Q. HbA1c of 8. 8 in a 45-year-old male. What can be the treatment?

Answered by
Dr. Shaikh Sadaf
and medically reviewed by iCliniq medical review team.

Last reviewed at: Jul 27, 2018

Hello doctor,

I am a 45-year-old male. I am 6 feet tall and I weigh 91 kg. I had taken excess BCAA supplement powder to enhance my gym performance and then stopped going to the gym for two Months but continued taking the BCAA powder.

I feel bloated all the time after food intake and have high blood sugar, both fasting blood sugar and postprandial. I even felt breathless with an enlarged tummy hanging down.

In the past, digestive Carmozyme helped a little. My HbA1c taken yesterday was 8.8. Is there a medication that I can take to reverse my insulin resistivity or am I permanently diabetic?

I have never gone above normal blood sugar levels in my life. This is sudden and very high and I am very demoralized. Kindly advise.

Dr. Shaikh Sadaf

Diabetology Endocrinology
#

Hello,

Welcome to icliniq.com.

  • I just read your query and from what you have mentioned, it appears that you have diabetes and you must definitely take treatment for it.
  • I suggest that you start with the tablet Metformin 500 mg thrice a day and then repeat your HbA1c (glycated hemoglobin) after three months. This drug helps with insulin resistance. Consult your specialist doctor, discuss with him or her and with their consent take the medicines.
  • I assume that you have no other associated medical conditions.
  • Bloating after meals signify that your intestines are probably sensitive to something that you are taking regularly or newly.
  • I suggest that you go gluten free as well.

Hope you find my advice beneficial. Good luck.

For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist

Thank you doctor,

Since I have incidental diabetic symptoms induced by excess BCAA (branched chain amino acids) supplements, is it possible to reverse it to a nondiabetic condition as I was a few months back?

My sister is a doctor and she suggests I reduce my sugar. But I would like to know if I can recover from my induced insulin resistance permanently?

Dr. Shaikh Sadaf

Diabetology Endocrinology
#

Hello,

Welcome back to icliniq.com.

Yes, why not? Although it could be a very optimistic approach.

Be hopeful and try your very best.

For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist

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