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Do I Need Diabetic Medication Now? I'm 49, Prediabetic for 12 Years, and Started Gymming

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

Male 49 years ,179cm height and 68kg weight . Taking medication for BP,Cholesterol, Uric acid regularly and in control. Prediabetic for more than 12years-HBA1c- varies from 6.4 to 6.7 . Currently its 6.7,FBS-128. Used to walk earlier ,now going tp gym for 1 hour in 5 to 6 days in a week. Haven't started Diabetic medication yet. Is it required now? Kindly request your advice and suggestions . Thanking you

Ans: Your blood sugar levels are at diabetic level and not the prediabetic levels.
I would strongly advise you to start medication along with physical activity and diet control. However, I believe you might have done extensive diet and physical activity and therefore, it is important to start on medication for diabetes. It is related to legacy effect. if you control your sugar levels better in beginning, you can get better control in long run.

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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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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I am pr diabetic hba1c levels are 7.5 should I go for medication..please suggest me…my age is 47 male…

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I AM 70 YRS DIABETIC. Hba1c 7.7.taking Gycinorm 80 2-2-0 asd Jalra 50 0-1-1 Fasting b s 90to 100 But postprandial always above 170 What change do you Advice. Thanks.

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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.

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