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46 year old with high HBA1c - Tablets or lifestyle changes?

Dr Karthiyayini Mahadevan |1145 Answers |Ask -Follow

General Physician - Answered on Jun 12, 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

Asked by Anonymous - May 03, 2024Hindi

Health

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

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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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.

Ans: Hello. For your age, Hba1C should be around 6.5 to prevent any long term damage to the eyes, heart arteries, kidneys and nerves. Sometimes fasting sugars maybe ok but post meal sugars can spike due to the inefficient secretion/ action of insulin to keep it controlled. If you don't want to take medications, you may choose to completely avoid eating foods that spike your sugars. One way to check is to wear a CGM (continuous glucose monitor ) for 2 weeks and closely observe which foods are increasing your sugars and avoid those. This may help in avoiding medications altogether.

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Question by bhuvan - 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

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Asked by Anonymous - Nov 15, 2024Hindi

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

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