Depending on the lab (nowadays it is mostly Quest Diagnostics and a small percentage of blood work is done by Lab Corp), the normal blood glucose (sugar) in the serum reading is 65-99.

Now, if you fast for 12 hours or so, it definitely should be between 65-99. If you have a fasting blood glucose of 100-125, then you have Impaired Fasting Glucose which is a pre-cursor condition before developing Diabetes Mellitus. (Bascially, I tell them your have "pre-Diabetes" and it is not a matter if, but when you develop Diabetes Mellitus Type 2).

If you have two fasting blood glucose at or greater than 126, then you are defined as having Diabetes. If you have one random glucose level at or above 200, you are diabetic!!

I would definitely make sure you follow up with primary care physician re: glucose level.

There are several treatment options.

The other question that brings to mind is that if there is a family history of Diabetes Mellitus?

If you do have Diabetes Mellitus, it is definitely increases your cardiovascular risk by at least twice normal. If you have Diabetes Mellitus, then the goal is to get your LDL cholesterol down to 70 or less to reduce cardiovascular risk. Also, there are several other medications you'll need (Aspirin a day, cholesterol-lowering meds, diabetes medication, special type of blood pressure medicine such as an ACE-Inhibitor or Angiotensin Receptor Blocker to both lower your BP and protect your kidneys from damage from diabetes. Then you'll need your eyes checked yearly, etc., etc.) The goal is to control the Diabetes before it controls you and do damage to your organs.

Also, patient age 40 and above should have a digital rectal exam to check the prostate. PSA blood screening is done usually at age 50 and above unless you have a family history of Prostate CA, then it may be done earlier depending on what age your father got the Prostate CA. Blacks should probably get PSA screen starting at age 40 and above as well as the rectal exam.

SG, I suggest that after following with your PA re: fasting glucose level, I would feel more comfortable if you actually had a chance to discuss all your findings and questions with an actual physician (no matter how cute your PA is).

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