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Is HbA1c Value Of 6.4 A Cause For Concern?

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Posted on Mon, 19 Dec 2016
Question: I am 38 year old, I got fasting sugar 270 three months before ,my HbA1c was 9,doctor diagnosis diabetes. He put me on zita plus tablet 20mg one per day and GLYCOMET GP2 tablet two per day. Now my diabetes is control fasting is always between 90 to100 and after food around 140.now my HbA1c is 6.4. My question is that what is level of my diabetes and dose .can you comet on my pancreas working like slow, very slow that way.
doctor
Answered by Dr. Minal Mohit (23 minutes later)
Brief Answer:
good glycemic control on OHA

Detailed Answer:
Dear madam, hi and welcome to HCM!
Diabetes is either present or absent. there are no levels of diabetes. yes at the time of diagnosis, hba1c 9 is significantly high , suggesting long standing diabetes.
now with OHA , your sugars are under control. to find out the reserve of pancreas, you need to do HOMA IR studies.
and though you have not asked, i would give you an advise, rigorously follow, diet and exercise, go on reducing the dose of glycomet gp2 to glycomet gp1and may be change zita plus to zita plus met 20/1g. this will maintain your pancreas and beta cell resrve for long.
regards!
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Minal Mohit

Endocrinologist

Practicing since :1998

Answered : 836 Questions

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Is HbA1c Value Of 6.4 A Cause For Concern?

Brief Answer: good glycemic control on OHA Detailed Answer: Dear madam, hi and welcome to HCM! Diabetes is either present or absent. there are no levels of diabetes. yes at the time of diagnosis, hba1c 9 is significantly high , suggesting long standing diabetes. now with OHA , your sugars are under control. to find out the reserve of pancreas, you need to do HOMA IR studies. and though you have not asked, i would give you an advise, rigorously follow, diet and exercise, go on reducing the dose of glycomet gp2 to glycomet gp1and may be change zita plus to zita plus met 20/1g. this will maintain your pancreas and beta cell resrve for long. regards!