Type 2 Diabetes Treatment

Health Q&A
Early insulin resistance

Hi, Age -31 , Male My HBA1C trend - 2023-6 2024-5.8 2025-5.4 2026 august-5.7 2026 September -5.7 Fasting sugar always 90-99 Average blood glucose around 117 Recently I did fasting insulin in September - 16uU/ml Calculated HOMA IR - above 3 My question is - Is this a sign of early insulin resistance? I have BMI of 20. How can I reverse if it is early insulin resistance? My parents and grandparents are diagnosed with T2DM

Metformin and dry nose and sinus

Type 2 diebetic Have been taking metformin from past 6 months and past 1 month been on linaglyptin 2.5mg but I am suffering from extreme dry nose and sinus, it feels completely dry no mucus in the nose area. I also have allergic rhinitis and when this happens then only I have watery discharge from nose but other then that no mucus or wetness inside nose area it feels completely dry and due to thats why right nostril is blocked and it feels very bad at night.suggest me should I discontinue metformin because I have feeling this after the medication.

Does IGF-1 return to normal?

After stopping clomiphene, does IGF-1 return to normal? Clomiphene can reportedly reduce IGF-1 in some people. I’m planning to take it for 3 months. After stopping clomiphene, does IGF-1 usually return to the previous baseline, or can it remain slightly reduced even after stopping? How long does it typically take for IGF-1 to normalize after discontinuation?

Blood sugar 66

I wake up at 5 am drink 200 ml tea mild sugar added  at 5 30 am and than eat meal 2 medium rotis with 200 ml curd and onion chutney at 8 30 am and after this meal check blood at lab at 10 5 am it was 66 than I eat nothing and drink noting at 2 pm blood sugar was 89 and at 10 5 am test time triglycerides 378 vldl 75 non hdl 145 ldl 69 hdl 40 should I get more tests or is this normal

Confusion about diabetes

Fasting sugar is always under 120 and post prandial is under 200 by the test of glucometer. And HbA1C test is 5.6 by lab test. The question is that Is she a diabetic

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Dr. Naseemuddin N Shaikh - Endocrinologist
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