Hba1c

HbA1c or otherwise called hemoglobin A1c test or glycated hemoglobin test is a test to determine your average blood sugar over the past 2 to 3 months. This test detects the amount of glucose bound hemoglobin in your blood. The normal range of HbA1c is 4 to 5.6 %.

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Can glucose monitor value and HbA1c differ?

Query: Hi doctor, My father has been suffering from diabetes for the past 20 years. He is using Apidra (20 units in the morning and 14 units in the evening), Lantus (20 units in the morning) Insulin injections and Cyblex MV 40.2 mg twice a day. He regularly checks his blood sugar level using glucose monito...  Read Full »


Dr. Kusumakar Srivastava

Diabetologist, General Medicine Physician, Internal Medicine Physician, Rheumatologist

Answer: Hi, Welcome to icliniq.com. The diabetic medications followed by your father have controlled his blood sugar level in the range of 90 to 130 mg/dL. The reading shown by the glucose monitor is the current value during the time of check, but HbA1c always denotes the control of sugar level over two ...  Read Full »

For 7.5 HbA1c level, should Gemer 1 tablet be continued?

Query: Hi doctor, Last month, my HbA1C was 7.5. I was advised to take Gemer 1 tablet before breakfast for 30 days. My LDL cholesterol is 119 mg/dL, HDL is 40mg/dL and triglycerides 161 mg/dL. My age is 49. Should I continue Gemer 1 along with other medicines? Kindly suggest.  Read Full »


Dr. Talal Hussain

Family Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. The HbA1C level of above 7 is a confirmatory diagnosis of diabetes mellitus. So, now you are a diabetic and should receive full diabetic management ranging from diet modification, exercise and medication. As far as tablet Gemer 1 mg (Glimepiride) is concerned, I suggest ...  Read Full »

Can I redo GCT in a different laboratory to confirm the results?

Query: Hi doctor, I am 16 weeks pregnant with high GCT results. I would like to reconfirm the results. The value found today was 232 mg/dL. Can I redo the test in different laboratory to confirm the same? Is there any challenge in taking glucose again?  Read Full »


Dr. Saumya Mittal

Diabetologist, Family Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Yes, of course you can do it in another laboratory. I recommend FBS (fasting blood glucose), GCT (glucose challenge test) and HbA1c. Let me know the test reports. Revert back with the reports to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/di...  Read Full »

What causes long term skin disease in the thigh joint?

Query: Hi doctor, I have been suffering from skin disease in the thigh joint for long. I am using Mometasone, Terbinafine and PBF gel. Also, I had Ofloxacin and Levocetirizine for more than two months, but the situation is the same. What is this disease? Please advise any medicine or test in order to get c...  Read Full »


Dr. Shaunak Patel

Cosmetologist, Dermatologist, Venereologist

Answer: Hi, Welcome to icliniq.com. Due to prolonged use of the creams, the original picture has been altered (attachment removed to protect patient identity) and a clear-cut diagnosis is difficult to establish. Going by the area and some other signs in all likelihood it seems a case of fungal infection. As...  Read Full »

What causes the blood sugar to go up randomly during the day?

Query: Hello, I have been a diabetic for about 20 years. My recent A1c is 6.4. From last few days, I have been noticing that my fasting sugar readings are really high like 140-180. There have been no changes in the diet. Interestingly enough, within 1-2 hours it goes up by another 20 points without ...  Read Full »


Dr. Zulfiqar Ahmed

Endocrinologist, Diabetologist

Answer: Hi Thanks for your query It’s good to see ur sugars are good with HBA1c 6.4. Blood sugars go up and down not only with meals but there are many other factors associated as well like other Harmon levels in the body. For example if ur stressed mentally or excited ur cortisol and catecholamines...  Read Full »

How does diabetes affect the baby during pregnancy?

Query: Hello doctor, I am a diabetic patient for two years and currently entered the third month of pregnancy. And till now, I did not consult any doctor. Is my baby safe? I am taking iron, calcium, and zinc tablets for six months. Please tell me about the precautions and healthy tips.  Read Full »


Dr. Sravanthi Nuthalapati

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. First of all, diabetes with pregnancy is a high risk pregnancy. The blood sugars should be checked before getting pregnant. In case a woman gets pregnant with high blood sugar levels, then there can be a risk of miscarriages, and certain congenital disabilities in t...  Read Full »

Please suggest medication for type 2 diabetes mellitus.

Query: Hello doctor, I am a 44-year-old male. My height is 167 cm and weighs about 71 kg. I am a diabetic (Type 2) since 12 years. Family history: My father is a diabetic and expired due to cardiac arrest. I am currently on Humalog Lispro 100 insulin via medtronic pump. I take both vegetarian and non-v...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I will provide you the outline of management in your case, however, actual changes in treatment regimen should be done after discussing with treating doctor. Firstly, your heart looks alright with no evidence of blockages, however, blood pressure is an issue which ...  Read Full »

I have small renal cyst in my left kidney. Is it a concerning issue?

Query: Hi doctor, I have been diagnosed with a small renal cyst on my left kidney. I understand this is rare in my age group. Please help.  Read Full »


Dr. Asma Sajid

General Practitioner, Family Physician

Answer: Hi, Welcome to icliniq.com. I have read your query and the first thing to know about a single kidney cyst is that it is usually harmless. You have not mentioned if this was an incidental finding (usually they are) or are you experiencing any symptoms like dull flank pain or abdominal pain or prob...  Read Full »

For how long should I continue the medicine for diabetes and cholesterol?

Query: Hello doctor, I have recently got married and moved abroad. When I was in India last time, we got the medical tests done and diagnosed with diabetes HbA1c of 10.2 and fasting blood sugar as 235. Doctor gave me Cetapin XR 1000 mg and asked me to use it for three months and get the medical test done....  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. I went through your reports (attachment removed to protect patient identity) and your HbA1c (glycated hemoglobin) has improved really well. I am happy about that. As advised by the doctor continue taking Cetapin the same dose. But as of Lipitor is concerned I think onl...  Read Full »

I am a diabetic and hypertensive. What medication should I take to lower the level of creatinine?

Query: Hi doctor, I have hypertension and diabetes for 25 years. I am taking 250 units of Insulin for six years. GFR 20 creatinine is 3.11. Should I take Cremaffin to reduce the creatinine? I am taking Aten 100, Telmisartan 80, Benina 8mg. I had edema in legs and started Lasix 120 mg and Zyloric 500 mg. M...  Read Full »


Dr. Shahil Khant

Andrologist, General Surgeon, Urologist

Answer: Hello, Welcome to icliniq.com. I have seen the reports sent by you. (attachment removed to protect patient identity). Your creatinine is 3.1 which is not very high. Also, your other blood reports are fairly fine. But your HbA1c (glycated hemoglobin) is high. It should be below 7. Your diabetes i...  Read Full »

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