Diabetology : My Fasting Levels Cross Often 130 If Not

Posted on Tue, 31 Dec 2019

Question: Diabetology : My fasting levels cross often 130 if not stay at 122.my post lunch levels often cross 150 if not stay around 135 to 140.my hb a1 c is always between 6 to 6.5.i have never had any diabetic symptoms in all these 8 years.i am taking glycomet 500 mg twice.Does time come to me to change to Gliptins instead of metformin ?.Also please advise me whether really i am diabetic and i do not take medicine any more?.kindly answer all my questions with patience.

Answered by Dr. Dr. Parth Goswami (1 hour later)

Brief Answer:
You are having impaired glucose tolerance means pre diabetic as per history

Detailed Answer:
Hi,
Welcome to the 'Ask A Doctor' service.
I have read your question and below is my answer.

You are having impaired fasting and post prandial glucose according to history provided.
You are having pre diabetes condition and your glucose level has not been controlled well.

The metformin is usually prescribed in obese individual with diabetes. So if you are overweight like BMI more than 25 than don't change the drug.

Take low glycemic fruits and green leafy vegetables more.

Reduce weight by exercise if you are obese.

I suggest you take medicine and don't stop medicine because your fasting glucose level crossing over 126 often that suggest high chance of development of diabetes.

Kindly check your serum triglycerides and lipid level as well. If triglyceride also high than for such diabetic dyslipidemia another alternative drug is saroglitazar which is good drug in reducing sugar as well as lipid.

You can discuss these provided information with your treating doctor and get prescription accordingly.

Hope I have answered your question

Let me know if I can assist you further

Best regards

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj