I am 37 years male. I am suffering with diabetes since 4 yrs. That time I diagnosed with fatty liver. I have family history of diabetes. I am maintaining my diabetic levels in normal condition. Recently I done urine analysis. Sugar was shown ++m+. Fasting blood sugar is 124. Hb1ac is 7.6. Please advise me I am so worried. I have hypertension I am taking telmaxx 40/50. Pls advise is their any further investigation and root cause for increasing my glucose levels in urine.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. lybrate-user, Glucose is filtered in the kidney and reaches urine when it is more in the blood. A normal kidney threshold for glucose is 180 mg/100 ml. If it goes higher than that then it will appear in urine as kidney is unable to reabsorb. When diabetes continues for long time, then the threshold may reduce and more glucose will get lost in the urine. If diabetes is in control then FBS should be closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8. If you maintain blood glucose level within these limits then urine glucose is hardly present. At 37 years, you need a much stricter blood glucose control. Thanks. 

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