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Should i take medication

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devil vinoth

Member
Relationship to Diabetes
At risk of diabetes
HB1ac at 6.4 , fasting sugar @102 , doc advised to start metamorfin 500 mg saying its safe and take for 3 months?
Is this needed and ok? or should i try and control it through diet and excercise ?

Pls advise
 
HB1ac at 6.4 , fasting sugar @102 , doc advised to start metamorfin 500 mg saying its safe and take for 3 months?
Is this needed and ok? or should i try and control it through diet and excercise ?

Pls advise
A Hba1c of 6.4 equates to 47 mmol/mol which isn’t even in full diabetic range (that starts at 48). I’d be wanting to try dietary/exercise changes first rather than Metformin. Ask him to give you 3 months to turn things around. Good luck.
 
I had to double check the HbA1c conversion to the system I recognise and it says you are towards the top of the pre-diabetic range, not diabetic. You need to get the level down to 5.9 in the next 3 months to be out of the diabetic range. I must admit I was shocked your doctor went thundering in straight away to put you on Metformin. I was diagnosed diabetic with a reading of 7.4 My GP said it was their policy to try a healthy eating plan and exercise, before medication. I reduced my carbs, started going to Aquafit 3 times a week and reduced to 6.5. So it can be done. Then came COVID, but that's another story.

I would ask your GP if you can try the non-medication route first, and ask if they had a specific reason for putting you straight on medication, for example other medical conditions. If it does not work after 3 months, well at least you tried. Metformin can have side effects (sitting on the loo a lot) but usually eases after a couple of weeks. You are a young person, which might disrupt your job. There is a slow release version, taken in the evening, which has less side effects. If you need to lose weight, it would be a good idea. The Learning Zone (orange tab) will give you lots of advice and eating tips for pre-diabetics. Please ask any questions - we have all been there.
 
Are you sure those figures are the correct way round? Medication for an HbA1c of 102 would make more sense.
 
Are you sure those figures are the correct way round? Medication for an HbA1c of 102 would make more sense.
Good point, but then I would have expected the dose to increase up to 2000gm a day, not stay at 500gm for 3 months. It is puzzling.
 
I think the OP may be resident outside the UK where they use different measurements eg the USA. 102 = 5.6
 
Yes - all these different systems and measures are confusing! So my original comment applies - please try diet and exercise first if possible. Best wishes
 
If I've understood your numbers correctly, I'd be tempted to have a convo with my GP and advise them that I'd like to try diet and exercise for the next three months instead.

There may be some contributing factors as to why they're going down this route so best to have a chat as it's ultimately up to you at this stage.

We've had people on the forum get their numbers in check within three months who started at higher numbers so have a look around and put a plan together.
 
I'd advise cutting back on carbohydrate - possibly getting a blood glucose meter - but diet is so effective in changing things that might be all that is required.
 
I had a reading of 49 and doctor gave 6 months...with the help of this forum I went low carb and 6 months later a reading of 40.
 
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