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What Are The Effects Of Elevated Sugar Levels?
Question: Sir my sugar levels have been elevated for long time ..but never took any medications
tHE LATEST REPORT IS GLUCOSE SUGAR FASTING ,plasma(Hexokinase) = 132.9
GLUCOSE SUGAR PP ,plasma(Hexokianse) = 175.7
HbA1c - GLYCOSYLATED HEMOGLOBIN , = 7.3
Question ..should I start medicines ? Can this be controlled without medicines ?
Which medicines are ideal w/o any side effects ? Will the body get hooked onto the drugs and will be lifetime ?
My GP prescribed OBIMET 500 mg post lunch one tablet a day..but was hesistant as she felt this could be controlled ...
My life is hectic and stressful ...I try now to exercise for 30-45 mins a day
But am confused and seek your advice
Thks n rgds
XXXX
tHE LATEST REPORT IS GLUCOSE SUGAR FASTING ,plasma(Hexokinase) = 132.9
GLUCOSE SUGAR PP ,plasma(Hexokianse) = 175.7
HbA1c - GLYCOSYLATED HEMOGLOBIN , = 7.3
Question ..should I start medicines ? Can this be controlled without medicines ?
Which medicines are ideal w/o any side effects ? Will the body get hooked onto the drugs and will be lifetime ?
My GP prescribed OBIMET 500 mg post lunch one tablet a day..but was hesistant as she felt this could be controlled ...
My life is hectic and stressful ...I try now to exercise for 30-45 mins a day
But am confused and seek your advice
Thks n rgds
XXXX
Brief Answer:
Better to be started on medications
Detailed Answer:
Hi XXXXXXX
Welcome to HCM. I have gone through your question and understand your concerns.
Before explaining you the need of medications let me tell you facts about diabetes treatment
1. Diabetes is a disease that has to be controlled at the earliest or else serious complications may come in future.
2. Diabetes medications wont affect your kidney of cardiac functions In fact they improve it. There is no dependance
3. Earlier control of diabetes is associated with better control in future
4. Lifestyle modifications are good but it wont be enough in a majority of patients. Once you drop off from lifestyle modifications, your sugars start creeping up.
The ideal diabetic control at your age is a fasting blood glucose less than 130 mg/dl after food less than 180 mg/dl and an HbA1C less than 7%. If you can achieve that with lifestyle modifications that is good. Diet control include frequent low calorie meals with more fibers. It will be 3 major meals + 4 snacks a day. Exercise - aerobic exercise 30-45 minutes a day will be enough.
If your parameters are not in this cut off (which is your case) it is always better to start on medications. If you are having a busy lifestyle metformin (what your doctor has suggested) of newer drugs like gliptins will be good after consulting your doctor. They are relatively free of side effects.
Hope I have answered your query. If you have any further questions I will be happy to help
With warm regards,
Dr Ajish TP (MD,DM)
Consultant Endocrinologist.
Better to be started on medications
Detailed Answer:
Hi XXXXXXX
Welcome to HCM. I have gone through your question and understand your concerns.
Before explaining you the need of medications let me tell you facts about diabetes treatment
1. Diabetes is a disease that has to be controlled at the earliest or else serious complications may come in future.
2. Diabetes medications wont affect your kidney of cardiac functions In fact they improve it. There is no dependance
3. Earlier control of diabetes is associated with better control in future
4. Lifestyle modifications are good but it wont be enough in a majority of patients. Once you drop off from lifestyle modifications, your sugars start creeping up.
The ideal diabetic control at your age is a fasting blood glucose less than 130 mg/dl after food less than 180 mg/dl and an HbA1C less than 7%. If you can achieve that with lifestyle modifications that is good. Diet control include frequent low calorie meals with more fibers. It will be 3 major meals + 4 snacks a day. Exercise - aerobic exercise 30-45 minutes a day will be enough.
If your parameters are not in this cut off (which is your case) it is always better to start on medications. If you are having a busy lifestyle metformin (what your doctor has suggested) of newer drugs like gliptins will be good after consulting your doctor. They are relatively free of side effects.
Hope I have answered your query. If you have any further questions I will be happy to help
With warm regards,
Dr Ajish TP (MD,DM)
Consultant Endocrinologist.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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