Confused by Rising Blood Sugar Despite Clean Eating? You’re Not Alone
Let’s decode what this means—and what to do next.
What the Latest 2025 Guidelines Say
HbA1c Test (Glycated Hemoglobin)
- ≥ 6.5% = Diabetic
- Reflects average blood sugar over 2-3 months
- 5.7–6.4% = Prediabetic
- < 5.7% = Normal
Fasting Glucose Levels
- ≥ 126 mg/dL = Diabetes
- 100–125 mg/dL = Prediabetes
- < 100 mg/dL = Normal
If you're at 179 mg/dL fasting, this confirms diabetes, even if your meals are "clean."
Why Sugar May Be High Despite Eating Right
- Insulin Resistance: Body isn't using insulin effectively.
- Hidden Carbs: Found in bread, rice, processed food, fruit juices.
- Stress & Cortisol: Mental or physical stress spikes blood sugar.
- Hormonal Imbalances: Especially thyroid-related.
- Dawn Phenomenon: Morning blood sugar spikes naturally.
- Inflammation or Infection: Elevates blood sugar quietly.
Next Step: Recommended Diagnostic Tests
To understand the root cause, here’s a list of tests your doctor may advise:
| Test Name | Purpose | Avg Cost (Delhi) |
|---|---|---|
| HbA1c | Long-term glucose control | ₹450 |
| Fasting + Postprandial Glucose | Daily glucose pattern | ₹200–₹400 |
| Oral Glucose Tolerance Test (OGTT) | Glucose handling ability | ₹400–₹600 |
| Fasting Insulin + HOMA-IR | Insulin resistance check | ₹800–₹1200 |
| Lipid Profile | Related to metabolic health | ₹500–₹700 |
| High-sensitivity CRP | Detects inflammation | ₹600–₹800 |
| Liver Function Tests (LFT) | Rule out fatty liver | ₹500–₹700 |
| Thyroid Profile (TSH, T3, T4) | Hormonal balance | ₹1000–₹2500 |
| Vitamin B12 | Essential for nerve health | ₹1200 |
| Vitamin D | Insulin sensitivity & immunity | ₹499 |
| Urine Microalbumin | Kidney health check | ₹500–₹800 |
Top Labs in Delhi:
Max Lab, Redcliffe Labs, Metropolis, Dr. Lal PathLabs (look for packages for better value)
What You Can Do Immediately
1. Track Everything
Even low-carb meals may spike sugar. Monitor responses after every meal using a glucometer.
2. Cut Hidden Sugar
Watch out for packaged foods, “healthy” breakfast cereals, sauces, and even fruits like mangoes and bananas.
3. Add Activity Post-Meals
Even a 10-minute walk after each meal helps lower post-meal glucose.
4. Improve Sleep & Stress
Cortisol impacts insulin resistance—deep sleep and meditation can do wonders.
5. Get Tested & Reviewed
Confirm your condition and work with a diabetologist or endocrinologist for a tailored plan.
Final Thoughts
If your fasting sugar is 179 mg/dL and HbA1c is 6.6%, you’re in the early stage of diabetes. Don’t panic—understanding your body's response is key to managing and even reversing your numbers.
Want a free downloadable checklist of tests and daily routine tips?
Drop a comment or DM us on Instagram for your copy!
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