Is a blood glucose level of 6.95 mmol/L considered high, and what measures should be taken to manage it?
A fasting blood glucose level of 6.95 mmol/L is above the normal range; however, since it does not meet the diagnostic criteria for diabetes, pharmacological treatment is not required. Instead, blood glucose control should be achieved through dietary modifications and/or physical activity.
Diabetes can be diagnosed if fasting blood glucose is ≥7.0 mmol/L or 2-hour postprandial blood glucose is ≥11.1 mmol/L. A fasting blood glucose level below 7.0 mmol/L may indicate impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), both of which can often be normalized through dietary adjustments and regular exercise.
Dietary management: First, calculate the total daily caloric requirement based on body weight. Ideal body weight (kg) can be roughly estimated as height (cm) minus 105. Under resting conditions, energy requirements are typically 25–30 kcal per kilogram of body weight per day; this amount should be appropriately increased according to the level of physical activity. Total daily caloric intake should be distributed evenly across meals—for example, 1/5 at breakfast, 2/5 at lunch, and 2/5 at dinner—or equally divided as 1/3, 1/3, and 1/3 across three meals.
Exercise therapy: This is especially important for overweight or obese individuals with type 2 diabetes and should be undertaken under medical supervision. It is recommended to engage in at least 150 minutes per week of moderate-intensity physical activity.