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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is HbA1c Level Of 7.5 A Cause For Concern?

My dad is diabetic and BP patient aged 75 weight 105 kg height 5'8" which supplement can i give him,which will not damage kidney and heart.he doesn't have any heart problem lipids are under control.We are giving him 1 Reconia G capsule per day but he is feeling weakness.Due to obesity which is mainly due to sugar control drug pioglitazones,he is not able to stand and walk for more than 5 minutes.if we switch stop pioglitazones his sugar becomes out of control,apart from pioglitazones he is also taking metformin and voligobose.His HB1ac is 7.5.suggest me a supplement in tab or capsule form that can be admistered to him safely,can be of Amway,Forever living or any other.
Mon, 3 Jul 2017
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Diabetologist,  's  Response
Hello, Thanks for the query.
I have gone through the details given and appreciate your concern.
Pioglitazone does cause some weight gain, but does not lead to obesity. It also causes swelling of legs and feet. There are other drugs like Gliptins which can be used to control blood glucose and the newer ones called SGLT-2 Inhibitors not only help achieve excellent glucose control but will also lead to weight reduction of over 6 to 8 kgs. in a short time. Those drugs are safe on kidney.
Cap Reconia G is a combination of multivitamins, minerals and ginseng. That may be beneficial. But most important is a better blood glucose control and some weight reduction should help him.
I would definitely discontinue Pioglitazone and add either a Gliptin or SGLT-2 Inhibitor or both together. His HbA1c% of 7.5 may not be too high considering the age of the patient. However, closer to 7 % would be a better option. Weight control will help in achieving that. I hope I have been able to clarify your doubts. You can in fact talk to your diabetologist about above mentioned compounds.Thanks.
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Is HbA1c Level Of 7.5 A Cause For Concern?

Hello, Thanks for the query. I have gone through the details given and appreciate your concern. Pioglitazone does cause some weight gain, but does not lead to obesity. It also causes swelling of legs and feet. There are other drugs like Gliptins which can be used to control blood glucose and the newer ones called SGLT-2 Inhibitors not only help achieve excellent glucose control but will also lead to weight reduction of over 6 to 8 kgs. in a short time. Those drugs are safe on kidney. Cap Reconia G is a combination of multivitamins, minerals and ginseng. That may be beneficial. But most important is a better blood glucose control and some weight reduction should help him. I would definitely discontinue Pioglitazone and add either a Gliptin or SGLT-2 Inhibitor or both together. His HbA1c% of 7.5 may not be too high considering the age of the patient. However, closer to 7 % would be a better option. Weight control will help in achieving that. I hope I have been able to clarify your doubts. You can in fact talk to your diabetologist about above mentioned compounds.Thanks.