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What Causes High HBA1C Levels?
Question: I AM A 38 YEAR OLD MALE. FOUND FBS 136,PPBS 200 AND HBA1C of 7 , LDL 170 , six MONTHS AGO. MY FATHER AND MOTHER ARE TAKING TABLETS FOR PAST 20 YEARS. BUT LEVELS ARE CONTROLLED WITH LOW DOSSAGE. DOCTOR SUGGESTED TO TAKE GLYCOMET SR 500 TWICE A DAY AND KEEP GOOD DIET.I AM FOLLOWING THAT.BUT YESTERDAY 'S TEST RESULTS FBS 11O,PPBS 172 , HBA1C 8.2 AND LDL 120 .SIR WHAT IS THE REASON FOR HIGH HBA1C EVEN WITH LOW BS?
Brief Answer:
HbA1C denotes long term sugar control
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Mr XXXXXXX
Glycosylated Hemoglobin is measurement of level of Red blood cell which is Glycosylated (Glucose bound ). The life span of Red blood cells is 3 months. So Glycosylated Hemoglobin or HbA1C denotes sugar control of previous 3 months. Whereas Fasting and Post prandial blood sugar indicates the sugar level of blood taken at that particular time. High HbA1C denotes not properly controlled sugar level in past 3 months in spite of spot sugar level being normal.
Do get back to me if you need any further assistance, will be glad to assist you.
Take care
Best regards
Dr Deepak Kaltari
MBBS, MS, MCH
HbA1C denotes long term sugar control
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Mr XXXXXXX
Glycosylated Hemoglobin is measurement of level of Red blood cell which is Glycosylated (Glucose bound ). The life span of Red blood cells is 3 months. So Glycosylated Hemoglobin or HbA1C denotes sugar control of previous 3 months. Whereas Fasting and Post prandial blood sugar indicates the sugar level of blood taken at that particular time. High HbA1C denotes not properly controlled sugar level in past 3 months in spite of spot sugar level being normal.
Do get back to me if you need any further assistance, will be glad to assist you.
Take care
Best regards
Dr Deepak Kaltari
MBBS, MS, MCH
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr. What should I do for reducing it since I was keeping good diet. is it ok to follow the same medicine metformin?.
Brief Answer:
Consider addition of Glimiperide
Detailed Answer:
Hi
Dear Bro
As the Diabetic state is not adequately controlled with Metformin and diet alone (I hope it is Non Insulin dependent Diabetes Mellitus ), one should consider addition of one more anti diabetic drug like Glimiperide (it is Sulfonylurea group of drug which causes release of Insulin ) in consultation with your treating Physician.
Wishing you a very happy and healthy life.
Take care
Best regards
Dr Deepak
Consider addition of Glimiperide
Detailed Answer:
Hi
Dear Bro
As the Diabetic state is not adequately controlled with Metformin and diet alone (I hope it is Non Insulin dependent Diabetes Mellitus ), one should consider addition of one more anti diabetic drug like Glimiperide (it is Sulfonylurea group of drug which causes release of Insulin ) in consultation with your treating Physician.
Wishing you a very happy and healthy life.
Take care
Best regards
Dr Deepak
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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