HbA1c 6.4

[DYK1]

Age 45.Hb A1c 6.4 .Having medium activity of weight trainiing.Good diet of sprouts and less carb.

Is it necessary to start medicine?

[ramana42 Volunteer]

You have age on your side.You can increase physical activity,moderate on carb intake and develop a special interest in relaxing activities like music and bring down A1c to at least 6.No reason why you should not avoid medicines for a long time.But keep monitoring at home.That is essential.

[Sugu]

Yes. You can reduce carb, increase fat and increase phyisical activity. Monitor your blood sugar regularly, at least every week fbs & ppbs.

[gangadharan_nair]

You can take metformin (generic name) Glyciphage SR 500 mg (brand name) before dinner at your option if well tolerated.

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Metformin is in a class of drugs called biguanides. Metformin helps to control the amount of glucose (sugar) in your blood. It decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. Metformin also increases your body's response to insulin, a natural substance that controls the amount of glucose in the blood.

About 60% of patients on monotherapy may have worsening of metabolic control during the first 5 years of therapy and concurrent use of 2 or more medications with different mechanisms of action may be necessary.

Source:--

medlineplus.gov/ency/articl...

medlineplus.gov/druginfo/me...

en.wikipedia.org/wiki/Metfo...

[makarim]

Sir,increase your metabolic activity.say morning walk,evening walk or increase fat and reduce carb.see this for 15 days .measure ppbs and FBS.if controlled no medicine.carry on.Thanks