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 Insulin dosage be increased to control blood sugar levels?

Query: Hi doctor, My wife is a 46-year-old female of 5.4 feet and weight of 80 kg. She has diabetes for around four to five years and hypertension (after medicine 130/80), hyperthyroid (after 150 Eltroxin well controlled) for a similar period. She had a hysterectomy done around four years back. She is on...  Read Full »


Dr. (col) Rakesh Karanwal

Cardiologist, Diabetologist, Endocrinologist, Family Physician, General Medicine Physician, Internal Medicine Physician, Neurologist, Pulmonologist, Rheumatologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Thanks for your query. I would initially like to know her TSH (thyroid-stimulating hormone) levels since my target is to maintain TSH to around 1.0. Further, your wife's Insulin is resistant, whereby her dose of Insulin is likely to go up with time. Insulin dose and ag...  Read Full »

Please suggest the Metformin dosage.

Query: Hi doctor, My age is 33 and weight is 80 kg. My glycosylated fasting sugar 106 and postprandial is 115. Will Metformin help me to lose weight? Which medicine is better, either Metformin or Metformin extended release? How much dosage should I take?  Read Full »


Dr. Kusumakar Srivastava

Diabetologist, General Medicine Physician, Internal Medicine Physician, Rheumatologist

Answer: Hi, Welcome to icliniq.com. As per your sugar reports, it is confirmed that you are not diabetic. But, you are prone to get diabetes as fasting sugar is impaired and normally it should be less than 100. So, I would recommend you lifestyle modification like exercise for at least 30 minutes per day fo...  Read Full »

Please suggest a treatment plan based on my father's blood report.

Query: Hi doctor, I would like to get a consultation regarding my father. His blood report showed hemoglobin (optical/impedance) 12.4 g%, platelet count (optical/impedance) 93 10^3/cubic mm, WBC count (optical/impedance) 3.6 10^3/cubic mm, packed cell volume (calculated) 36%, serum vitamin B 12 472 ng/L. P...  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows. There are mild anemia, low white blood cell count and low platelet count. All counts are considered adequate clinically, as they are near normal. It could be early features of megaloblastic anemia. As vitamin B12 levels are...  Read Full »

Is grade 2 fatty liver reversible?

Query: Hello doctor, I have frequent urination, excessive sweating, mouth dryness, stomach bloating and flatulence (gas formation), tiredness, feels sleepy all the times, stomach heaviness all the time, excessive farting especially in the evening, headache in the morning once I getup. Ultrasound finding...  Read Full »


Dr. Arbab Muhammad Kashif Khan

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Do you have any prior history of diabetes? If yes, since how long and what medication do you use for diabetes? Do you have any history of diarrhea, constipation or weight loss or abdominal pain? Do you feel heat intolerance, increased anger, etc? Since how long are...  Read Full »

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 »

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