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Vitamin D (25-OH) is 8.48
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take tablet uprise d3 60000Iu once weekly for 8 weeks and maintenance dose thereafter
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Need vit d supplements with regular sunlight exposure
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Vit D is too low .consult for treatment plan.
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India has a huge problem of vitamin D deficiency! Vitamin D 60 k once a week for 8 weeks should be good for now. Metformin can cause reduced Vitamin B12 levels so supplements are always recommended!
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At HBA1C of 6.4 you can give a trial of dietary and lifestyle modifications for three months. Repeat HBA1C after 3 months and if it persists we’ll have to opt for detailed consultation and start medication. As for Vit D levels you should start D3 60,000 IU once a week for 12 weeks and try to increase the sun exposure.
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An HbA1c of 6.4% is at the borderline between prediabetes and diabetes. Prescribing Galvus Met 50/500 for 3 months is a reasonable and preventive approach, especially if you have risk factors like weight gain or family history. This helps improve insulin sensitivity and may prevent progression.
Your Vitamin D level of 8.48 ng/mL is severely deficient. This does need treatment, as such low levels can contribute to fatigue, body aches, low immunity, mood changes, and can also worsen insulin resistance over time.
Next Steps
• Start Vitamin D replacement:
• Common regimen: Vitamin D3 60,000 IU once weekly for 6–8 weeks, followed by a maintenance dose (as advised by your doctor)
• Continue Galvus Met as prescribed
• Recheck HbA1c and Vitamin D after 3 months
• A general physician or internal medicine doctor is appropriate for managing both issues; no separate specialist is required at this stage
Health Tips
• Take Vitamin D after a meal containing fat for better absorption
• Get 15–20 minutes of sunlight exposure when possible
• Maintain regular physical activity and weight control
• Avoid excess sugar and refined carbohydrates
• Do not stop or adjust medicines without medical advice
I know seeing multiple abnormal values together can feel overwhelming. The reassuring part is that both conditions are very common and very treatable, especially when addressed early—as you’re doing now. With a bit of guidance and follow-up, these numbers can improve significantly.
If you’d like, an online consultation can help fine-tune your treatment and lifestyle plan so you feel confident and supported throughout.
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No need for galvus met tablet
Take vit D3 weekly once 60k ( 1 tablet per week ) for 3 months
And have a balanced diet and add some physical activity and walking 8k steps daily for 3 months
And later repeat hba1c and vit d3 after 3 months
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Your hba1c 6.4 is in prediabetic category.The doctor has prescribed the right medicine.You have a vitamin d deficiency.You can take drise 60000 iu once a week for atleast 12 weeks.You can consult a physician in your area
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Vit D3 60k once weekly
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Vitd level is low..kindly consult physician for vitd tablet
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Yes your D level is low . Tell your treating physician for prescription
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Low vit d3 to be much more concerned.
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO.
I don't und
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I can help you , kindly contact in practo app
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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)
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Please share details, since how many days you have started Galvus met and in which dose? Then I being a physician can help you very well.
Hba1c is high Repeat Hba1c after 8 weeks.
For vit d deficiency, take tab vit d3, 60,000units once every week for 6 weeks.
Take eggs, mushrooms, fortified cereals, curd, cheese, almond, soya.
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You need vitamin d3 sachet or tablets.you need to consult with general physician. Please feel free to consult me on practo for further management to improve your d3 level also.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take supplements
Uprise d3 capsule weekly once for 12 weeks
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Dr. Navajit Hatibaruah
General Physician
30 yrs exp
Guwahati
Take vitamin D3 sachet/soft gels 60K once weekly
Only metformin should suffice
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Dhiraj Kumar Poonia
Neurosurgeon
8 yrs exp
Jaipur
Need evaluation
Consult me
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake mor3
Do connect and consult
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Dr. Anmol Kudal
General Physician
5 yrs exp
Nashik
Hello take uprise d3 60k capsule once a week after food for 8 weeks
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Dr. Aniket Kirtankar
General Physician
2 yrs exp
Washim
Your Hba1C is in prediabetic range , Just Follow Diet method to reduce sugar levels and do follow up for Vit D take VitD capsule for once in week for 8 weeks
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Dr. Kuldip
Internal Medicine
9 yrs exp
Gandhinagar
Hello
Thanks for query
Continue antidiabetic medication
Go for vit d shot which ever comfort u (oral medication or iv)
Next Steps
Followup
Fbs ppbs hba1c
Vit d
Other investigation if nessessary
Health Tips
Sunlight exposure
Dieat and life style modification
Followup visit to doctor
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Consult
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Dr. Sanskriti
General Physician
4 yrs exp
New Delhi
HbA1c 6.4 = early diabetes (Galvus Met is appropriate).
Vitamin D 8.48 = severe deficiency — this can cause fatigue, body aches, low immunity.
Start Vitamin D3 60,000 IU once weekly for 6 weeks, then monthly maintenance.
Next Steps
Continue Galvus Met as advised.
Add daily walking + reduce sugar/refined carbs.
Repeat HbA1c after 8–12 weeks.
A general physician is enough for now.
Health Tips
I understand this feels stressful — but both issues are very common and fully manageable.
If you’d like, book a consult with me — I’ll personalise your plan and follow you up properly.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Start Uprise D3 tablet
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Start tayo 60k
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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.