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.
I am prediabetic,Require guidance for the same .How to control my condition,what food etc or tips I need to follow
Present day12/07/26
Fasting. 221 sugar
And i am not raking any medicine previously i took but some tine it helped to reduce the sugar
But it did not work later i was also not punctual in taking madicins
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.
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?
