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DIABETIC Sol
My friend got tested himself for diabities and his HB1AC was found to be 13.9 what should be the next course of action as it is extremely high
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a dietician and sort out your lifestyle
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Consult a diabetologist for treatment
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HbA1c is very high. Don't delay the treatment. He must have insulin resistance, fatty liver along with uncontrolled sugar. You can consult with me or any diabetes doctor who can help with diet along with medications. Watch my video to know more.
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Medication strict diet and exercise
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
To start medications.
Do consult.
Diabetic diet.
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Dr. Amol Gajanan Andhale
Diabetologist
4 yrs exp
Wardha
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?
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Consult diabetologist
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.