I am a diabetic and under medication since last 3 years. But my glycosylated hb (hba1c) remains around 8-9. I am using amaryl-m2 twice and januvia 100 mg. I am also using bp medicine telma am.

Dr. Hanish GuptaEndocrinologist14yrs exp

90% (1617 ratings)

Ask Free Question

Having an hba1c between 8-9 shows that you are uncontrolled inspite of treatment and indicates that you are open to the complications of diabetes due to this uncontrolled state. Hba1c is an average of blood glucose over a span of 3 months. As hba1c starts to increase from 7.3 % onward the contribution of sugar disequilibrium is mostly contributed by raised fasting glucose rather than post meals blood glucose. If I ask you to check your sugars regularly- you will find your fasting glucose much raised than your post meals glucose. Hence you require change in the medicines that focus more on your fasting glucose and that will bring your hba1c down to the target of 7%. 

4 person found this helpful