Metabolic disease

Health Q&A
Can Sitagliptin be given in prediabetes

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.

Prediabates to dibateic

My age is 40 . In may month my hb1ac was 6, fructisamine was normal ( thru lab test). After that once I did pp sugar at home it was 132. At that time I was at my native home . I came to chennai in june where i am working full time as teacher . We have toddler and we are nuclear family . I started testing everyday blood glucose sugar in july month . Fasting came 104 and pp sugar was 124 when i eat 2 paneer parantha with curd . Even I started eating low glycemic index rice . My pp with rice will be 154. I have started walking after dinner everday . I have stopped tea except in morning and too with less sugar . My father 75 is also diabetic . When i am eating liitle rice and roti also pp is high . I am working full time 8to 5 6 days a week . What can I do to reverse this condition . When can I have again hb1ac test. Since working i cant follow too much diet schedule . I think if i will again do blood test in august month - hb1ac will be more. Is frequent urination common in prediabtes

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

Fasting Sugar Low, Hba1c 5.7

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?

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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Dr. Joshua J. Joseph Internal Medicine (Medical degree, DO, Internship, Residency - ID, Fellowship 2, Fellowship in Clinical Research Fellowship, Fellowship in Diabetes Research) 20 years experience Nationwide Children's Hospital
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