HomeAnswersEndocrinologyhba1cWhy is my HbA1c still at 8.4 despite taking medication?

How can I improve diabetes management as an adult?

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Published At April 24, 2024
Reviewed AtApril 24, 2024

Patient's Query

Hello doctor,

I am a 48-year-old male, and I have been diagnosed with diabetes for the past 14 years. My latest HbA1c reading is 8.4. Currently, my diabetes management includes the following medications:

  1. Metformin 500mg twice daily

  2. Januvia 100mg once daily

  3. Glimipride 2mg twice daily

Kindly help.

Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern.

Based on the information provided, your current diabetes management involves a combination of metformin, januvia, and glimipride. Metformin, a biguanide, works to reduce blood sugar levels by decreasing glucose production in the liver and improving insulin sensitivity. Januvia, a dipeptidyl peptidase-4 (DPP-4) inhibitor, increases insulin production in response to glucose. Glimipride, a meglitinide, stimulates the pancreas to release insulin after meals.

Adhering to your healthcare provider's recommendations is crucial for effective diabetes management. This may include regular blood sugar monitoring, maintaining a healthy diet, engaging in physical activity, and adjusting medication as needed.

With an HbA1c level of 8.4percent, your average blood sugar levels over the past two to three months have been slightly elevated. While it is above the recommended target range, there are strategies to enhance blood sugar control.

Consider the following suggestions:

  1. Regular Blood Sugar Monitoring: Track your blood sugar levels throughout the day to identify patterns and adjust your treatment plan accordingly.

  2. Healthy Diet: Emphasize a balanced diet with whole grains, lean proteins, fruits, vegetables, and healthy fats. Limit the intake of sugary foods and drinks.

  3. Physical Activity: Incorporate regular exercise, aiming for at least 150 minutes of moderate-intensity aerobic activity per week, along with strength training exercises.

  4. Medication Adherence: Take your diabetes medication as prescribed, and discuss with your healthcare provider if adjustments are needed.

  5. Seek Support: Join a diabetes support group or work with a diabetes educator for additional guidance and support.

I hope this information will help you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vandana Andrews
Dr. Vandana Andrews

General Practitioner

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