Hi, I am Dr. Kaushik. I am a
diabetologist and preventive medicine specialist. A fasting plasma glucose level not less than 126 mg/dl (7.0 mmol/l) or a random plasma glucose not less than 200 mg/dl (11.1 mmol/l) or
HBA1c not less than 6.5% or 2 hr PPG not less than 200 mg/dl calls for the diagnosis of
diabetes.The investigation you have done confirms your
impaired glucose tolerance. First of all, you need to check your BMI, diet and lifestyle. Your target BMI should be less than 25. Secondly, if you are a sedentary worker, you need to do exercise or yoga for at least 30 min. a day. thirdly, you need to consult a dietician who will help you out with your diet. For the time being, avoid sugar, fast foods, carbonated drinks, alcohol,
smoking. added salt, fatty foods.
Now, the medications! For that, you need to have the following tests done apart from checking your Blood pressure; fasting sugar, HBA1c,
lipid profile, urea,
creatinine. Depending upon your HBA1c level, your glycemic control will be decided and diabetes medications will be provided. In addition, you need to have the other tests done to identify related non-communicable diseases or complications early and treatment will be done accordingly.