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?
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?
Dear Sir,
My Fasting Blood sugar 97 and My post pandrial sugar 83, and my Recent HBA1c : 5.4
Why is my FPS Is Greater Than PP (from almost 20 days ).
Is this Any problem ?? How can I overcome this? Sometimes I'm feeling tired. Pls Help
I was getting throat infections often, so I went and saw an ENT specialist. He immediately asked me to do a CT scan for sinus - PNS CT scan. He gave medicines too. The next day I went to the scan center, there were many warning signs. Even the nurse said it has radiation. Even ChatGPT said CT scan has radiation and shouldn't be done unnecessarily. I should have said, I will think about it and come tomorrow. But I paid the money then they asked to sign a paper that they are not responsible for any side effects. Then the report came back and the doctor said no sinus problem. But I feel extremely anxious about the side effects. I read so many articles online and they said even one CT scan can increase the cancer risk in future especially in women who are younger. I am around 25 years old, female. I asked the doctor and he gave me an anti-depressant but I am still not convinced. I am still feeling extremely lost. I feel like I spoiled my future. Please someone help me from this mental pain