insulin testing or supplements.
Written by: Dr. Albana Greca, MD, MMedSc, Family Physician
Medically reviewed by: Dr. Ruden Cakoni, MD, Endocrinologist
Last medically reviewed: August 4, 2026
Related Questions
Related Resources
- Type 2 diabetes treatment options
- Diabetes plate method and meal planning
- Diabetes and kidney screening
References
- ADA Standards 2026: Glycemic Goals and Hyperglycemic Crises
- ADA Standards 2026: Nutrition and Physical Activity
Educational safety note: General education only. Medication and dietary changes require individual clinical assessment.
Comments for BLOOD SUGER FASTING: 197Mgms/100ml.
|
||
|
||
|
||
|
Click here to add your own Comment / Follow up Ask the Doctor now? Simply click here to return to Type 2 diabetes information. |
