Family Medicine Questions Family Medicine

Hb1Ac test?

My Hb1Ac is 5.2 do I need to take diabetic medicine?

Female | 62 years old
Complaint duration: 2 years
Medications: Geminor MP 1
Conditions: Uric acid and diabetes

7 Answers

It is correctly HbA1c or some call it glycohemoglobin. With an A1c of 5.2, no treatment is necessary. You are most likely controlling with diet. Up to 7 A1C is fine without medications.
This depends predominantly on whether your good A1c is due to you currently taking medication that are keeping it well controlled. If you are not on medication currently, you are doing well with current lifestyle alone.
There is little information here. Generally if you have made major major changes in your lifestyle and you have persisted for some time, it may be reasonable to hold off. However if this is something new, where you have just recently followed a healthy lifestyle, more that likely you will start being less stringent with time, thus metformin would be reasonable so that you can keep your insulin cells from being stressed as much.
no
If you have never been on medications, then no you will most likely not need to be on medications
Diabetes medications are generally reserved for people who have diagnosed diabetes mellitus (HbA1c score over 6.5 % or a fasting glucose level over 126 mg/dl). If you have have diabetes and have achieved the HbA1c level of 5.2 % with medication you should make changes only with the approval of your doctor. If you are interested in diabetes prevention, you do not need to rely on medication. Diet and regular exercise to control weight are widely accepted as the most important diabetes prevention measures. A HbA1c of 5.2% is considered to be in the normal range for the general population. Healthy lifestyle under proper professional supervision is the approach I recommend to all of my patients.
Dear patient: You are a treated diabetic; the a1c of 5.2 corresponds to average sugar of 103. The Geminor MP1 is a combination of glimepride,pioglitazone and metformin. If your bmi is not elevated I probably would stop that drug and start small dose of long acting Metformin as the other ingredients in that combination drug can cause side effects such as weight gain or ankle swelling.
Please speak to your physician
Respectfully


Marvin A Leder MD FACP FACE