Is diabetes medicine needed if HbA1c is 7.5?

Q. My HbA1c is 7. 5. Should I continue my tablet for diabetes?

Answered by
Dr. Ankush Dhaniram Gupta
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Jun 29, 2017 and last reviewed on: Jul 03, 2023

Hello doctor,

I am a 52 year old female. One year before I went to a diabetologist and took glucose tolerance test. Here is the result, fasting - 128 mg/dL, 1 hour - 340 mg/dL, 2 hour - 196 mg/dL. Doctor prescribed medicine for a month but after that I did not take any medication. Now I would like to know should I take any tablet. Here I have also attached my HbA1c report for your reference.



Welcome to

As you have mentioned that took medicine for a month, still your HbA1c - glycated hemoglobin is 7.5 (attachment removed to protect patient identity). This is little high. The target of HbA1c should be less than 7. So, I would suggest you to continue with tablet Glyciphage 500 mg (Metformin) with breakfast and with dinner for a month along with diet management and regular exercise. Do not take oily or fatty outside food and rice. Do 30 minutes of brisk walking every day. Repeat fasting blood sugar after one month and report to me.

Thank you doctor,

Should I take the tablet before food or after food?



Welcome back to

You can take Glyciphage with food. It does not cause hypoglycemia and so it is safe.

Hello Doctor,
As advised by you I was taking Glyciphage 500 mg twice a day for the past one month along with 30 minutes walking.

So I here is the blood glucose reading during this period.
8/5/2016 - AC 8:30 AM - 108 mg/dl
8/5/2016 - PC 10:30 AM - 103 mg/dl
5/6/2016 - AC - 7:45 AM - 103 mg/dl
5/6/2016 - PC - 11:45 AM - 156 mg/dl.
# Hello Nirmala
Nice to hear from you and grt to see the reduction in blood sugar.
U r doing grt.
Continue with exercise , diet n same medication for 1 more month.
Repeat fasting blood sugar and hba1c after 1 month n report to me.

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