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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prescribed Metformin. Weight Gain. Increased A1C Levels. How Is It Possible?

Early in 2012 my doctor noticed my A1C was 6.2 and wanted to put me on metformin. I asked to try diet and exercise first. I was checked last fall and again January 8th and it was 6.1 both times. I am 73 and now about 170 after loosing 8 pounds by fall. I'd gained 3 pounds by this past January (probably due to Christmas). However, I'm still watching carbs and eating quite healthy. I just had a pre-surgery physical in mid-March and the doctor checked my A1C and it's now 7.3 after only 2-1/2 mths. Can this happen that fast. I questioned the accuracy and he wouldn't check it again and said I need to take the medicine and come back in another month.
Thu, 4 Jul 2013
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for using Healthcaremagic,
After going through your history you are having metabolic syndrome with Obesity and Insulin resistance and possibly Diabetes Type II.
Diet and exercise are integral part of management of such diseases.
HbA1c reflects status of blood sugar level in last 2- 3 months, so it is possible to have higher HbA1c level although you can always recheck it.
You have not mentioned blood sugar level Fasting and Postprandial levels to know us if you are having frank Diabetes.
Please take care of diet and exercise along with Metformin with consultation of your Physician and take repeat test after 1 to 2 months.
Hope this helps '
Take care.
Good Luck.
Dr.Akhilesh Dubey M.D.
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Prescribed Metformin. Weight Gain. Increased A1C Levels. How Is It Possible?

Hi, Thanks for using Healthcaremagic, After going through your history you are having metabolic syndrome with Obesity and Insulin resistance and possibly Diabetes Type II. Diet and exercise are integral part of management of such diseases. HbA1c reflects status of blood sugar level in last 2- 3 months, so it is possible to have higher HbA1c level although you can always recheck it. You have not mentioned blood sugar level Fasting and Postprandial levels to know us if you are having frank Diabetes. Please take care of diet and exercise along with Metformin with consultation of your Physician and take repeat test after 1 to 2 months. Hope this helps Take care. Good Luck. Dr.Akhilesh Dubey M.D.