A fasting blood sugar level of 17.5 mmol/L or 315 mg/dL is significantly high and requires immediate medical attention, warn health experts. Normally, fasting glucose in healthy individuals ranges between 3.9 and 5.6 mmol/L (70–100 mg/dL). Levels persistently above 7.0 mmol/L (126 mg/dL) indicate diabetes, while 5.6 to 6.9 mmol/L suggests prediabetes. Such elevated readings can result from untreated or poorly controlled diabetes, acute stress, infections, certain medications, pancreatitis, or hormonal disorders. High fasting glucose increases risks of dehydration, electrolyte imbalances, and diabetic ketoacidosis, especially in type 1 diabetes patients. Symptoms like excessive thirst, frequent urination, nausea, vomiting, abdominal pain, or fruity breath demand urgent care. Proper diagnosis involves repeated tests, HbA1c measurement, and individualized treatment combining lifestyle changes, medication, and addressing underlying causes. Early awareness and regular screening, particularly for Indians and Asians after age 25, are essential.
Understanding the Condition and Managing High Blood Sugar Levels
Managing such high fasting blood sugar requires comprehensive professional assessment, including repeating diagnostic tests and measuring HbA1c levels for long-term glucose control evaluation. Treatment involves glucose-lowering medications, lifestyle modifications, and addressing any underlying medical causes based on the complete clinical picture. Patients should follow a balanced dietary regimen with complex carbohydrates, adequate protein, and healthy fats. Regular physical activity, especially walking at least 7000 steps daily, is recommended, adjusted to individual age, comorbidities, and capability. In cases of very high sugar levels, short-term insulin therapy may be necessary to allow the pancreas to recover and facilitate easier long-term diabetes management. Reassuring patients that diabetes is manageable with proper care is crucial. Risk factors include genetics, weight, and lifestyle, with Indians often developing diabetes at younger ages with higher glucose levels and more
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