Diabetic patient. Me fasting-264 pp-374!

Your sugar readings are quite high — Fasting 264 mg/dL and PP 374 mg/dL. Please don’t panic, but don’t ignore these readings either. For now: 1. Arrange a medical consultation at the earliest so that we can assess the cause and decide whether medication needs to be started/adjusted. 2. Please get HbA1c, fasting/PP glucose and renal function (serum creatinine/eGFR). 3. Please also get a urine examination, preferably including Urine Routine & Microscopy + Urine Albumin/Creatinine Ratio (UACR). This helps us look for protein/albumin leakage and assess early kidney involvement related to diabetes. 4. Do not stop or change any diabetes medication on your own. 5. Until reviewed, avoid sugary drinks, sweets, desserts, juices and refined carbohydrates such as large portions of rice, maida products and bakery foods. 6. Stay adequately hydrated with water, unless you have been specifically advised to restrict fluids. 7. Keep a simple glucose log — fasting and 2 hours after your main meal — rather than checking randomly many times a day. Please arrange the consultation soon. These readings are significantly elevated and need proper assessment rather than trying to manage them with diet alone.