Diabetes hb1ac7. 6, fp 157, pp 280, suggest medicine presently glycomet 0.5 gp 1-0-1. Diat under control, exercise normal.

Question

Mr. lybrate-user, thanks for the query. I have seen your query. At 58 years your hba1c% is definitely higher as at this age it should be < 6.5%. Generally fasting glucose in a well controlled person is < 100 mg & pp 150 to 160 mg. Therefore, looking at your details there is a need to upgrade the therapy. Plus there is a need to look at your dietary pattern, extent of daily exercise and lipid profile. It is also necessary to know serum creatinine and urea. So my suggestion is please come back with all the above information preferably in a private conversation, where I will be able to give specific guidelines and also prescribe necessary medications. Another important aspect looking at your weight and height with a bmi (body mass index) of 28 kg/sq meter (normal <23 kg/sq meter), you are almost in grade one obesity with an excess of over 13 kgs. This contributes a great deal for high glucose. Further statements like "diet under control & exercise normal" do not give any information at all. Because your caloric intake has to be according to your ideal body weight (61 kg). So please come back with all the information as suggested. I await your response. Thanks.

Prabhakar Laxman Jathar · Accepted Answer

Mr. lybrate-user, thanks for the query. I have seen your query. At 58 years your hba1c% is definitely higher as at this age it should be < 6.5%. Generally fasting glucose in a well controlled person is < 100 mg & pp 150 to 160 mg. Therefore, looking at your details there is a need to upgrade the therapy. Plus there is a need to look at your dietary pattern, extent of daily exercise and lipid profile. It is also necessary to know serum creatinine and urea. So my suggestion is please come back with all the above information preferably in a private conversation, where I will be able to give specific guidelines and also prescribe necessary medications. Another important aspect looking at your weight and height with a bmi (body mass index) of 28 kg/sq meter (normal <23 kg/sq meter), you are almost in grade one obesity with an excess of over 13 kgs. This contributes a great deal for high glucose. Further statements like "diet under control & exercise normal" do not give any information at all. Because your caloric intake has to be according to your ideal body weight (61 kg). So please come back with all the information as suggested. I await your response. Thanks.