Diabetes symptom
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
CGMS and Insulin Pump
Health Q&A
Prediabetes
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?
TSH 5.6, Thyronorm 62.5
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?
Eye heaviness with lower energy
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
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.
Health Feed
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Dr. Joshua J. Joseph
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