Hii dr adarsh here age 30 here I am done my random blood taste where my hba1c is 6.4 and estimated average glucose 138.98 fasting glucose 89.1 please suggest me for further does I am diabetic or not
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You are in the prediabetes range based on your HbA1c of 6.4%.
Fasting glucose (89.1 mg/dL) is normal.
Next Steps
1. Lifestyle Modifications:
Adopt a balanced diet (low refined sugar, more fibre, whole grains).
Aim for at least 150 minutes of moderate exercise per week.
Maintain a healthy weight and BMI.
2. Repeat Testing:
Recheck HbA1c in 3 months to monitor trends.
Optionally, do an Oral Glucose Tolerance Test (OGTT) for better clarity.
3. Consult a physician or diabetologist if:
You have a family history of diabetes.
You experience symptoms like fatigue, increased urination, thirst, or blurred vision.
U r not diabetic now... but ur 3 months sugar control is not good. That means u r in verge of being diabetic. So reduce sugar, eat healthy, do aerobic exercise and check ur sugar levels every 3 months . If it's not in control consult.
Starting the treatment for Diabetes should never be done by Tele-consultation. It should be a consultation with a General Physician sitting across the table.
According to INDIAN SCHOOL OF THAUGHTS HBA1C IS HIGH SO U CONSIDERED AS DUABITIC.
YET GO FOR DRASTIC CHANGE IN LIFE STYLE N DIET PLAN DRASTICALLY FOR TWO MONTHS THAN GO FOR BLOOD FBS N PPBS2 AFTER 75 GMS OF GLUCOSE. N SEE THE RESULT n co relate it with HBA1C.
Hi,
As you can see your HbA1c levels are on the higher side. Now that's just a report. What we need to understand is your lifestyle,diet and level of activity to understand these reports better
I would prefer a detailed consult over phone at your convenience. Based on that we can work around how you can become healthier.
Take care
Your HBA1C is on the upper limit of prediabetes.Though your FBS is normal, suggest you can repeat the FBS with at least 8 hours of fasting and 2 hour 75 gm post glucose test to correlate with the present HBA1C.
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life .
As you can see in the report ,you are pre - diabetic
In this, you have 2 choices
Either start the medication and continue with an unhealthy /sedentary lifestyle .
2. You have to take a proper diet timely (most imp ) , brisk walking (not running or simple walking ) , and completely cut off fried food
And then get your hba1c checked after 3 months . .
Answer for Practo:
Thank you for sharing your reports.
Your HbA1c is 6.4%, which falls in the pre-diabetes range.
Your fasting blood sugar (FBS) is 89.1 mg/dL, which is within the normal range.
This means your blood sugar control is borderline, and there is a risk of developing diabetes in the future. At this stage, no medication is required, but lifestyle changes are strongly recommended.
Advice:
Follow a healthy diet (low in sugar and refined carbs).
Exercise regularly (30 minutes daily).
Maintain a healthy weight.
Repeat your HbA1c after 3–6 months.
Early care can prevent diabetes. Stay proactive and healthy!
Good work.
HbA1c for assessing diabetes is really a good option since it gives the average blood glucose level for last 3 months .
So normal HbA1c level for your age will <5.5 %
Given your value you come in to the category of pre diabetic.
So both Fasting blood sugar and Post prandial blood sugar levels contributes to HbA1C.
Your Fatsing blood glucose level in 89, which is very good.
But your post meal blood glucose levels may be increased that gives you increased HbA1C.
This can be managed with diet and Physcial activity.
Next Steps
Daily physical activity of 45 mins /day.
Strength training to increase insulin sensitivity
avoid meals with only carbohydrates,increase the protein and fiber intake which slows down the glucose absorption.
you are very close to the diabetes risk especially type 2 diabetes.
You must maintain healthy weight and exercise eat low-carb diet avoid cool drinks
Next: Repeat HbA1c test after 3 months
if in doubt consider OGTT test
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
Your HbA1c is in the pre-diabetic range, and it's quite close to the cut-off for diabetes. This is a warning sign, and it's important to act early to prevent progression.
Your weight seems appropriate for your height, but keep in mind that many Indians tend to be "skinny fat" as in having normal weight but high abdominal fat.
Waist circumference is a better indicator of metabolic health than BMI. A waist size of 90 cm or more in men indicates abdominal obesity, which increases the risk for type 2 diabetes, hypertension, and heart disease,even if BMI is normal.
Now is the time to focus on fitness and dietary changes:
Reduce carbs, processed foods, trans fats, and sugary drinks
Consider consulting a dietician for a personalized plan
Start exercising regularly:
-150 min/week of moderate aerobic activity (e.g., brisk walking)
-2+ days/week of strength training
-Post-meal walks (10–15 min) to control blood sugar spikes
Include meditation or breathing exercises to manage stress.
Please repeat your HbA1c and fasting lipid profile in 3 months to track progress.
Catching this early is a big opportunity—small changes now can prevent major problems later. Take care of yourself!
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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