{"id":31932,"date":"2018-12-27T05:28:39","date_gmt":"2018-12-27T05:28:39","guid":{"rendered":"https:\/\/websitedesigns.com.au\/elankanew\/?p=31932"},"modified":"2023-06-26T17:09:29","modified_gmt":"2023-06-26T17:09:29","slug":"good-advice-by-dr-harold-preliminary-blood-tests-to-check-whether-you-are-a-diabetic","status":"publish","type":"post","link":"https:\/\/websitedesigns.com.au\/elankanew\/good-advice-by-dr-harold-preliminary-blood-tests-to-check-whether-you-are-a-diabetic\/","title":{"rendered":"Good advice by Dr. Harold Preliminary blood tests to check whether you are a diabetic"},"content":{"rendered":"<h1 style=\"text-align: center;\"><span style=\"color: #f51b79;\">Preliminary blood tests to check whether you are a diabetic-Good advice by Dr. Harold<\/span><\/h1>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">\u201cIf you were to choose what chronic disease you prefer if you are given a choice, diabetes should be the preference despite being the \u2018gateway\u2019 to other diseases and life-threatening complications.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">It is one of those diseases you have full control of the management with proper education and your lifespan would never be hindered with self-discipline in the management. You are the captain of your ship\u201d<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">When your doctor suspects that you could be having diabetes, with symptoms like thirst, frequency in passing urine, tiredness and wasting of muscles, or with a family history, he would first organize a fasting blood sugar test, among other tests to check whether you have sugar in your blood far in excess to the normal range.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">People older than age 45, obese people, and those having additional risk factors such as high blood pressure, high blood cholesterol levels, a sedentary form of life should go for a diabetic screening test annually.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">If you are a non-diabetic your fasting blood sugar varies from 80-100mg\/dl. This is measured in the morning after fasting for 8-12 hours from the previous night\u2019s dinner.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">In a normal non-diabetic subject blood sugar 2 hours after meal would read less than 140mg\/dl (4.4-7.2 mmol\/L)<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">If you are a diabetic your blood sugar reading 2 hours after a meal may be less than 180mg\/dl (10.0 mmol\/L) or more, the reason been that your pancreas does not manufacture enough insulin to courier the blood sugar for storage for energy purposes, to maintain a steady normal level in your blood.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">Blood sugar levels depends on the regulation of it by the secretion of insulin from your beta cells in the pancreas.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">If your pancreas does not secrete enough insulin, or less sensitive to insulin, the blood sugar tests will clinch the diagnosis of diabetes.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">Some people may have a normal fasting blood sugar reading, but their blood sugar may rise rapidly as they eat. For these people your doctor will decide to do a glucose tolerance test to make sure that you are not a diabetic.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">If your doctor suspects that your fasting blood sugar is beyond the normal range, he would organize another test called HbA1c. A non-diabetic will record less than 5.7%, and if you are a diabetic it could go above 7%. The normal recommended value for HbA1c for a diabetic should be maintained below 7.0%.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">Bringing down your HbA1c to the non-diabetic\u2019s level could give hypoglycaemic episodes and could be dangerous. Keeping your reading just below 7% is good enough<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">HbA1c is also called the glycated haemoglobin test. This test may be used to confirm diagnosis of diabetes after a fasting blood sugar test is above the normal range, and it is used to determine how well your diabetes is being controlled. This blood test does not require fasting and indicates the average blood sugar level for the past two to three months. It is a measure of the amount of glucose attached to the haemoglobin of the red blood cells, through a process called \u2018glycation\u2019<\/span><\/p>\n<p><strong><span style=\"font-size: 24px;\">Is it required to fast for the morning blood sugar test?<\/span><\/strong><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">It has been found that a greater percentage of people having diabetes who fast for 8-12 hours before the test got into a low blood sugar episode called \u2018hypoglycaemia\u2019 while waiting for the test in the collecting centre.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">Further, if you get hungry midnight, as diabetics do, that would disturb your sleep and could be unfit to travel in the morning on an empty stomach.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">This could be dangerous and now the thinking is that you need not fast for your morning blood sugar test unless it\u2019s done for the first time on suspicion of diabetes.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">Those patients most at risk of having low blood sugar levels while fasting are those on insulin or sulfonylurea meglitinide classes of medication<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">On the same token, the researchers feel that there is no need to fast for the cholesterol blood test, either.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">The only snag is that to check your triglycerides in your blood you may have to starve in the morning before the test.<\/span><\/p>\n<p><span style=\"font-size: 24px;\"><strong>Importance of checking your blood sugar level<\/strong><\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">When you are diagnosed having diabetes checking your fasting blood sugar level takes you no where and is a waste of money on strips and time.<\/span><br \/>\n<span style=\"font-size: 24px; color: #000000;\">It is advisable to do random readings before lunch, 2-3 hours after lunch and before dinner. Such testing will develop confidence in looking after your diabetes. You still need to get your HbA1c test done every six months.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">Such random testing gives you better understanding to adjust as required after certain foods, lifestyle influences such as travel, stress, illness and most importantly exercise.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">You\u2019ll notice that with exercise both aerobic types and body muscle building you may need less medication.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">If you were to chose what chronic disease you prefer if you are given a choice, diabetes should be the preference despite being the \u2018gateway\u2019 to other diseases and life-threatening complications.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #993300;\">It is one of those diseases you have full control of the management with proper education and your lifespan would never be hindered with self-discipline in the management. You are the captain of your ship.<\/span><\/p>\n<p><strong><span style=\"font-size: 24px;\">New research<\/span><\/strong><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">As mentioned, people having diabetes don\u2019t have enough insulin-producing beta cells in the pancreas to control blood sugar levels. Beta cells are also called islet cells.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">Two drugs lately discovered may stimulate your pancreas to revive the dead beta cells and make more. Work has been done in the lab on rodents and this discovery may help in the future to try in humans.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">Dr. Andrew Stewart the director at the Mount Sinai Diabetes, Obesity and Metabolism Institute in New York City explains that the release of these drugs at this stage may affect other cells and needs further studies.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">Researchers also found that a drug called harmine could prompt beta cell regeneration in the lab in mice.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">Bottom line: Check you fasting blood sugar level once a year, if your doctor suspects you have early diabetes.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">When you are diagnosed as a diabetic, fasting levels do not carry you anywhere: do random tests and HbA1c memory test every six months.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">Get well educated about lifestyle changes and the control of the disease, through medication, low glycaemic dietetic regimes, exercising daily (10,000 steps), among others.<\/span><\/p>\n<p><span style=\"font-size: 24px; color: #000000;\">Hope this article was useful.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 20px;\">About the author<\/span><br \/>\n<span style=\"font-size: 20px;\">Dr Gunatillake-Health editor is a member of the Academy of Medicine, Singapore. Member of the\u00a0<\/span><span style=\"font-size: 20px;\">Australian Association of Cosmetic Surgery. Fellow of the Royal College of Surgeons (UK),\u00a0<\/span><span style=\"font-size: 20px;\">Corresponding Fellow of the American Academy of Cosmetic Surgery, Member of the\u00a0<\/span><span style=\"font-size: 20px;\">International Societies of Cosmetic surgery, Fellow of the International College of Surgery (US),<\/span><span style=\"font-size: 20px;\">Australian diplomat for the International Society of Plastic, Aesthetic &amp; Reconstructive Surgery,\u00a0<\/span><span style=\"font-size: 20px;\">Board member of the International Society of Aesthetic Surgery, Member of the American\u00a0<\/span><span style=\"font-size: 20px;\">Academy of Aesthetic &amp; restorative Surgery, Life Member of the College of Surgeons, Sri Lanka,<\/span><span style=\"font-size: 20px;\">Batchelor of Medicine &amp; Surgery (Cey): Government scholar to the UK for high studies.<\/span><\/p>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11733\" src=\"https:\/\/websitedesigns.com.au\/elankanew\/wp-content\/uploads\/2016\/09\/Dr-Harold-Gunatillake.jpg\" alt=\"\" width=\"100\" height=\"100\" \/><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Preliminary blood tests to check whether you are a diabetic-Good advice by Dr. Harold &nbsp; \u201cIf you were to choose what chronic disease you prefer if you are given a choice, diabetes should be the preference despite being the \u2018gateway\u2019 to other diseases and life-threatening complications. It is one of those diseases you have full [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":116942,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"aside","meta":{"footnotes":""},"categories":[20,1103],"tags":[5546],"class_list":{"0":"post-31932","1":"post","2":"type-post","3":"status-publish","4":"format-aside","5":"has-post-thumbnail","7":"category-articles","8":"category-dr-harold-gunatillake","9":"tag-preliminary-blood-tests-to-check","10":"post_format-post-format-aside"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.7.1 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Good advice by Dr. Harold Preliminary blood tests to check whether you are a diabetic<\/title>\n<meta name=\"description\" content=\"If you were to choose what chronic disease you prefer if you are given a choice, diabetes should be the preference despite being the \u2018gateway\u2019 to other diseases 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