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Diabetic with Abnormal HbA1c - Should I Follow Doctor's Advice?

Dr Chandrakant Lahariya | Answer |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 21, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more

Asked by Anonymous - Nov 14, 2024Hindi

Health

I am diabetic. Took Tab Tenligliptin20 since 2014-2024. I always got my HbA1c normal but in jul 24, it resulted abnormal (8.9). My dr added a medicine Tab Dapa-10 and suggested for continuetion. In Oct HbA1c came down to 4.7 which is in normal range. The dr still suggested the same medicines for one more months. He has also added Vit d3 every week for a month. Que- Should I follow the doctor? What's should be the next srep. Please give your opinion too.

Ans: Please monitor your blood sugar levels by measuring fasting and 2 hr after breakfast blood sugar levels.
Two HbA1c levels seems little confusing and one of two may be incorrect. So, it is better to monitor with fasting and 2 hr blood sugar levels also.
In your anti diabetic medications, one of the essential medicine metformin is missing. I would prefer to add metformin and reduce dapa to 5 mg and might stop tenli.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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