Hba1c 8.8

[shishir1]

I am taking Dianorm total 60 . I am 58 with diabetes from last 15 years. My Hba1c is 8.8. How serious is it. Do I need to take Insulin or some stronger medicine. My micro albumin is 5.75

[sshk]

Hba1c of 8.8 is too high. Aim for Hba1c <6.5 as first step and then <5.7 forever to avoid future complications. We can not comment on your medication, suggest to consult your doctor.

[osho1410 in reply to sshk]

Have you tried LCHF diet ? if not find out about it here , on this site and other sources on the net .Start by cutting carbohydrates from your diet drastically and increasing intake of good fats and moderate protein .You will see the results soon enough.Good luck !

[arshid2560 in reply to sshk]

You must immimmediately talk to your doctor. He will prescribe some other medicine or suggest intake of insulin for you otothetwis u will have other health implications.

[Praveen55 Moderator]

Please review your diet. Consider following Low carb diet. If you can let us know what is your current diet on a typical day, we may be able to suggest you if you need some change in order to improve the condition. At the same time, you should discuss about medications with your Doctor.

Also please provide fasting blood sugar and 2-hr post-meal sugar numbers.

[sakamani]

i think before breakfast you should take amyrl 4 mg and after breakfast galvasmet 50/850 then after dinner one more galvasmet 50/850. this is what mother is doing..........one of my friend has 8.5 7hba1c he is on insulin with vidagliptin once a day before breakfast taking as a combination with insulin

[suramo Star]

Medicines are not the answer. Too high a1c. Please take care. Carbs are causing this. You got to remove as much carbs from your food as possible.

Gud luk

[sattu1959]

Hba1c of 8.8 is too high.You should consult an endocrinologist as early as possible and start taking medicines as per his advise.

[gangadharan_nair]

Dianorm total 60 consists of Gliclazide 60 MG+Metformin 500 MG+Pioglitazone 15 MG. In Mar 21, 2016 - A gazette notification by Ministry of Health and Family Welfare has banned over 300 medicines of fixed drug combinations which includes Gliclazide + Metformin + Pioglitazone.

Pioglitazone is indicated as a risk factor for cardiac ischemic events and bladder cancer.

Insulin is free from side effects. You should also concentrate daily checking of fasting blood sugar, reduction of carbohydrate in your diet and proper daily exercise.

Sources:--

en.wikipedia.org/wiki/Glicl...

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

medlineplus.gov/druginfo/me...

en.wikipedia.org/wiki/Piogl...

medlineplus.gov/druginfo/me...

[optorama]

walking, walking, and walking and avoid carbo hydrates and sugar. I do not think that you have to go for insulin. Consult your doctor.