Endocrinology

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HOMA-IR 6.4 at 29 — metformin needed?

29M, 98kg, 178cm (BMI 31). Fasting labs 22/06/2026. Fasting Glucose: 93 (normal) HbA1c: 5.7% (borderline) Fasting Insulin: 54 mIU/L (high, ref 2.6-24.9) HOMA-IR: 6.4 (high, ref 0.7-2.0) ALT 64, GGT 98 ( fatty liver), Vit D 16 (deficient). Hypertension on Cilnidipine. No diabetes. Endocrinologist advised only weight loss and vitamin D. But my HOMA-IR is 3x the upper limit. Should I be on metformin at this stage to address insulin resistance and protect against diabetes, or is weight loss alone the right approach? Also open to GLP-1 if appropriate given BMI 31.
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Cold and cough stomach upset from tomorr

Taking Amaryl 2mg twice daily and teneligliptin 20mg once. Average blood sugar is 155 and hb1c is 6.8 last month
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350 Random sugar

350 Random sugar Which tablet i use regularly B. P normal All organ's well functioning Iam eating brown rice, jonna roti, raagi jaava
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My FBS is Greater Than PPs

Dear Sir, My Fasting Blood sugar 97 and My post pandrial sugar 83, and my Recent HBA1c : 5.4 Why is my FPS Is Greater Than PP (from  almost 20 days ). Is this Any problem ?? How can I overcome this? Sometimes I'm feeling tired. Pls Help
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Prediabetic condition

I am 40Y old . My father 75 has diabetes . In may month my hb1ac was 6, fasting sugar 93, fructosamine -215 ( lab test)pp was 130 .yesterday I ate white rice dal and potataies at 7 pm . It was full plate .My pp came out to be 174. First time my pp is like this . Next day fasting was 104. both pp and fasting on glucometerHave I progressed to diabetes within 2 months . I was eating one full mango everyday after dinner may be it can be the cause but my 174 reading was without mango( i didnt eat mango that day ). I am going for walk after dinner since in nuclear family and having toddler plue 8 to 5 job it is difficult to maintain much diet. I am too much stressed. Kindly guide me. I know i have to be careful but sudden high numbers are stressing me .
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Pictutary microadenoma

My prolactins level were high and doctor suggested MRI These are the findings "There is an ovoid nodule measuring 6.6 x 8.8 x 5.7 mm (AP x TR x CC) seen in pituitary gland on left side, which appears isointense on T1, heterogeneously hyperintense on T2, hypoenhancing on early phase of dynamic contrast images and intense homogeneous contrast enhancement on delayed images of dynamic study. Pituitary stalk is deviated towards right side. Imaging findings are suggestive of pituitary microadenoma. Serum prolactin estimation is suggested." I am very worried, what does it mean ?
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Sugar under control

My mother's fasting sugar is going in range of 140 range and PP 180 .She takes triglimiprex at before breakfast and zukanorm d10 before dinner .This is happening for last 1 month . How to control this ?what adjustment to do. can She take in this format triglimiprex 2 at breakfast;zukanorm at lunch and teneliglip 20 at night before dinner with the above two medicines.
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Isn't masturbate harmful?

I am looking for answers only from endocrinologist. I wanna know from endocrinologist. Is masturbate harmful and unhealthy habit for brain and body or not? Or you also feel it doesn't have any negetive effects I believe it's very unhealthy habit
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Diagnosed with Hba1c 8.2

Hello The Hba1c is 8.2 and random glocose is 250. Fasting blood glucose is 142 Post lunch glucose is 257
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Numbness tingling vibration if lay down

I am t2 diebetic i am facing problem like mid day fatigue and when i lay down my whole hands feets feel like numb or tingling vibration with sweating but as soon i wake up its gets normal. my sugar at that moment is 130. my sugar values are under 180 pp and under 125 fasting. I also having energy crash like sometimes feels high energy and suddenly low kind, I am taking dapa 5mg morning and sitaday 50/500 mg at night, zincovit syrup and weekly lumia 60k tablets . I want some help from the community.
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