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

Dr Chandrakant

Dr Chandrakant Lahariya  | Answer  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 15, 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
Suvendra Question by Suvendra on Nov 15, 2024Hindi
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I was diagnosed with diabetes with HB1AC 8.3. Three months later by proper exercise and right food i controlled it to 6.3. I am doing regular exercise and taking proper food . My diabetes is controlled with normal level . Fasting sugar 105-113 and after taking food it is within 140. Is it advisable to take medications or I will do regular exercises and take proper food.

Ans: I think you should be congratulated for the efforts you have made.

The blood sugar levels are still in range of pre-diabetic. Therefore, it is advisable that while you continue the lifestyle modifications, it will be useful if you take atleast metformin, which works as insulin sensitiser. Once your HbA1c is below 6 and fasting sugar below 100, you can discuss with a physician and stop medications.

However, one of the key factor to determine blood sugar levels is going to be your age. So, if you are younger than 60, remission is a good target.


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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Asked by Anonymous - Jun 16, 2025
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I took 2 drops for neet but could not clear it .... I took admission in local college after 12th for bsc as my parents said your year won't be wasted ... Now I feel devasted .. very detached ..not knowing what to do next ... My parents are telling me to give one try and go to Kota for prep but I don't know what I want ..I fear everything and sometimes I want to peruse mbbs sometimes I don't .. I am currently thinking of doing SSC CGL as I took pcmb in 12th and secured 92% .. ..what should I aim?
Ans: HI
Simply taking a drop year for NEET will not provide a solution without proper preparation. Many young people are choosing courses, colleges, or coaching centers based on their friends' influences. After your first attempt, you may have analyzed NEET better the second time. If you are still facing the same issues on your third attempt, it suggests there's a deeper problem. It seems you're preparing for NEET without genuine interest.

To succeed in competitive exams, specific strategies are required. For instance, if you analyze previous exam patterns, you’ll often find that most answers tend to be either B or C. You'll notice that among four options, two answers are relevant while the other two are completely irrelevant. It’s crucial to analyze the syllabus and past question papers thoroughly. Everyone seeks answers, but few consider the reasoning behind them.

Additionally, I noticed you’ve enrolled in a B.Sc. degree; I'm unsure which major you have chosen. If you selected either chemistry or physics, it would be beneficial. By choosing chemistry as your major, you could take physics as an ancillary subject, and vice versa. You can cover both subjects during your college education, and if you have any doubts, you can clarify them with your professors. Completing biology studies at home is also advisable.

Whenever you plan to take competitive exams, dedicate your time solely to that without engaging in college activities. Avoid distractions at all costs. Recently, many parents have been facing these types of challenges with their children, and it takes time to adapt.

Finally, please listen to your parents' advice and minimize distractions. I have shared a few tips; please follow them.
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