Hello Doctor,
My recent reports show:
Vitamin D: 13
Vitamin B12: 116
Fasting/PP sugar: 90
Post meal sugar: 100
HbA1c: 6.1
Kindly advise what remedies, supplements, diet changes, or treatment would be suitable for me. Please also let me know if any additional tests are required.
Thank you.
Answers (20)
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1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices.
9 # Keep vaccinations up to date
Vaccines help prevent many serious infections.
10 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
11 # Take medications only as prescribed
Avoid self-medicating, especially with antibiotics.
12 # Protect yourself from excessive sun exposure
You are prediabetes. Stop sugary, fatty food. Do regular physical exercise, stay stress free. If obese, reduce weight.Repeat hba1c after 3 months.
For vit d, take tab uprise 60,000 units once a week for 6 to 8 weeks.
Tab neurobion forte one daily for 6 weeks.
Get serum lipid profile done and share results.
For vitamin D :-
1. U require supplements
2. Sunlight exposure
3. Eat Food rich in vit d ...eg mushroom
For B12:-
If symptoms are present, you require B12 injections
For sugars:-
Though your fasting and PP sugars are normal your HbA1c is on higher side
1. Lifestyle changes
2. Regular exercise
3. Reduce carbs , increase fiber and protein in food.
4. Follow your day according to your circadian rythme
Next Steps
Feel free to consult me on practo for further evaluation and management
Health Tips
preventing diabetes is better. consult me for further management
Need to take vitamin d supplement and vitamin b12 as well
Fasting and post meal sugar is normal but HbA1c reports shows you are pre diabetic
Need to reduce weight,lifestyle modifications and exercise
Your Vitamin D at 13 is severely deficient (normal is above 30) and Vitamin B12 at 116 is also significantly low â both require medical supplementation with proper doses prescribed by a doctor. Regarding the HbA1c of 6.1, this is in the pre-diabetic range, but your actual blood sugar readings of 90 fasting and 100 post-meal are reassuringly normal, which means focused lifestyle changes can bring the HbA1c down â cutting out refined carbohydrates and sugary foods, and adding regular exercise are the most effective steps.
Next Steps
See a physician for Vitamin D and B12 supplementation prescriptions. Getting a thyroid profile and CBC done would also be useful given the B12 level. For the HbA1c, add 30 minutes of daily brisk walking and reduce refined carbs and sugar. Please consult me directly on Practo for a detailed evaluation.
Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
Your vit B12 and D levels are low pls take vit B12 and vit D rich foods like meat ,egg ,milk
And add supplements based on prescription
Check blood level 3 month once continue ur supplements till u achieve normal level
Your Vit D and B12 are very low u need to take suppliments and vit B12 rich foods and exposure in sunlight bare skin for vit D. If u need more information u can contact online consultation
You need to take Vitamin d and b12 rich foods like milk ,vegetables, fruits etc.also you need to take uprise 60 k for vitamin d3 and Methylcobalamin 1500 mcg for b12 deficiency.
Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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.
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.
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