What are the causes of increase in high blood Sugar, fasting as well as PP, if patient is following everything ,diet, exercise even his weight loss is good,Sleep is good.
What can we do in such typical patients ?
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Please check his Heart Rate Variability. if he is having a narrow window of rest and stress heart rate he is might be in stress that keep his SNS on the toes. It promotes glycolysis, gluconeogenesis in the liver. SNS drives catecholamine to causes insulin resistance hence low glucose update at muscle level that increase post prandial BSL.
Regular Bhraamari and mindful Meditation session on Mibpulse app can be useful for this patient.
I completely agree with Dr. Rahul about HRV being one of the leading cause for fasting BSL in a highly compliant patient.
Along with the above, the weight loss happening for the patient, if pathological, also can be a cause for the high BSL. Markers like LDH, CK can help you to identify the same.
Few medications like Steroids, anti depressants, oral contraceptive pills, Antifungals, antibiotics, Beta blockers, Thiazide diuretics, Statins also can lead to increase in BSL.