Pre-Diabetic with good control: Continue exercises and diet or start medication?

Hi Komal ji. I am 61 years and diabetic for the past 12 years. My HbA1C today is 6.4 and it was 5.1 in November 2022. Fasting and PP is 90 and 84 respectively. I am on medication with Janumet 50/500 twice a day morning and night and Cardace 2.5 mg in the morning for BP. My weight is 60 kgs and height is 167cm. My diet includes millets, vegetables, fruits, dry fruits, chese, butter, ghee and cold pressed oils. Fully stopped eating maida, white rice and sugar. Please advice (1) how to bring HbA1c within 4.6 to 5.5. (2) If HbA1c is brought within 4.6 to 5.5, can I stop taking diabetes medicines ?. Thanks & Regards.

I am 43 years and 5 years back when I had my test for blood glucose level fasting was around 140 and pp was little over 200. HbA1C was around 6.7. As that’s the first time I was diagnosed as diabetic my doctor advised life style corrections and within 3-4 months I brought my weight down from 89 to around 80. Then the reading came to pre-diabetic range HbA1C less than 6.5 and fasting and pp was less than 125 and 140. I tried to continue the routine like 4-5 days per week physical activity and avoided direct sugars as much as possible. Now for past 1 year my fasting level is less than 125 but HbA1C has increased to 7.2. I am still thinking of not taking medication and want to be diet controlled diabetic. But my cardiologist suggesting to start with tablets as HbA1C is not in control. Question is the HbA1C less than 8 says fair control, need advice on how to postpone taking medication.

I am 65 yrs old and diabetic since last 21 yrs. I am on medication ie Metformin SR 1gm, Glimpirde 2mg, and sitaglyptin 50mg. with some multivit. Sugar level remain always around 150 to 190 ( F & PP )latest diagnostic for Hb1AC is 7.6 and creatinine 1.1 . these 2 reading never fall below this level. My Physician has not prescribed any more medicine. Is it OK or anything is better suggestive at your end.