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Vitamin D (25-OH) is 8.48
Answers (30)
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India has a huge problem of vitamin D deficiency! Vitamin D 60 k once a week for 8 weeks should be good for now. Metformin can cause reduced Vitamin B12 levels so supplements are always recommended!
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At HBA1C of 6.4 you can give a trial of dietary and lifestyle modifications for three months. Repeat HBA1C after 3 months and if it persists we’ll have to opt for detailed consultation and start medication. As for Vit D levels you should start D3 60,000 IU once a week for 12 weeks and try to increase the sun exposure.
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An HbA1c of 6.4% is at the borderline between prediabetes and diabetes. Prescribing Galvus Met 50/500 for 3 months is a reasonable and preventive approach, especially if you have risk factors like weight gain or family history. This helps improve insulin sensitivity and may prevent progression.
Your Vitamin D level of 8.48 ng/mL is severely deficient. This does need treatment, as such low levels can contribute to fatigue, body aches, low immunity, mood changes, and can also worsen insulin resistance over time.
Next Steps
• Start Vitamin D replacement:
• Common regimen: Vitamin D3 60,000 IU once weekly for 6–8 weeks, followed by a maintenance dose (as advised by your doctor)
• Continue Galvus Met as prescribed
• Recheck HbA1c and Vitamin D after 3 months
• A general physician or internal medicine doctor is appropriate for managing both issues; no separate specialist is required at this stage
Health Tips
• Take Vitamin D after a meal containing fat for better absorption
• Get 15–20 minutes of sunlight exposure when possible
• Maintain regular physical activity and weight control
• Avoid excess sugar and refined carbohydrates
• Do not stop or adjust medicines without medical advice
I know seeing multiple abnormal values together can feel overwhelming. The reassuring part is that both conditions are very common and very treatable, especially when addressed early—as you’re doing now. With a bit of guidance and follow-up, these numbers can improve significantly.
If you’d like, an online consultation can help fine-tune your treatment and lifestyle plan so you feel confident and supported throughout.
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No need for galvus met tablet
Take vit D3 weekly once 60k ( 1 tablet per week ) for 3 months
And have a balanced diet and add some physical activity and walking 8k steps daily for 3 months
And later repeat hba1c and vit d3 after 3 months
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
Answered
1/1 people found this helpful
Please share details, since how many days you have started Galvus met and in which dose? Then I being a physician can help you very well.
Hba1c is high Repeat Hba1c after 8 weeks.
For vit d deficiency, take tab vit d3, 60,000units once every week for 6 weeks.
Take eggs, mushrooms, fortified cereals, curd, cheese, almond, soya.
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You need vitamin d3 sachet or tablets.you need to consult with general physician. Please feel free to consult me on practo for further management to improve your d3 level also.
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2/2 people found this helpful
Take vitamin D3 sachet/soft gels 60K once weekly
Only metformin should suffice
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2/2 people found this helpful
Hello
Thanks for query
Continue antidiabetic medication
Go for vit d shot which ever comfort u (oral medication or iv)
Next Steps
Followup
Fbs ppbs hba1c
Vit d
Other investigation if nessessary
Health Tips
Sunlight exposure
Dieat and life style modification
Followup visit to doctor
Answered
1/1 people found this helpful
HbA1c 6.4 = early diabetes (Galvus Met is appropriate).
Vitamin D 8.48 = severe deficiency — this can cause fatigue, body aches, low immunity.
Start Vitamin D3 60,000 IU once weekly for 6 weeks, then monthly maintenance.
Next Steps
Continue Galvus Met as advised.
Add daily walking + reduce sugar/refined carbs.
Repeat HbA1c after 8–12 weeks.
A general physician is enough for now.
Health Tips
I understand this feels stressful — but both issues are very common and fully manageable.
If you’d like, book a consult with me — I’ll personalise your plan and follow you up properly.
Answered
2/2 people found this helpful
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