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Diabetes - Adult Type II (Expert Forum)
How do i lower my hemoglobin A1c?
Answered by
Anita Ramsetty, MD - GeneralEndocrinology, Diabetes Type 1, Diabetes Type 2, Thyroid Disorders, AdrenalInsufficiency, CF-Related Diabetes
Endocrine Care Group
Questions in the Adult Type II Diabetes forum are answered by Dr. Anita Ramsetty. Topics covered include Type 2 Diabetes, blood glucose monitoring, diabetes and heart disease, diabetes and pneumonia, diabetes and pregnancy,
diabetes and vision problems, diabetes and wound healing, diabetic complications, hyperglycemia, hypoglycemia, and insulin.
How do i lower my hemoglobin A1c?
by Taniapr, Dec 29, 2008 12:57PM
I was tested this december and my A1c levels was on 12%. My weight is 246, im 5 feet 5 inches tall. Right now im in a once a day Januvia100mg treatment. Have to admit i forget to take them often. My hubby says that if i domydiet well and exercise i can lower that but i am just afraid to use insulin. The range of my blood sugar is 150-300. If i get anxious that levels raises to 346. What can you tell me about this??
Doctor's Answer
by Anita Ramsetty, MD, Dec 29, 2008 08:10PM
, Dec 29, 2008 08:10PM
Hello,
Yes, you absolutely MUST start making some dietary changes as well as hopefully increasing exercise. We have research that shows even small amounts of weight loss(5-10 pounds) will decrease glucose levels, as well as help high blood pressure. Your current glucose ranges are too high and definitely need treatment to avoid complications from diabetes.
Januvia is a good medication, although it may not be enough to bring your glucose levels under good control given that your A1C is so high. Insulin is one of the options and it is a good one because it works. Using needles is not something people prefer, but if it makes you healthy in the long run it is much better than the alternative Still, there are many other medications that can be taken by mouth besides Januvia, so you may not need insulin just yet.
Be sure to give dietary changes and exercise a good try and stick with those changes. Keep checking blood sugars regularly. Drink lots of water, cut out all sodas and juices. Stay in close contact with your doctor so that your regimen can be changed if necessary.
Take care.
Yes, you absolutely MUST start making some dietary changes as well as hopefully increasing exercise. We have research that shows even small amounts of weight loss(5-10 pounds) will decrease glucose levels, as well as help high blood pressure. Your current glucose ranges are too high and definitely need treatment to avoid complications from diabetes.
Januvia is a good medication, although it may not be enough to bring your glucose levels under good control given that your A1C is so high. Insulin is one of the options and it is a good one because it works. Using needles is not something people prefer, but if it makes you healthy in the long run it is much better than the alternative Still, there are many other medications that can be taken by mouth besides Januvia, so you may not need insulin just yet.
Be sure to give dietary changes and exercise a good try and stick with those changes. Keep checking blood sugars regularly. Drink lots of water, cut out all sodas and juices. Stay in close contact with your doctor so that your regimen can be changed if necessary.
Take care.
Member Comments (2)
by Taniapr, Dec 29, 2008 12:57PM
Forgot to tell im 33 years
by Keyvan9, May 18, 2009 10:57AM
A related discussion, spikes skew A1c results? was started.
by Jim5084, Aug 24, 2009 11:12AM
A related discussion, Diabetes was started.
by bigchris3912, Nov 21, 2009 08:34AM
A related discussion, a1c was started.
