Written by Dr.Albana Greca Sejdini, Md, MMedSc
Medically reviewed by Dr.Ruden Cakoni, MD, Endocrinologist
Your diabetes test result was found as fasting blood sugar level 200-250 mg/dl (11.1-13.9 mmol/L) including 201, 202, 203, 204 ,205, 206, 207, 208, 209, 210, 211, 212, 213, 214, 215, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229, 230, 231, 232, 233, 234, 235, 236, 237, 238, 239, 240, 241, 242, 243, 244, 245, 246, 247, 248, 249) after not eating or drinking anything aside from water, for at least 8 hours.
When fasting, the body triggers the release of glucagon. Glucagon instructs the liver to metabolize reserve supplies of glycogen, which are then circulated into the bloodstream as sugars. Accordingly, the amount of plasma glucose goes up. This is how the body creates energy even while fasting.
If diabetic, this whole process does not work correctly, and the glucose production is significantly higher than normal.
Sometimes, what I have noted in my diabetic patients, they would suffer of noctural hypoglycemia (midnight very low blood sugar levels).
Their blood sugar levels will drop at the lowest range. The body will give signals to produce more glucagon in order to reset the blood glucose at the normal range.
This will take a few hours before going to normal range, and patient will end up waking up with high fasting blood sugar level 200-250 mg/dl.
Symptoms are not always present in some individuals. So, they can live with prediabetes for several years without knowing it.
On the other hand, the patients who develop the symptoms, they are the same as those related to diabetes. The most common include:
- frequent urination
- blurred vision
- increased thirst/appetite
- unusual fatigue/tiredness, etc.
As for metabolic disease, the risk factors can be controllable and uncontrollable.
I. Controllable risk factors
- sedentary life
- high blood pressure/cholesterol; cardiovascular disease, kidney disease, etc.
II. Uncontrollable risk factors
- family history
- personal history of gestational diabetes
The treatment will depend on various factors:
- regulating the foods consumed at dinner and the dosage of meds taken at bedtime will also help regulate morning blood glucose levels
- if you are already taking any hypoglycemiant medication, should take as scheduled by your doctor
- continue with a healthy diabetic lifestyle and diet regimen
In this way, you can lose weight and be able to take good control of your blood sugar levels.