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How Can The High Level Of Hb1AC Be Controlled?

Posted on Sat, 7 Feb 2015

Question: My Hb1AC was observed 7.7 , average blood sugar is 97
I'm taking metformin twice a day at present.
This is the first time when my Hb1AC is more than 6.3
What should i do now to control this high value of Hb1AC

Answered by Dr. Ajish TP (39 minutes later)

Brief Answer:
Need to increase the medication

Detailed Answer:
Hi XXXXXXX

Welcome back.

Your current HbA1c is above target. Ideally it has to ideally below 6.5% at your age. The options to bring it down include:

1. Tighten the lifestyle modification

Be regular with exercise and have frequent small amounts of low calorie, high fibre diet

2. Medications

a. You can increase the dose of metformin. You can go up to 3000 mg per day
b. You can add medications - Adding gliptins or glimipride or voglibose will help to bring your sugars under control.

Wishing you good health...

Hope I have answered your question. If you have any further questions I will be happy to help.

Regards
Dr Ajish TP
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Ajish TP (1 hour later)

Thanks Dr. for the quick response. If i start taking Gliptins what should be the dosage i.e. how many times i have to take it in a day

Answered by Dr. Ajish TP (6 minutes later)

Brief Answer:
Januvia 100 mg once daily

Detailed Answer:
Hi XXXXXXX

Welcome back

There are different drugs available in gliptins. You can consult a physician before starting the medications.

Usually I start the patients on Sitagliptin (Januvia) 100 mg per day or Vildaglipin ( Jalra) 50 mg twice a day.

Regards

Dr Ajish TP

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju