My age 36. Hba1c is 7.1, fasting glucose 157. Recently diagnosed as type 2 diabetes. I have edema in toes and tingling sensation in feet. No nephropathy or liver problems. Should I start with metformin or directly go for insulin injections?

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details given. The hba1c% 7.1 % and fasting glucose 157 mg both are high, suggesting you have diabetes definitely and it needs to be appropriately treated. So there is a need to look at your weight, exercise, diet and drug treatment to be done. So please come back with following information: fasting, pp glucose, hba1c%, weight, height, dietary pattern, extent of daily exercise & lipid profile in a private conversation, then I will able to advise specifically how to go about. Thanks.  

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