Recently Answered Questions
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I had my annual check-up. Please review my reports.
Query: Hello doctor, I am enclosing my annual checkup reports for review and for necessary medical advice for the same. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). I have found few abnormalities. Deranged HbA1c and blood sugar can be seen in your report. It is in the borderline range and signifies impaired glucose tolerance. Now, you should get ... Read Full »
I have stopped my diabetic medications. Will diet help?
Query: Hello doctor, My serum creatinine is 1.88 mg/dL and triglycerides serum 454 mg/dL, I am diabetic my HbA1c is 7.4% but I have stopped the medicine for six months and following a strict diet and exercise. Please suggest. Read Full »
Dr. Makwana Tanvi Ghanshyambhai
Answer: Hello, Welcome to icliniq.com. How many years of diabetes? Any ongoing kidney issue? With creatinine of 1.88 mg/dL, you need to revise your diabetic medicines and make sure that it does not lead to an advanced level of kidney issues like diabetic nephrology. If you are not on medicine than you nee... Read Full »
My wife has an HbA1c of 5.6. Should she continue insulin?
Query: Hi doctor,This is with respect to the health condition of my wife. She was diagnosed with type-2 diabetes with HbA1c of 10 % three months back and was prescribed with Jalra (50/500), Invokana (100). We consulted a dietitian as well and went on exercise with full diet control. Took the HbA1c results ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Since there was a sudden fall in HbA1c level, your doctor might have been surprised by the change. He might want to follow up for a couple of weeks or a month to ascertain that everything is going well. That is probably why your wife is now... Read Full »
Does my fasting blood sugar and Hba1c look normal?
Query: Hi doctor, I am a 25-year-old female. My husband who is 30 years old was diagnosed with diabetics. I was shocked about it and I went for a fasting blood sugar test where mine was 111. I was worried since it is considered as prediabetics. So doctor here told to take a HbA1c test, it was 4.8. So the ... Read Full »
Answer: Hi, Welcome to icliniq.com. Well FBS (fasting blood sugar) can alter due to many reasons and it shows only the present sugar in your body during the time you gave your blood. But HbA1c (glycosylated hemoglobin) can show you the effect of sugar and longterm effects of it on hemoglobin molecule whic... Read Full »
Is HbA1c test more reliable than a home blood sugar test?
Query: Hello doctor,I am a 35-year-old female. Is HbA1c test at a primary physician's lab reliable? I recently got my annual physical and lab tests done at a new primary physician's office (practicing since five years). The results show I have a glucose of 109 mg/dL and hemoglobin A1c of 6.8 %. My TSH is 5... Read Full »
Answer: Hello, Welcome to icliniq.com. HbA1c will give us information about your blood sugar in the past three months whereas RBS (random blood sugar) will get us information about the previous day. Therefore, HbA1c is more reliable than of RBS. The HbA1c level needs to be less than 6 to be considere... Read Full »
My HbA1c is 7.5 %, and I am anemic with a hemoglobin level of 9 gm/dL. Am I at risk of diabetes?
Query: Hi doctor, I am diagnosed with HbA1c 7.5 % and have not done PPBS and RBS. My Hb is 9 gm/dL due to premenopause with heavy menstrual bleeding. Previously my Hb was 8 gm/dL. Now improved with an iron tablet. Am I diabetic, or should I go early for medication, or is lifestyle change enough? Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. I need further details. Do you have any symptoms? Are any other medical conditions other than low Hb (hemoglobin)? Per the definition of diabetes, HbA1c (glycated hemoglobin) of 6.5 % or more is diabetic. Lifestyle modification and proper diet... Read Full »
My HbA1c levels have reduced. Does it mean my diabetes is gone?
Query: Hello doctor, I am a 57 year male. Four months ago, the doctor declared that I am diabetic as my HbA1c was 10.7 %. I started with Glimisave M2 (two tablets per day) and Atorec 10 (one tablet at night), later on, I shifted to Glimisave M1 (two tablets per day) and Atorec 10 as usual. I take other sup... Read Full »
Answer: Hello,Welcome to icliniq.com.I just read your query.From what you have mentioned, it appears that you have controlled your diabetes quite well. I would suggest that you take tablet Glimisave (Glimepiride) M2 once in the morning and tablet Glimisave M1 once at night. Your diabetes is not gone, but it... Read Full »
Query: Hello doctor, Why is the HbA1c still 5.7 even if the average glucose was 95, according to the CGM? Metformin was also taken for two years and given for weight loss off-label. A1c has been at 5.7 for the past four years. Trying to comprehend since, in her words, the present doctor does not know much ... Read Full »
Answer: Hello,Welcome to icliniq.com.I read your query and can understand your concern.Do not worry. Hemoglobin A1C or HbA1c is raised due to obesity only. How much metformin are you taking? Do you have regular periods? Do you have a thyroid? Revert with the answer to assist further.Thank you and take care.... Read Full »
Query: Hi doctor, I am 62 years male and have had IgA nephropathy for the past 13 years, which is being treated with Cardace 10 mg, Stamlo 5 mg, Rosuvas 10 mg, and fish oil capsules. In addition, I have thyroid nodules and a benign prostrate. I have been taking Urimax 0.4 mg medication. His blood pressure ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. 1. Yes, the risk for going from prediabetes to diabetes is high for HbA1c, 6 % versus 5.7 % 2. Not just mangoes, but the sweets, cakes, and biscuits could have contributed. 3. Diet and exercise are the key. As long as you keep it at 5.7 %, then ... Read Full »
Is my husband normal, pre-diabetic or diabetic?
Query: Hello doctor,I am very concerned with my husbands latest lab report, mainly due to his doctor's reaction and strong family history. His morning fasting came back at a 105 and his A1c test came back at a 5.5. His doctor recommends a 5 % reduction in his A1c but from what I have read these numbers are... Read Full »
Answer: Hello, Welcome to icliniq.com. His HbA1c level is in the normal range, which signifies that in the past three months, his sugar levels were normal. There is no specified value to be a non-diabetic. Patient with an HbA1c of more than seven is considered diabetic. His reports are suggestive of the pr... Read Full »