- Male
- 45 Years
- 22/01/2025
I'm a bit concerned about my blood sugar levels. My latest HbA1c result was 5.2 and my fasting blood sugar was 104, with a mean plasma glucose of 102.5. I'm trying to figure out if these numbers are within the normal range or if I should be worried. Could you help clarify this for me?
Answered by 1 Apollo Doctors
A fasting blood sugar level of 104 mgdL is slightly above the normal range. The normal range for fasting blood sugar is typically considered to be less than 100 mgdL. Since your HB1AC is 5.2, which is within the normal range, and your mean plasma glucose is 102.5 mgdL, it is recommended to monitor your blood sugar levels closely. You may consider making lifestyle changes such as increasing physical activity and following a healthy diet. In some cases, medication such as Metformin may be prescribed to help manage blood sugar levels.
Dr. Dhankecha Suggests...
Consult a Endocrinologist
Answered 04/07/2025
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I'm really worried about my mom. She's been on Human Mixtard insulin with 20 units in the morning and 15 at night, but she's been having these really scary hypoglycemic episodes. Recently, her kidney issues were also pointed out by a distant doctor. At a nearby hospital, they suggested switching her to Ryzodeg and changing her dose to 10 units. But ever since that change, her blood sugar has skyrocketed to 480 at night before insulin and dinner, and her fasting level is at 280. I'm really anxious about these high levels. What can I do to help get her sugar levels under control? Any advice would be really appreciated.
Ryzodeg and Human Mixtard are both insulin therapies, but they have different properties: Ryzodeg 1. Fast-acting and long-acting insulin analogue: Ryzodeg contains insulin degludec and insulin aspart. 2. Faster onset and longer duration: Ryzodeg starts working within 30 minutes and lasts for up to 24 hours. 3. More flexible dosing: Ryzodeg can be administered at any time of day, regardless of meals. Human Mixtard 1. Intermediate-acting human insulin: Human Mixtard contains human insulin suspension. 2. Slower onset and shorter duration: Human Mixtard starts working within 1-2 hours and lasts for up to 12 hours. 3. More rigid dosing schedule: Human Mixtard typically requires a more structured dosing schedule, tied to meals. Considering your mother's: 1. Concurrent hypoglycemia: Ryzodeg's faster onset and longer duration may help reduce hypoglycemic episodes. 2. Kidney failure: Ryzodeg may be a better option, as it has a lower risk of accumulation and toxicity in patients with renal impairment. However, the recent blood sugar readings (480 at night and 280 fasting) indicate that the current Ryzodeg dosage (10-0-10 units) may not be effective. Recommendations 1. Consult her doctor: Discuss the recent blood sugar readings and adjust the Ryzodeg dosage accordingly. 2. Monitor blood sugar levels: Regularly track her blood sugar levels to ensure the new dosage is effective. 3. Consider additional therapies: If blood sugar levels remain uncontrolled, her doctor may recommend additional therapies, such as oral medications or other insulin types.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.