Blood Sugar Levels: When to Seek Further Testing

Blood sugar issues?

Hello doctor, I recently had a health check-up, and the report indicated "generally normal, regular check-ups recommended." However, I noticed that my blood sugar levels are nearing the normal range limit; my fasting blood glucose (AC) is 95 mg/dL.
I often experience fatigue and drowsiness.
I would like to ask if this condition requires further testing.
If so, what should I do? Thank you!

Edd, 20~29 year old female. Ask Date: 2023/08/29

Dr. Li Jian reply Internal Medicine

If there is a family history of diabetes or issues with being overweight, you can also go to a major hospital for further examinations, such as checking your hemoglobin A1c.
Thank you for your inquiry.

Reply Date: 2023/08/29

More Info

Hello! Thank you for reaching out with your concerns regarding your blood sugar levels. It's great that you're being proactive about your health, especially considering the symptoms you're experiencing and the blood sugar readings you've mentioned.

Firstly, let's clarify what your fasting blood sugar level of 95 mg/dl means. According to the American Diabetes Association (ADA), normal fasting blood sugar levels are typically below 100 mg/dl. Levels between 100 mg/dl and 125 mg/dl are classified as "impaired fasting glucose," which is a precursor to type 2 diabetes. Your reading of 95 mg/dl is within the normal range, but it's important to monitor it closely, especially since you mentioned that it is approaching the upper limit.

The symptoms of fatigue and excessive sleepiness that you are experiencing can be associated with various factors, including blood sugar fluctuations, stress, lack of sleep, or even dietary choices. While these symptoms can sometimes be linked to blood sugar issues, they are not definitive indicators of diabetes on their own. However, they warrant further investigation, especially since you are noticing a pattern.

Given your current fasting blood sugar level and symptoms, it would be prudent to consider further testing. Here are some steps you can take:
1. Repeat Testing: It may be beneficial to repeat your fasting blood sugar test after a few weeks to see if the levels remain consistent. If you have access to a healthcare provider, they can help facilitate this.

2. HbA1c Test: This test measures your average blood sugar levels over the past two to three months. An HbA1c level of 5.7% to 6.4% indicates prediabetes, while a level of 6.5% or higher suggests diabetes. This test can provide a more comprehensive view of your blood sugar control over time.

3. Oral Glucose Tolerance Test (OGTT): This test involves fasting overnight and then drinking a sugary solution. Blood sugar levels are tested at intervals afterward. This test can help determine how your body processes glucose and can identify insulin resistance.

4. Lifestyle Assessment: Consider evaluating your diet and exercise habits. A balanced diet low in refined sugars and high in fiber, along with regular physical activity, can significantly impact blood sugar levels and overall health.

5. Consult a Healthcare Provider: It's essential to discuss your symptoms and test results with a healthcare professional. They can provide personalized advice, recommend further testing if necessary, and help you develop a plan to manage your blood sugar levels effectively.

In summary, while your current fasting blood sugar level is within the normal range, the symptoms you are experiencing and the trend in your readings suggest that further evaluation may be beneficial. Regular monitoring and lifestyle adjustments can help you maintain healthy blood sugar levels and overall well-being. Don't hesitate to reach out to your healthcare provider for guidance tailored to your specific situation. Thank you for taking charge of your health, and I wish you the best on your journey to wellness!

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