Endocrinology

My fasting glucose was 70 mg/dL, but HbA1c was 5.7%. After 3–4 months of intermittent fasting/OMAD, HbA1c was still 5.8%. I was on mirtazapine 60 mg. My CBC showed Hb 14.9, RBC 5.89 million, MCV 76.4, MCH 25.3, RDW 16. Iron studies: serum iron 93 µg/dL, TIBC 305 µg/dL, transferrin saturation 30.5%, ferritin 88 ng/mL. Could this HbA1c be falsely elevated due to possible thalassemia trait or other RBC factors, or does this suggest true prediabetes despite a fasting glucose of 70?

My thyroid levels are under control at 2.589 (TSH) But my doctor suggested that I take Thyronorm 50 mcg daily. I have been doing that for four years now. I take the tablet at 8 am on empty stomach. It is a bit inconvenient for me. Can I take it in the evening say at 5 pm daily. I eat dinner at around 9.30 pm. In between, I drink juice during badminton at 8 pm and eat a small bite of brownie at 7.45 pm. Please advise if it is ok to take the tablet at 5 pm. Thanks.

I was getting throat infections often, so I went and saw an ENT specialist. He immediately asked me to do a CT scan for sinus - PNS CT scan. He gave medicines too. The next day I went to the scan center, there were many warning signs. Even the nurse said it has radiation. Even ChatGPT said CT scan has radiation and shouldn't be done unnecessarily. I should have said, I will think about it and come tomorrow. But I paid the money then they asked to sign a paper that they are not responsible for any side effects. Then the report came back and the doctor said no sinus problem. But I feel extremely anxious about the side effects. I read so many articles online and they said even one CT scan can increase the cancer risk in future especially in women who are younger. I am around 25 years old, female. I asked the doctor and he gave me an anti-depressant but I am still not convinced. I am still feeling extremely lost. I feel like I spoiled my future. Please someone help me from this mental pain

After every meal around after 3 hours my eye gets heavy and I feel low energy and sleepy, my eye gets heavy and slight burning feel and lethargy

TSH 10 diagnosed first 1 year back & started on 50 mcg after which TSH 0.13. On 25 mcg TSH came 5.6 On 37.5 , TSH 9 On 50 mcg TSH 3.3 On 50 mcg,  current TSH 5.6 and Thyronorm dose increased 62.5 mcg Patient 72 yrs has liver disease hypertension prediabetes. No thyroid symptoms, weight 52.40 kg. Is Thyronorm dose given now of 62.5 for TSH 5.6 appropriate?

Hello doctor my age is 35 and i don't have diabetes. Can non diabetic person eat mango? I eat 8 mangoes daily in lunch and dinner. My query is eating too much mango is risky because it contains lots of sugar? Eating mangoes can risk of getting of diabetes? Please advice. Thanks

Can Istamet 50/500 dose be increased in prediabetes? Hba1c has risen from 6.3 to 6.4 in past 1 year. FBS mostly remains high normal 100-110. PPBS remain 130-140. Weight is 52.4 kg, 72 yrs Can I take Istamet 50/500 (sitagliptin/metformin) two tabs once a day if I m not diabetic but have Prediabetes? Is it safe to take  in early liver cirrhosis with no symptoms?

Can sitagliptin/metformin 50/500 1 tab once day be given to patient in prediabetic range? 72 year, weight 52 kg. Hba1c is 6.4. FBS remains normal. PPBS around 130-140-143. Has early compensated liver cirrhosis. Normal creatinine. Hypertension. Dr who prescribed also said to increase the dose. I hv heard prediabetes can b managed on metformin alone but not sure. No proper response from dr. Please tell whether or not sitagliptin/metformin is right drug and dose for her n her condition??🙏🏻 BP remains high. Can it pose any risk if u consider it over treated.

Diabetes runs in my family and I think I might have it too. What test should I do to know for sure if I have it

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.