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35-Year-Old with High HbA1c: Medicine or Lifestyle Changes?

Dr Karthiyayini Mahadevan |1145 Answers |Ask -Follow

General Physician - Answered on Oct 22, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Question by bhuvan on Sep 09, 2024Hindi

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Im 35years old and my hba1c shows 7.5, im not using any medication as of now. Please suggest if i have to use medicine to keep glucose levels under control or a strict diet with regular exercise will being back glucose levels to normal. Please advice thank you

Ans: HbA1C as 7.5 is, definitely in the diabetic range
If you have got this report first time then please review your lifestyle and follow life style modification strictly which includes dietary discipline and Regular exercise
Repeat your testsaftertwomonthsand see

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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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.

Ans: You are already on maximum diet. Exercise of 30 to 45 minutes everyday for at least 5 days in a week would help to control the HBA1c well. Once your sugar levels are consistently in the normal range, you can probably reduce the tablet to once daily. Possibility of completely stopping the medicine is less. It is a very stiff target of keeping HbA1c of 4.6 to 5.5, which is difficult to achieve. Keeping it less than 6.4 is fair enough.

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Asked by Anonymous - May 03, 2024Hindi

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Im 46 yeras just now 15 days back came to know my hba1c is 8.5 took second opinions of blood tests too...almost same.. Doctor has prescribes medicine for morning n afternoon... Now my confusion is at this stage can I control my sugar levels only with diet exercise weight management or should i compulsorily take tablet. I have got this through genetic.. Tablets mandatory or lifestyle management is reversible.. Please help

Ans: Type 2 Diabetes is a lifestyle disorder. Genetic component need to be tackled through epigenetics that is living over the genetics with a lifestyle modification. Looking at your HbA1C as 8.5 you need work hard to bring in the dietary discipline and moderate intensity exercices
Give it all your try for three months. Meet a functional nutrition. Parallel keep checking your sugar levels

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Hello i am 53 old last month my HbA1c 63 mmol /mol, what should i do in food items which its includes or excludes . how much excercise or walking, or any other best idea for control the sugar.

Ans: You have diabetes and this require lifestyle modifications in terms of weight reduction, atleast 30 min of moderate inetsnity physical activity five days of week or more. Dietary modifications and possibly low calories diet.

In addition, you would need anti diabetic medications in consultation with a physician.

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My HBa1c is 7.2. My fasting blood sugar is 134. I have not started taking medicine so far. Can I reverse my condition without taking medicine? Please advice. I am 56 years old.

Ans: If you are able to lose weight with a good exercise and dietary measure with a targeted weight loss of 10% , you can stay off medicines but this has to happen under the guidance of a doctor

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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