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How can pre diabetes be treated effectively?

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Posted on Thu, 4 Jun 2020
Question: equest your inputs on the health checkup reports attached of my MIL.

Major Findings:

1. High Fasting Glucose 107 mg/dl (Pre-diabetic?)
2. Low Vitamin D (10.0 ng/mL)
3. Prominence of bilateral perihilar bronchovascular markings are noted in chest Xray
4. Mild cardiomegali is noted

General physician who saw the report was not much worried of the above findings and suggested only D-Rise cap once a week for 6 months.

Kindly provide your inputs especially on the X-Ray findings
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Answered by Dr. Anshul Varshney (10 hours later)
Brief Answer:
Life style changes are required.

Detailed Answer:
Welcome to Healthcaremagic.
Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.
You are in to a pre diabetic state. So you need to do regular exercise and weight reduction and follow low fat and diabetic diet.
Moreover, fatty liver is also related to this.

If you are overweight, you need to take care of that.

Your Physician is not worried, because at present nothing is worrisome, but in future, all these things if not taken care may cause various complications.

His medicines are absolutely good. Start with them.

So, in all i would say:

1.Reduce your weight.
2.Avoid Fatty food in diet.
3.To consume potato, rice, oil, ghee, sweets, carbonated beverages in moderated amount only.
4. Avoid alcohol and smoking in case you do.
5. Continue medicines prescribed by your doctor.

Get your lipid profile repeated after 3 months and write back to me with reports.

Mild cardiomegaly can be normal on X-ray , but it is better if you can get an ECHO test done.

This is my personal opinion based on details available here. If you still have any other query, you may please ask me.
Stay Healthy.
Dr Anshul Varshney , MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3072 Questions

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How can pre diabetes be treated effectively?

Brief Answer: Life style changes are required. Detailed Answer: Welcome to Healthcaremagic. Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. You are in to a pre diabetic state. So you need to do regular exercise and weight reduction and follow low fat and diabetic diet. Moreover, fatty liver is also related to this. If you are overweight, you need to take care of that. Your Physician is not worried, because at present nothing is worrisome, but in future, all these things if not taken care may cause various complications. His medicines are absolutely good. Start with them. So, in all i would say: 1.Reduce your weight. 2.Avoid Fatty food in diet. 3.To consume potato, rice, oil, ghee, sweets, carbonated beverages in moderated amount only. 4. Avoid alcohol and smoking in case you do. 5. Continue medicines prescribed by your doctor. Get your lipid profile repeated after 3 months and write back to me with reports. Mild cardiomegaly can be normal on X-ray , but it is better if you can get an ECHO test done. This is my personal opinion based on details available here. If you still have any other query, you may please ask me. Stay Healthy. Dr Anshul Varshney , MD