blood sugar value puzzle

Hi. I am a new member. Can any one help me out. Around year and
half ago I have been tested for blood sugar levels and the values
were 81 mg/dl(fasting) and 87 mg/dl (pp). Around five months back I
was again tested and the values were 71 mg/dl(fasting) and 75 mg/dl
(pp). Both tests are from different laboratories. Now around four
months back I had to undergo some minor surgery and for that I had to
be empty stomach from the previous night to the morning of surgery.
But I took half cup of tea (with less sugar) at 6:30 a.m. (the day of
surgery) and reached hospital. There my blood was taken at around
9:15 a.m. In the discharge summery doctor has written that random
blood sugar is 91 mg/dl. I am now afraid why this high value has come
even though I had taken only half cup of tea. Though during previous
tests after taking good meals my blood sugar levels (pp) were 87 and
75 mg/dl. Can someone throw some light on it and relieve me of my
anxiety. Is something serious. My father is also a type II diabetic.

Thanks.

5 Responses to “blood sugar value puzzle”

  1. Endy Smith Says:

    Most laboratory Blood Sugar assays administered by hospital
    laboratories have a variability of around 10-12%. The net
    result of this variability is that if the TRUE value is 100
    mg/dL there is no measurable difference between readings of
    90-110mg/dL. That error range is for intralaboratory
    (within the same lab) analysis. Interlaboratory (between
    different labs) tests would demonstrate an even larger
    variability.

    Sincerely,

    =====
    Anecdotes are useless precisely because they may point to idiosyncratic
    responses.


    Pediatric Allergy/Immunology
    a peer-reviewed journal
    1999 Nov;10(4) 226-234

  2. Endy Smith Says:

    One minor change, now the Endocrinology section of the
    National Academy of Pediatrics considers two successive fbs
    readings as diagnostic for diabetes. Likewise there are
    normal circadiam rhythms during the night, release of
    cortisol, ACTH, glucagon, and epinephrine that effect blood
    sugar readings—called the "dawn effect."

    Sincerely,

    Sincerely,

    Charles Morrow

    =====
    Anecdotes are useless precisely because they may point to idiosyncratic

    responses.

    Pediatric Allergy/Immunology
    a peer-reviewed journal
    1999 Nov;10(4) 226-234

  3. Endy Smith Says:

    Two successive days.

    Thanks,

    Charles
    ps, don’t recall if I noted but the number you stated 140
    mg/dL used to be correct. Has major insurance, American
    Disability Act etc. implications as that increased the
    number of diabetics by 10%.

    =====
    Anecdotes are useless precisely because they may point to idiosyncratic
    responses.

    Pediatric Allergy/Immunology

    a peer-reviewed journal
    1999 Nov;10(4) 226-234

  4. Dave Black Says:

    My guess is stress. I can get a 20 point rise in any stressful
    situation. If it went back to normal after the surgery, I wouldn’t
    worry.

  5. Endy Smith Says:

    That I would agree with wholeheartedly.

    Sincerely,

    =====
    Anecdotes are useless precisely because they may point to idiosyncratic
    responses.

    Pediatric Allergy/Immunology
    a peer-reviewed journal
    1999 Nov;10(4) 226-234

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