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I Am A 60 Year Old Female. My Weight Is
Question: i am a 60 year old female. my weight is 264. past history. breast cancer -2 surgery and radiation now taking 1mg anastrozole once a day... heart muscle disorder, left bundle branch block, ejection fraction at 30% . received pace maker one year ago . taking carvedilol 12.5 mg 2 x a day.. ongoing kidney stones, 30% kidney function.. recent Creatinine was 2.42 ...taking chorthalidone 50mg once a day with 20mg potassium twice a day... My potassium levels are the lowest for a normal range. Now my A1c is 7.7 and my doctor wants me to start meds for type 2 diabetes.. the shot he suggested was Trulicity( this is out to expensive) or the pill is metformin... I have changed my eating habits and lost 16 pounds in one month to help correct the diabetic issue .. Do I need to start meds right away? which med is the best to not counter act with all the others?
Brief Answer:
Better is to start medication
Detailed Answer:
Hi Madam, I have gone through your query and understood your concerns.
The HbA1c value of 7.7, indicate, you have to start medication for diabetes.
Continue the other changes in diet and exercise.
If the sugar levels come under control, you can revise the dosage after consulting a doctor.
Right now Metformin 500mg twice daily would be a good choice.
Keep checking sugar levels every week for a month, if sugar levels are controlled, you can continue same. Or a dosage alteration may be required which depends on sugar levels.
As of now you can start Metformin 500mg one tablet twice daily after consulting your local doctor.
Thank you Mam.
Wishing you good health
Better is to start medication
Detailed Answer:
Hi Madam, I have gone through your query and understood your concerns.
The HbA1c value of 7.7, indicate, you have to start medication for diabetes.
Continue the other changes in diet and exercise.
If the sugar levels come under control, you can revise the dosage after consulting a doctor.
Right now Metformin 500mg twice daily would be a good choice.
Keep checking sugar levels every week for a month, if sugar levels are controlled, you can continue same. Or a dosage alteration may be required which depends on sugar levels.
As of now you can start Metformin 500mg one tablet twice daily after consulting your local doctor.
Thank you Mam.
Wishing you good health
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
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