Is a blood glucose level of 6.4 mmol/L requiring treatment?
Disease description:
Fasting blood glucose during physical examination was 6.4 mmol/L. Occasionally feel slightly thirsty in daily life, but no other discomfort. Is this considered high? Is medication treatment necessary, or would adjusting diet suffice?
Doctor's answer (1)
Dr. Liu Feng
Under normal circumstances, a blood glucose level of 6.4 mmol/L does not require immediate treatment, but may necessitate lifestyle interventions.
If this is a fasting blood glucose value, it is slightly above the normal range of 3.9-6.1 mmol/L, but has not yet reached the diagnostic criteria for diabetes. At this stage, patients should improve their eating habits, reduce intake of high-sugar and high-fat foods, and increase consumption of vegetables, whole grains, and protein. Secondly, increasing physical activity to at least 150 minutes per week of moderate-intensity exercise, such as brisk walking, swimming, or cycling, is recommended. Additionally, maintaining a healthy weight and reducing overweight or obesity can help improve the body's sensitivity to insulin.
If this is a 2-hour postprandial blood glucose value, it falls within the normal range of 4.4-7.8 mmol/L and typically does not require specific treatment. It is advisable to monitor blood glucose levels regularly to timely adjust treatment strategies and actively take measures under a doctor's guidance to prevent the onset of diabetes.
