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Have had blood sugar level tested and glycosylated hemoglobin . What does findings suggest?

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Practicing since : 2006
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Just last month i took a test for sugar, where my fasting is 185, and post prandial - 275
and few days back i took a test of Glycosylated hemoglobin where the observed value is 9.9%
Posted Sun, 18 Aug 2013 in Diabetes
Answered by Dr. Pratap VGM 22 hours later

Glycosyated hemoglobin is averaged measured quantity of blood sugars for three months!
Your value of 9.9% is off limits and suggestive of uncontrolled blood sugar. You need to target glycosylated hemoglobin between 6.0 - 7.0.

According to American Diabetes Association criteria, it is not possible for a single drug to bring it down close to some where between 7.0. Therefore I think you need to be started on insulin. Insulin can bring the values down between 1.0 - 1.5.

Other option as follows can be discussed with your doctor:
It is essential to add oral hypoglycemic drugs of different categories like biguanides (can reduce up to 0.5 to 1.0), sulfonylureas (1.0 - 1.2), alpha glucosidase inhibitors (0.5 to 1.0) and DPP4 inhibitors (1.0 to 1.5). Now a days there are lot of insulin analogues are available which can reduce glycosylated hemoglobin up to 2.0

In addition to the above, life style modification with proper diet and exercise is much needed as it may individually bring down glycosylated hemoglobin values up to 0.5

In brief, you can consult your treating doctor and select proper insulin with one or more oral drugs as described above.

Hope this answer is helpful for you. Feel free to ask queries


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