Hba1c

Dear Doctor, Please help me to control my diabetes. I am a dibetic patient about 17 years and under insulin for the past 5 years.Before five years I underwent CABG surgery. My need for consultation is for Diabetes. Now i take Metformin 500 SR/Diapride 2mg and 30/70 fast acting Insulin 18 in the morning and night time I take diapride 2mg and Insulin 8 points only. My HbA1c is 7.9 and always PP is above 200 to 240 Today fasting is 121 and PP is 234.Please advice.

Hi, Since you are a known diabetic,few changes which have to be brought in are lifestyle modifications. If you have already not changed them or if you are not serious about them because they are the only steps which would help you the most. Drugs just bring down sugar for a few hours and then would raise back again and your body can become slowly resistant to the same drug dose so first you will have to bring lifestyle modification(changes) in yourself. 1)Eat a low-cholesterol, low-fat diet, ...

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Attaching a test report, high HbA1c of 200 and GGT of 136is getting me worried, kindly advise

Hi, I could not have a look at your report,probably you did not attach properly. Your raised hba1c levels indicate that you are a diabetic and needed to be started on medicines for diabetes and that can be started only after knowing about your full history and examination. ABG 200 i don't think you wanted to right the same and report must be telling something else which you did not write properly. 25 years old jaundice has no link today unless it was due to acute hepatitis infection. Raised ggt ...

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I am suffering from type 2 diabetes and obesity . My weight is 110 kg and I am 30 yrs old . The random sugar level is in between ********** on avg . Fasting is always normal and even PP shows normal level within 105 to 134 on average . My insulin fasting test was normal but my insulin pp was 200 . I was prescribed Glycomet 500 sr , which I took for 2 months and stopped . I started exercising and got tested the Insulin PP was 130 and I continued my workouts .but te weight is not reducing its stuck at 110 kgs and I am feeling pains in my legs on daily basis . Will get tested tomorrow for Hba1c test and Insulin PP test , I will attach the report tomorrow , if needed . Please suggest what exactly I shall do to reduce weight and get this type 2 issue resolved

You may have to practice aerobic exercises regularly. However, a routine warm up and cool down phase of aerobics is a must and that should reduce your leg pains to a higher extent. You may contact a physiotherapist to get help about your exercise routine. ...

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I have been suffering from pain in neck, joint, shoulder knee, all finger ra factor 140, uric acid 6.6, vitd3 025h is 6.82, vitb12 is about 239. which is the safe medicine. sugar hba1c is 4.2, fasting 91, thyroid lipid profile kidney profile all are normal.

Respected Sir, Most medicines are safe to take if taken under supervision and properly. Arthritis itself is more damaging than the medicines, hence earlier control is needed ...

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Dr. Puneet Madan

General Physician
New Delhi, India
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Dr. Naval Mendiratta

Rheumatologist
, India
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Attaching a test report, high HbA1c of 200 and GGT of 136is getting me worried, kindly advise

I have been suffering from pain in neck, joint, shoulder knee, all finger ra factor 140, uric acid 6.6, vitd3 025h is 6.82, vitb12 is about 239. which is the safe medicine. sugar hba1c is 4.2, fasting 91, thyroid lipid profile kidney profile all are normal.

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