Primary Hyperparathyroidism Treatment

Health Q&A
Protein in urine

Hi Last month on routine checkup of urine acr the result comes 60 mg/dl My egfr was 88 and creatinine is 1 , Liver function test and lipid profile was normal, urine re was normal. Hb1ac was 5.9 and fasting was 110 and pp was 141 I am taking jalra m 50/850 , Shelcal M, OXCQ 200 AND THYRONOM 50mcg Today I tested my sugar is 97 and pp is 115 and urine acr is 5mg/dl Shall I test again after 2 month or wait to go to my doc afterwards or now .

Last 7 years suffering from diabetes

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

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.

My FBS is Greater Than PPs

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

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
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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Dr. John D Blackman - Internal Medicine
Dr. John D Blackman Internal Medicine (Fellowship, Residency, Medical School, Residency - ID, Fellowship 2) 42 years experience OhioHealth Endocrinology Physicians
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Dr. Elena A Christofides - Internal Medicine
Dr. Elena A Christofides Internal Medicine (Medical School, B.S., Residency - ID, Fellowship 2) 31 years experience MediZen Institute - Columbus Short North
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Dr. Rundsarah Majed Tahboub - Internal Medicine
Dr. Rundsarah Majed Tahboub Internal Medicine (Residency, Medical School, Medical degree, DO, Fellowship in Endocrinology, Diabetes, and Metabolism, Residency in Internal Medicine, Medical Residency in Family Medicine, Fellowship in Endocrinology and Metabolism, Family Practice Residency) 28 years experience Millhon Clinic
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Dr. Angela R Caffaratti - Family Physician
Dr. Angela R Caffaratti Family Physician (Residency, Medical School, Residency - ID) 28 years experience Ohio State Richard M. Ross Heart Hospital
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