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Kidney Health Specialist - Answered on Feb 27, 2023

Dr Vinod Kumar is a consultant kidney health specialist at Aster RV Hospital, Bengaluru. His expertise includes critical care nephrology, paediatric nephrology and kidney transplantation. He has performed more than 500 kidney transplants, including robotic and high-risk transplants.
Dr Kumar completed his MBBS from JSS Medical College, Mysuru, followed by an MD in internal medicine from the Karnataka Institute of Medical Sciences, Hubballi. He has a DNB in nephrology from St John's Medical College, Bengaluru.... more

Question by Mounesh on Feb 27, 2023Hindi

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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.

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, I am 61 yrs old. My HbA1C was 7.2 and fasting and PP were 130and 160, respectively. I am taking medicines for diabetes -Janumet 50/1000 twice daily morning and night and cardace 2.5 mg in the morning for BP for last 10 years. For last 8 months, I am on strict diet containing mainly millets, vegitable, fruits with high protein and fats. Due to this, I am able to bring down my HbA1C to 5.1 and fasting and PP are 92 and 97, respectively. Can I stop taking Janumet 50/1000 since my sugar levels are normal now ? Any precautions to be taken before stopping medicines ? Thanks

Ans: Thank you for writing in.. Make it once a day.. and repeat the sugars.. you can once take a consultation and discuss in detail.. doing a great job.. lifestyle modifications really help in keeping the diabetes under control

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I am 56 yrs of age and has type 2 diabetes since last 23 yrs and has managed the same from 6 to 8 but after my check of hba1 c in september 2022 i took to test in may 2023 and found hba1c raised to 11. This happened on account of expired glucometer strip as it was showing sugar level under control and as such temptation of sugary food and mango was not avoided by me during this period. I have started glycomet gp2 forte bd , sitax D od with remylin and rousasvstatin od and have checked my diet and had reduced my weight too. Now sugar is under control

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