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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How to control high blood sugar levels with medicines?

Query: Hi doctor, I am 56 years old. My height is 167 cm and weight 100 kg. 11 years ago, I was diagnosed to have diabetes. The maximum score of my sugar was around 280 occasionally due to uncontrolled eating even with pills (DPP 4 and Metformin). Sometimes, I have overeating problem. My HbA1c is 6.5. My...  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. Firstly, is this your BSL (blood sugar level) in fasting or 2 hours after food? I would firstly like to ask you whether you exercise and follow a strict diet or not. That is the most important aspect when you have diabetes. So, please exercise for at least 30 to 45 minut...  Read Full »

Should I take Insulin?

Query: Hi doctor,I am having high blood glucose. My fasting blood sugar is 153, postprandial is 175 and before dinner 152. My doctor advised Janumet 50/500 before breakfast and dinner and Sulisent in the morning. Shall I take it? Presently, I am having Invokana 50/500 before breakfast and dinner and Reclid...  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. Firstly, I like to tell you that you are doing a great job by managing strict diet restrictions and regular exercises. Please do continue exercising for at least 45 minutes daily. Now, coming to your concern regarding the medications, Insulin is definitely the most natur...  Read Full »

Was my fasting blood sugar high due to my food habits?

Query: Hi doctor, I am 48 years old and I have not been diabetic till now. Three months ago, my blood pressure readings were higher than usual and my doctor changed my medicines (Omnitan-H 20 mg and Amlopin-M 20 mg to Olmetrack 40 mg and Lnbloc 10 mg). I took the new medicines for some time, but they did ...  Read Full »


Dr. Divakara P

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

Answer: Hi, Welcome to icliniq.com. First of all, I need to tell you that whether the cause is a medicine or your lifestyle the value of your fasting blood sugar 126 mg/dL falls into the diabetic range. You are eating sugarcane or garlic or fenugreek water previous night does not affect your blood sugar lev...  Read Full »

Please give your opinion regarding my diabetes treatment.

Query: Hi doctor, I am 45 years old. I have been suffering from diabetes for the last 10 years. Initially, I was on Metformin 500 mg plus Glimepiride 1 mg twice daily. For the last two years, I am taking Metformin 500 plus Glimepiride 2 mg plus Voglison 0.2 twice a day. But, currently, my sugar level is h...  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. To actually advise a change in your medications, I would require you to follow up with me with your blood sugar levels again. I hope your doctor has informed you about the side effects of Pioglitazone. I am not comfortable with using it, so I would like to suggest a diffe...  Read Full »

My father's blood test showed increased sugar level and liver parameters. Please help.

Query: Hi doctor, My father is diabetic and was taking Glycomet 500 mg once daily. 20 days ago, His blood test showed increased sugar level and liver parameters. He was then advised to take the medicine twice daily. LFT and blood sugar tests were repeated before three days. There is not much change in sug...  Read Full »


Dr. Swaraj S W

Diabetologist, Endocrinologist

Answer: Hi, Welcome to icliniq.com. His sugar levels are fine (attachment removed to protect patient identity). There is no need to worry as his average sugar control for the three months has been normal. For his age of 83, HbA1c of 7.2 is perfect. There is no need to worry with respect to his diabetes. Wit...  Read Full »

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 »

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