
March 7, 2001
Diagnosis and Symptoms
Question from Caribou, Maine, USA:
About six months ago, during a cardiac catheterization procedure, my husband had a glucose level of 200 mg/dl [11.1 mmol/L] and was told to have it checked by his family physician, but since the doctor felt it was a stress related elevation, he didn’t check it out. One week ago, during another cardiac catheterization to place a stent in an artery, the attending cardiologist once again mentioned that my husband’s glucose level was a little over 200 mg/dl [11.1 mmol/L]. We were at a hospital 300 miles away, and upon returning home and contacting his family doctor, I told him I wanted my husband’s sugar levels tested, and once again got the same response that the high level was due to stress over the procedure. I pushed the issue and the doctor agreed to take one fasting blood test a week for three weeks to see if there was actually a problem. We have had one test done and do not yet know the results. I bought a test kit and have done testing on my husband and have had a fasting reading of 197 mg/dl [10.9 mmol/L] before breakfast, 188 mg/dl [10.4 mmol/L] before supper and 309 mg/dl [17.2 mmol/L] one-half hour after supper, and I am very concerned! My husband has heart problems, he had a double by-pass three years ago, and, in the past seven months, has had an angioplasty and a stent. His cholesterol is also very high, his triglycerides are 484, and he is on a new medication for them. Am I right in being concerned? I would greatly appreciate any information you can give me as I feel my husband is in need of help and his doctor is kind of brushing this under the carpet as if it is nothing of great importance. I really need some advice.
Answer:
I tend to agree that the problem needs more attention. Having high blood sugars is also an aggravating factor for other problems associated with heart disease, including triglyceride and cholesterol abnormalities. Fasting blood sugars values, performed in a clinical laboratory, above 126 mg/dl [7 mmol/L] on two occasions is diagnostic of diabetes. The blood sugars you are getting at home suggest your husband has diabetes, which needs to be treated aggressively.
JTL
[Editor’s comment: Yes, stress can raise blood sugar levels, but in this case, the blood glucose numbers you mention indicate diabetes. Call the doctor with these readings, and get your husband an appointment as soon as possible.
WWQ]