I am 52 age 6.2 height 85 kg. diabetic since 3 y.fbs 125 pp 160 .on tablets glykind m twice a day. Also in depression since 10 y n on tablets xetcr 25 n trika once a day .non smok non drink. But reports last month shows above report n hba1c 7.1 almost high. Total cholesterol 178. Triglycerides 103. Hdl low. Ldl some high. Else no problem. How can I reduce hba1c .i walk daily 4 km .n drink water 3litr. Please advice any medicine to reduce hba1c.

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Hello, thanks for the query. I have gone through the details mentioned. Your blood glucose seems to be quite well controlled. At your age ideally fbg should be < 100 mg, pp should be 150 to 160 mg & hba1c% < 6.5%. So there is a need to look at your dietary intake more carefully and also increase the physical activity to about 1 hour plus exercise a day. Your lipid s seem to be fine, however, there is no mention of actual values of hdl & ldl. (ldl in a diabetes person should be < 70 mg). In this communication we are supposed to give only general guidelines, no drugs can be recommended, that can be done only in private conversation. Thanks.  

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