Hello sir
If FBS,post lunch and post dinner sugar levels are almost same than what can be the reason for that and what measures need to be taken to reduce FBS?
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1] if fasting blood sugar level is high then we have to think about liver metabolism , as per twin cycle hypothesis accumulation of liver fat with eventual spill over into the pancreas. These self-reinforcing cycles between liver and pancreas eventually cause metabolic inhibition of insulin secretion after meals and onset of hyperglycaemia.
2] check for stress realated history, stress is one of the reason for FBS ,in this condition u can do ABPM and check dipping pattern.
3] dawn phenomenon and the Somogyi effect,These causes of high morning blood sugar levels are a result of body changes and reactions that happen while sleeping.