Download FREE Practo app
Get ₹200 HealthCash
Regarding medicine
If hb1ac -6.6 triglycerides -171,ldl-115 any medicine needed for triglycerides or only control for sugar
Answers (13)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Adopt life style measures first for 4 to 8 weeks. That includes fat and sugar free diet, small frequent meals, regular physical exercise physical and mental relaxation .
Repeat tests after 4 to 8 weeks, if Hba1c, cholesterol still high, medicines have to be initiated.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+187
Change life style n diet plan drastically first.
Add walk.
Low carb high protein diet. Less sugar n dairy products.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Next Steps
Start strict diet and exercise. Please consult me for proper treatment plan.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your values:
• HbA1c = 6.6% → This is in the diabetes range (≥6.5%)
• Triglycerides = 171 mg/dL → Mildly elevated (borderline high)
• LDL = 115 mg/dL → Above ideal (especially in diabetes)
Key clinical point:
Once HbA1c is ≥6.5%, we manage you as Type 2 Diabetes, even if early.
Now important:
Triglycerides of 171 are not high enough to need separate triglyceride medicine like fibrates.
The main issue is insulin resistance.
When blood sugar improves → triglycerides usually improve automatically.
Next Steps
Priority 1: Control Blood Sugar
You need:
✔ Lifestyle modification (mandatory)
✔ Likely Metformin (if no contraindication)
Metformin:
• Improves insulin sensitivity
• Lowers HbA1c
• Helps reduce triglycerides
• Helps weight control
⸻
Priority 2: LDL Management
In a patient with diabetes:
Target LDL should be:
• 500.
Lifestyle will correct this:
• Reduce sugar
• Reduce refined carbs
• Increase walking
• Reduce weight 5–7%
⸻
Practical Plan for You
✔ 45 min brisk walking daily
✔ Remove:
• White rice excess
• Bakery
• Sugary tea
• Fried food
✔ Increase protein
✔ Sleep 7 hours
Recheck:
• HbA1c after 3 months
• Lipid profile after 3 months
Health Tips
• If HbA1c remains >6.5 after 3 months lifestyle
OR
• If fasting sugars >126 repeatedly
Metformin is usually first-line unless contraindicated.
⸻
Summary
❌ No separate triglyceride medicine required now
✔ Focus on diabetes control
✔ Consider statin depending on age/risk
✔ Start structured metabolic correction immediately
If you share:
• Age
• Weight
• Blood pressure
• Any family history of heart disease
I can give you a more precise risk-based plan.
Early control at HbA1c 6.6 can prevent long-term complications completely — this is the right time to act aggressively and correctly.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You need to change your lifestyle and dietary modification. Take low lipid diet and avoid oily food because your lipid profile is almost borderline. So start regular excercise and yoga .now you dont need medicine but if you continue your sedentary lifestyle then it need continue for further management and guidance.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Kindly share the BSL random/ F /PP reports also. Lifestyle modifications are must, it will bring down your lipids and bsl hba1c also. Do aerobic exercise atleast 30 mins a day. Walking running jogging zumba anything will work. Avoid overeating and untimely eating. Followup with reports after 3 months after these changes
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Control the Diabetes and Lifestyle modification , can u share the FBS test
Next Steps
Life Style modification like Diet and exercise is the key for u
Health Tips
Call for medications and consultation which is necessary for this
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Lifestyle modification proper diet plan physical activity like walking jogging
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Your reports show HbA1c 6.6 which falls in the diabetic or prediabetic range depending on lab criteria and indicates mildly elevated average blood sugar. Triglycerides 171 are borderline high and LDL 115 is slightly above optimal. These values are commonly seen with insulin resistance and early metabolic changes.
At this stage medicines for triglycerides are usually not immediately required if there are no other risk factors like heart disease smoking or obesity. The primary focus should be good sugar control because improving glucose and lifestyle automatically reduces triglycerides and LDL.
What you should do
Follow a low carbohydrate balanced diet reduce sugar sweets white flour fried foods and alcohol
Increase protein fiber vegetables nuts and healthy fats
Exercise at least 45 minutes daily brisk walk or strength training
Maintain ideal weight and good sleep
Metformin is commonly advised when HbA1c is above 6.5 especially if lifestyle alone is insufficient
Omega 3 fatty acids can help triglycerides if they remain high
Statin may be considered if LDL persists above target or risk factors are present
Repeat tests after 3 months of lifestyle correction to reassess.
If you want proper dose planning detailed diet and medicine routine you can text me on Practo anytime.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
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.