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Pre diabetic
My father is prediabetic from last 4 years . But now his hba1c came 6.6 glucose fasting from lab is 103 and 2 hours post meal via home kit is 160.
Is there need to start with medicine or he should continue with diab diet only
Answers (13)
Your HBA1C level is showing prediabetic criteria. I must know more symptoms facing by patient.so plz consult for further help.
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Continue regular exercise and diabetic diet . Life style modification. If overweight then reduce weight
Next Steps
Start low dose Metformin and repeat HbA1c after 3 months
Health Tips
For more details consult.
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Hello..Life style modification only needed . Keep on sugar monitring 3 monthly.
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He should follow diabetic diet which should have low carb high protien with fibre
And daily 30 minute of active exercise
He should sleep for atleast 7-8 hrs
Eat dinner early around 7pm
He should start deep breathing exercise and stress relieving activities
Next Steps
For more you can consult me
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Some further details needed for accurate answer like age underlying other co morbidity ?? On other medications??
HbA1c 6.6% falls in the diabetes range (≥ 6.5%), while fasting 103 mg/dL is in prediabetes range and 2-hour value 160 mg/dL is impaired glucose tolerance.
Start with strict life style modification (diet + minimum 150 min/week exercise)
Weight reduction if overweight
Monitor fasting and post-meal sugars
If he is overweight / has strong family history / sugars persist above target, Metformin can be considered early, as it is safe and helps delay progression.
Regular follow-up is important.detail history important.
Next Steps
can recheck your reports in a standard laboratory
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Yes , we need to start. Before that we need to understand why did his blood sugar increase now ? And is there any modification to delay the disease process . How are his inertenal organs responding now .
Next Steps
To get in touch with a Medicine specialist or Endocrinologist
Health Tips
For now Avoid simple carbohydrates and start moderate exercise
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Control with diet. Regularly monitor sugar
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Need more details like age, any other health conditions and lifestyle of your father.
If he has other health issues like deranged lipid profile and Hypertension then better to start basic medications for Diabetes.
Next Steps
Repeat HbA1C in 3 months, also make sure his hemoglobin is normal by doing Complete blood count.
low Hemoglobin levels can falsely show low HbA1C values.
Health Tips
Low carbohydrate, high protein diet.
Daily aerobic exercises for 5 days a week , not less than 180 minutes a week.
strength training exercises daily.
no sugar, no jaggery, less oil, no sweets at all.
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Monitor sugar regularly
If there is no other disease history
You can wait for the medication
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