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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Borderline Diabetes?

I have a family doctor and he says I m borderline diabetic and I want to be proactive and make suggestions to my doctor what I should do since he isn t very forth coming with help. My Dad is on metformin and he says he takes that for his type II diabetes he s 87 I m 64. My dad also mentioned Gabapentin. I have read up on both and was thinking about talking to my doctor about it but as you know they want the money so they don t talk by phone just office visits so any help is appreciated.
Mon, 30 Apr 2018
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General & Family Physician,  's  Response
Hello,

Suppose normal range in a lab is 70 to 120, and a person with 120 or 122 or 118 will be labeled borderline. As with age, you may shift into the diabetic range. You have not mentioned your sugar level.

I advise you to get your fasting sugar level that is 2 hours after meal sugar level plus HbA1c every 3 months. Normal FBS (Fasting blood sugar) level is below 140 and 2 hours after the meal is below 200 and HbA1c below 6.5.

Avoid fast foods, restrict sweets, maintain adequate body weight, go for morning or evening walk at a moderate pace of 5 to 6 km per hour. Only one drug is effective for prediabetic, and it is Pioglitazone, Gabapentin is a drug for neuropathy.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Varinder Joshi
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How To Treat Borderline Diabetes?

Hello, Suppose normal range in a lab is 70 to 120, and a person with 120 or 122 or 118 will be labeled borderline. As with age, you may shift into the diabetic range. You have not mentioned your sugar level. I advise you to get your fasting sugar level that is 2 hours after meal sugar level plus HbA1c every 3 months. Normal FBS (Fasting blood sugar) level is below 140 and 2 hours after the meal is below 200 and HbA1c below 6.5. Avoid fast foods, restrict sweets, maintain adequate body weight, go for morning or evening walk at a moderate pace of 5 to 6 km per hour. Only one drug is effective for prediabetic, and it is Pioglitazone, Gabapentin is a drug for neuropathy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Varinder Joshi