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Does high blood sugar always mean diabetes?

Just because you have symptoms of high blood sugar doesn't mean you are a diabetic. Just because you have high blood sugar does not mean you are hyperglycemic. People with high blood sugar sometimes have symptoms of low blood sugar. Why is this?

So what constitutes high blood sugar? Hyperglycemia is generally referred to as high blood sugar when the fasting blood sugar exceeds 7.0 mmol/L. However, the blood glucose in our body is always changing blood glucose value is sometimes higher than this value does not mean that it is hyperglycemia patients.

High blood sugar in our body may be physiological high blood sugar. For example, high blood sugar can occur after strenuous exercise; for example, sudden emotional excitement can lead to high blood sugar; for example, eating some sweets can lead to high blood sugar; and even one's own gastric tipping syndrome can also lead to high blood sugar.

The diagnosis of diabetes is based on high fasting blood sugar (greater than or equal to 7.0 mmol/L) or high postprandial blood sugar (greater than or equal to 11.1 mmol/L) or high random blood sugar (greater than or equal to 11.1 mmol/L). If the blood glucose level is higher than normal after several tests and is combined with other symptoms such as excessive urination and weight loss, then it is worth to be vigilant, because it is very likely that diabetes is present.

If it is a one-time blood sugar there is no need to worry too much. Because of the extra blood sugar, our body will secrete more insulin to absorb it, and there will not be any problem with our body because of one-time high blood sugar. But long-term high blood sugar then we should pay attention to, because the insulin cells long-term secretion of insulin, its secretion function will decline, so as to develop into diabetes. Imagine, insulin cells work for a long time, can not have problems? If our body's insulin cells do not function well, the body's high blood sugar naturally can not be dealt with, then our body will also have problems.

Instructor: Yingze Zhang, Deputy Chief Physician, Department of Endocrinology, Baoding First Hospital of Traditional Chinese Medicine, Baoding, China.

He specializes in the treatment of diabetes mellitus and its complications, thyroid disorders and other endocrine metabolic disorders, and miscellaneous diseases in Chinese medicine through the combination of Chinese and Western medicine.

If you find this article useful, please feel free to like or recommend it to your friends and follow [Medlink Media].

Does high blood sugar always mean diabetes? This is a question that many of my friends want to ask, because I often encounter some friends who come to me in the clinic to ask similar questions. Today, Dr. Zhang will give you a unified reply, hoping to help more people.


First of all, what is clearly told is that for people with elevated blood sugar, many of them are not necessarily diabetic. It can only be said that some of them are diabetic, and the others, even if they have high blood sugar, are only considered to be in a pre-diabetic state.

1. Who is diabetic?

Generally speaking, there are four current criteria for diagnosing diabetes in our country, which are:

① Fasting blood glucose level ≥ 7.0 mmol/l;

(ii) In the glucose tolerance test (in the OGTT test), 2-hour postprandial glucose ≥11.1 mmol/l;

(iii) Typical symptoms of diabetes mellitus + blood glucose ≥ 11.1 mmol/l at any time;

④ Glycosylated hemoglobin ≥ 6.5%.

If you meet any of the above mentioned, it's basically a tentative diagnosis of diabetes. If you want to be sure, you can retest once on a non-same day, and if the diagnosis is still made, that's basically the nail in the coffin.


2. Who may not be diabetic?

For many people who do not meet the above criteria, their blood glucose is higher than normal, but lower than the diagnostic criteria for diabetes, for example, fasting blood glucose 6.5 mmol/l, but did not reach 7.0 mmol/l, this situation in the medical community will be called "impaired fasting glucose", which is also known as the common people said the Pre-diabetic state. Or 2 hours after meal blood glucose for example is 9.0mmol/l, did not reach 11mmol/l this standard, this time the medical science is called "impaired glucose tolerance", is also the pre-diabetic state.


So, high blood glucose is not necessarily diabetes, but it may indicate that your blood glucose profile is impaired and no longer normal, or what the common people call a pre-diabetic state.

I hope that my presentation today will help those who care about this topic and that more people will benefit from it.

Some friends start to get nervous when their blood glucose is elevated during a checkup at the hospital, thinking that they have diabetes. So is high blood sugar diabetes or not?

I think this question is similar to the relationship between triangles and right triangles that our teachers talked about when we were reading.

Triangles = high blood sugar

Right Angled Triangle = Diabetes

A right triangle is a triangle, but a triangle is not necessarily a right triangle.That is, for diabetes to be diagnosed with elevated blood sugar there must be a condition. But high blood sugar is not necessarily diabetes.

When is high blood sugar enough to diagnose diabetes?

Popularize a point of knowledge one by oneimpaired glucose toleranceWe call it impaired glucose tolerance when blood glucose is measured at 6.1 to 7.0 mmol/L, orIt is called impaired glucose regulation.

Impaired glucose tolerance predisposes to type 2 diabetes, but it is thereversible phase, which can be reversed by both behavioral and pharmacological interventions to keep it from finding out as diabetes.

That's why regular medical checkups are necessary. Nip disease in the bud.

When blood glucose is slightly above 7.0 mmol/LIn order to clarify the blood glucose situation, it may be recommended to check glycated hemoglobin and do a glucose tolerance test to clarify.

If the blood glucose level is only slightly high, the rest of the blood glucose level is not obvious. However, lifestyle interventions, including dietary modifications, weight loss, and increased physical activity, may be appropriate.

Pharmacological interventions are added when behavioral interventions are unsatisfactory.


Blood glucose values greater than 8.5 mmol/L fasting or (and) greater than 11.1 mmol/L after a meal.In the absence of special circumstances, conditions or medications, diabetes is mostly considered without much monitoring.

but still needs to be diagnosed.Glucose tolerance test and glycosylated hemoglobin must be improved

needing medication.Plus behavioral interventions.

Special reminder:

There are many patients or friends of the physical examination only focus on fasting blood glucose, only check the fasting blood glucose, refused any of the rest of the time to check blood glucose, is not correct.There is a risk of delaying the diagnosis of the condition.

Fasting blood glucose values are important, and postprandial blood glucose values should not be ignored.This is because some patients will have normal fasting glucose values and abnormally high postprandial glucose values.



For the sake of your health, have regular medical checkups for early prevention. If in doubt, ask for follow-up visits.

With the improvement of people's living standards, more and more people are accustomed to eating before "pulling out the medicine", understand that people know that the biggest feature of diabetes is high blood sugar, then the other way around, high blood sugar is not diabetes?

Many people are scared to go to the hospital or suspect that they may have diabetes as soon as they find out that their blood sugar is high after measuring their blood sugar. In fact, this mentality is not necessary.

The normal value of blood glucose is below 6.1 before meals and between 7-8 after meals. Hyperglycemia is just a result of blood glucose monitoring, which can reflect the possibility of some diseases but is not considered a disease in itself.

If the fasting blood sugar exceeds the normal range but does not reach 7.0, it is considered high blood sugar. If you are occasionally found too high blood sugar, do not worry too much, usually pay attention to reasonable diet, not overeating, next time you can avoid this situation. However, if your blood sugar is always maintained at such a high level, this time to pay attention to, it is recommended to rationalize the diet and appropriate exercise, try to bring down the blood sugar, so as to avoid the harm brought by the blood sugar has been at a high level.

If the fasting blood glucose is 7.0 or above, usually accompanied by drinking, urinating, eating, skin itching, often weakness and other symptoms, it may be diabetes, this time must go to the hospital to do the appropriate examination, so as to achieve early detection and early treatment.

Whether diabetic or not, the symptoms of high blood sugar are accompanied by frequent urination, thirst, sticky urine, nausea and discomfort, and weakness.

If you find that your blood sugar is high or often appear the above symptoms, you must pay attention, because it may be the precursor of your body problems, if not timely intervention or miss the best time to intervene, it will have a great impact on the health. So usually we should eat a reasonable diet, appropriate exercise, to avoid the occurrence of disease.

Literature reference:

[1] MU Yiming, JI Linong, YANG Wenying, HONG Tianshe, ZHU Dalong, SAN Zhongyan, GUO Lixin, CHEN Lulu, TONG Nanwei, LI Yan, LI Yanbing, LI Qifu, PENG Yongde, XIAO Xinhua, JI Qiuhe, YU Xuefeng, SHI Yongquan, SUN Zilin, LI Yiming, LI Qiang, RAN Xingwu, LI Quanmin, YIN Shi'nan, LV Xiaofeng, ZHU Kaixi. Expert consensus on the management of postprandial hyperglycemia in Chinese patients with type 2 diabetes mellitus[J]. Chinese Journal of Diabetes Mellitus,2016,24(05):385-392.

[2] CHENG Ying,PAN Changyu. Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia (WHO/IDF review report)[J]. Chinese Journal of Endocrinology and Metabolism,2006(06):627-638.

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Hi, as an endocrinologist I am happy to answer your question. Whether high blood glucose is diabetes or not, of course, is not necessarily so, it has to be considered from two aspects, one is how high the blood glucose is, whether it is mildly elevated or already very high. The second is whether there are any disturbing or triggering factors for high blood sugar. Diabetes we have a diagnostic standard, of course, this standard is man-made, has been also changing, at present, fasting blood glucose greater than 7mmol / L, 2 hours after meal blood glucose is greater than 11.1mmol / L, there are diabetes-related symptoms, such as dry mouth, drinking, urination, weight loss, generally can be diagnosed with diabetes, there are no symptoms to have the results of the two. If it is lower than this value but exceeds the normal value, we call impaired glucose regulation, the specific value I will not repeat here, I believe that many answers have provided. Another point to note is that there is no reason for high blood glucose, such as recent mental tension, stress, eating more sweets, or cold and fever, or surgery, cerebrovascular accident, myocardial infarction and other emergencies, or taking some hormones and so on, which may lead to fluctuations in blood glucose, so you can not look at the results of a single point of diagnosis, it is best to recheck the level of blood glucose after the relief of stressful situations, in addition to the Glycated hemoglobin can also be checked, which is the average blood glucose level in the last 2-3 months, and can detect the influence of some short-term factors on blood glucose.

I'm happy to answer this question, high blood sugar and diabetes are two different things, high blood sugar is not necessarily diabetes and people with diabetes don't just have high blood sugar, they can also have hypoglycemia at times.

High blood glucose does not necessarily mean that you have diabetes, and there are many other factors that can elevate blood glucose levels. For example, various liver diseases such as hepatitis and cirrhosis can cause a decrease in liver glycogen reserves, which can lead to a transient increase in postprandial blood glucose.When moderate or strenuous exercise is performed, glucose stored in the liver is released, again raising blood sugar levels.There are also medications that affect glucose metabolism, such as glucocorticoids, thiazide diuretics, oral contraceptives for women, aspirin, etc., which can cause a transient increase in blood glucose, which will return to normal soon after the medication is discontinued. There are also special periods, such as pregnancy and menstruation, which can make the blood sugar concentration rise. Therefore, it is not the case that high blood sugar is diabetes.

So how do we diagnose if we have diabetes?

The gold standard for the diagnosis of diabetes is venous blood glucose. A normal person's fasting blood glucose does not exceed 6.1 mmol/L and 2-hour postprandial blood glucose does not exceed 7.8 mmol/L. According to the World Health Organization's diagnostic criteria for diabetes mellitus, established in 1999, a preliminary diagnosis of diabetes mellitus can be made if one of the following conditions is present.

1. Blood glucose over 11.1 mmol/L at any time, accompanied by typical symptoms of diabetes such as polyuria, polydipsia, polyphagia and weight loss.

2. Fasting (more than 8 hours) with blood glucose over 7.0 mmol/L.

3. Oral Glucose Tolerance Test (OGTT) with 2-hour postprandial blood glucose over 11.1 mmol/L.

It is particularly important to note that a preliminary diagnosis of diabetes can be made when any of the above criteria are met. However, it is best to review the diagnosis at another time and if the same results are present, the diagnosis is confirmed.

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High blood sugar is not necessarily diabetes.How high is it, is it slightly elevated or is it already very high? Was it measured at the hospital or by yourself with a blood glucose meter? Was the time of measurement accurate? Is the operation standardized? The answers to these questions will affect our judgment. Here, "Ask the Doctor" will bring you a detailed understanding.


Blood glucose levels change all the time.

Blood sugar, i.e. glucose in the blood, fluctuates all the time with our activities, for example, after eating a meal, the blood glucose level rises quickly and reaches a small peak. But go to the gym and work out for an hour, and your blood sugar will drop again, like a fluctuating curve, as shown below:


How high is blood sugar considered diabetes?

Therefore, we usually choose the fasting blood glucose, that is, the blood glucose value at 8~9 a.m. and the blood glucose value at 2 hours after meal as the basis for judging our blood glucose fluctuation. Fasting blood glucose is higher than 7.0mmol/L or 2 hours after meal is higher than 11.1mmol/L.Meeting either of these two and having diabetes-related symptoms, like excessive drinking, excessive urination, and unexplained weight loss, is usually enough to diagnose diabetes.

However, you don't get fat in one bite, and you don't get diabetes all at once. Between health and diabetes, there are also two stages of impaired fasting glucose and impaired glucose tolerance, which we collectively refer to as "pre-diabetes".

The blood glucose profile at these two stages is generally shown in the table below:

Caveats:

(1) The blood glucose values for the above indicators are venous plasma glucose values, i.e., blood glucose values measured by venous blood drawn at a hospital, not blood glucose values measured by sticking one's finger at home.

(2) Generally speaking, impaired glucose tolerance is more serious than impaired fasting glucose because impaired fasting glucose is only an elevation of fasting glucose, whereas impaired glucose tolerance is an elevation of both. However, neither impaired fasting glucose nor impaired glucose tolerance is diabetes yet, which means that there is still a chance to reverse it.

(3) Excessive mental stress, eating too many sweets, catching a cold or fever, or taking some hormonal drugs like birth control pills may cause blood sugar to rise for a short period of time. So, check your blood sugar level again after the above conditions have subsided, or check theGlycated hemoglobin.It tells us the average blood glucose level over the last 3 months, which also discharges the effect of the special conditions mentioned above on blood glucose.


The above content is edited and organized by "ask the doctor" for you, want to know more about health knowledge, welcome to pay attention to us!

With the change of lifestyle and increasingly rich diet, diabetes has ranked as the first chronic disease that jeopardizes health and life. The biggest impression of diabetes is high blood sugar.

When it comes to high blood sugar, everyone will definitely think of diabetes, and they will think that they have diabetes. In fact, high blood sugar is only a symptom of diabetes, but not all high blood sugar is diabetes. Diabetes will certainly appear high blood sugar, but high blood sugar is not necessarily diabetes. The body's blood sugar regulation is particularly intelligent, specific self-protection awareness is very strong. Therefore, when the human body is subjected to severe burns shock, danger, trauma, major surgery, serious infection, oral or intravenous input of large amounts of glucose, the impact of drugs, etc., in order to protect the normal functioning of the body, the normal supply of energy, glucagon will soon play a role, glucagon, such as the secretion of glucocorticoids than the usual increase of 10 times, glucagon, catecholamines, growth hormone and so on, also increased, the glucagon is an important factor in the stress system. The body then develops the pathology of hyperglycemia, urinary glucose, and impaired glucose tolerance. This hyperglycemia improves as the disease progresses until it becomes normal. In diabetes mellitus, hyperglycemia is a pathologic change caused by damage to pancreatic islet cells and is irreversible. ,,

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

It should not be, in addition to diabetes will appear high blood sugar, there are some special circumstances, there will be stress blood sugar rise, such as the body is in an emergency state, taking drugs that will affect blood sugar, etc., in the removal of the influencing factors, the blood sugar will gradually return to normal, these people can not be regarded as diabetics.

Answer:Hyperglycemia and diabetes should never be equated, as diabetes often means hyperglycemia, but conversely, hyperglycemia is not necessarily diabetes

You've asked a great question and it just helps a lot of people figure out the difference between high blood sugar and diabetes.

To put it simply.Diabetes is the result of the body being chronically hyperglycemic, forcing the pancreas to go into overdrive in order to continually secrete large amounts of insulin to deal with the high blood sugar. Diabetes develops when the pancreas eventually becomes overwhelmed and is unable to secrete enough insulin to lower blood sugar

Diabetics, because they do not have enough insulin in their bodies to lower their blood sugar, tend to be in a hyperglycemic state with unhealthy eating habits and need to be injected with exogenous insulin to lower their blood sugar.

As you can see from the above, hyperglycemia is not diabetes as long as the body's own insulin production can cope with it. The difference between the two is clear

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