Endocrinology, Diabetes Questions Endocrinology-Diabetes

Do I have diabetes?

I am 18 years old, I ate 4 hours ago and my blood sugar is 133. I am not diagnosed with any type of diabetes, is this normal?

Female | 18 years old
Complaint duration: Months
Medications: Zyprexa
Conditions: Depression, anxiety

8 Answers

A glucose of 133 after eating 4h ago is not diagnostic of diabetes. I suggest you have fasting glucose done on two occasions. Zyprexa can elevate glucose levels and you should adhere to a "low glycemic index" diet which can be found on any search engine.
It is high, please get a full evaluation by your doctor.
Have a question aboutEndocrinology-Diabetes?Ask a doctor now
That is an elevated level. You need to have an HgbA1c & repeat FBS done by your physician to see if you have pre-diabetes.
A blood sugar of 133, after fasting overnight suggests Diabetes. A blood sugar of 133 after having eaten is normal. So it really depends on what the circumstances of when the sugar was taken are. Are you having any symptoms of weight loss, increased thirst, increased urination? Have you been eating a lot of sweets and carbohydrates? Are you overweight or physically inactive? Some medications can also cause elevations in blood sugars. See your doctor for a thorough evaluation.
I know that the medication that you are on may cause worsening glycemic control, so you are worried. The best way to determine if you have diabetes is a fasting plasma glucose, oral glucose tolerance test, or A1c testing. Please visit your doctor for this.
The guidelines state if you check your finger stick 2 hours after eating, it should be less than 140. Get a fasting blood sugar. If it is 126, you are a diabetic. If the fasting blood sugar is 100-125, you are a pre-diabetic. If the fasting blood sugar is less than 100, you are normal.
The criteria for dx is 2 fasting tests at level in excess of 125 or 2 hours post meal greater than 140 for diagnosis. Speak to your MD, as zyprexa may elevate the glucose levels.

Dear patient,

Zyrexa can cause weight gain, which can lead to diabetes as well as elevated blood sugars. I follow the standard classification for diabetes: family history, fasting sugar below 100; 2-hour post-prandial sugar less than 140; above 140 to 180 impaired glucose tolerance, diabetes over 200. Please see your physician.

Respectfully,

Marvin A. Leder, MD FACP FACE