An
HbA1c of 13.9% indicates severely uncontrolled
diabetes, which requires urgent medical attention. Here’s what your friend should do next:
Immediate Steps:
1.Consult an Endocrinologist Immediately – With such high blood
sugar, he may need insulin at least temporarily to bring levels under control.
2.Start Medication – Oral anti-diabetic drugs like metformin are usually the first line, but in severe cases, insulin might be required initially.
3.Diet & Lifestyle Changes –
•Strict low-carb, high-fiber diet
•Avoid refined sugars, processed foods, and high-glycemic foods
•Regular exercise (walking, yoga, strength training)
•Weight management if overweight
4.Frequent Blood Sugar Monitoring –
•Fasting and post-meal checks
•Self-monitoring with a glucometer
•Regular follow-ups to adjust medication
5.Check for Complications –
•
Kidney function (
creatinine, urine microalbumin)
•Eye exam (diabetic retinopathy screening)
•Blood pressure and
lipid profile
Next Steps
Given the extremely high
HbA1c, delaying treatment can lead to serious complications like diabetic ketoacidosis (DKA), neuropathy, and cardiovascular issues. Has he experienced symptoms like excessive thirst, frequent urination, weight loss, or fatigue?
Health Tips
Consult diabetologist