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43 Year Old with High Fasting Sugar and HbA1c: Diabetic or Prediabetic?

Dr Chandrakant Lahariya | Answer |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Nov 01, 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

Question by Sandesh on Oct 31, 2024Hindi

Health

Type 2 diabetes: Sir I am 43 year old, my HBA1c is 5.4 from last one year. It was 5.7 11 months ago. However my fasting sugar is 131. It was 138,7 months before. Do I considered as diabetic or pro diabetic. My weight is also I am consistently maintaing between 66 to 68 kgs. I have problem with my sleeping as I will get thirsty in the early morning & not getting sleep. Please advise should I start any medication. Is there any way I reverse it

Ans: Please get oral glucose tolerance tests done.
Alternatively, please get Blood sugar fasting, Blood sugar 2 hr and Hba1c done.
Based upon currently available HbA1c values, you are neither pre or diabetic. However, fasting are high. We need to see 2 hr post meal blood sugar levels.
The clinical symptoms are suggestive of diabetes.

In short, need a more systematic approach to investigations and making diagnosis.

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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I am 60 years old . My weight is 71 kg. I am diabetic from last 27 years old. I used to medicine as well as insulin. Ajaduo 10/5 mg and Ryjodec insulin 22 unit before day meal n at night linvas tab n insulin 16 unit . Today my fasting sugar was 74 . Also measure hba1c n found 6.2 %. Average blood sugar found to be 131. Pl advice what types of food i should follow. Also exercise. I used to do yoga n morning walk regularly. Thanks.

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Hello Sir My Name is Narendar my age is 41 and my weight 83 my hba1c is is 6.6 and average glucose levels 142 Fasting 101 and post lunch 110 and till now iam not using any medicine related to diabetes Pls suggest iam diabetes or not what should I do now

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