Q. HbA1c Of 8. 8 In A 45-year-old Male. What Can Be The Treatment?

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HomeAnswersEndocrinologydiabetes Ad What is the treatment of high HbA1c levels?This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Answered byDr. Shaikh Sadaf

Medically reviewed byiCliniq medical review team

Published At July 27, 2018Published on Reviewed AtJuly 24, 2024Last reviewed on 

Patient's Query

Hello doctor,

I am a 45-year-old male. I am 6 feet tall and I weigh 200.6 lbs. I had taken excess BCAA supplement powder to enhance my gym performance and then stopped going to the gym for two months but continued taking the BCAA powder. I feel bloated all the time after food intake and have high blood sugar, both fasting blood sugar and postprandial. I even felt breathless with an enlarged tummy hanging down. In the past, digestive Carmozyme helped a little. My HbA1c taken yesterday was 8.8. Is there a medication that I can take to reverse my insulin resistivity or am I permanently diabetic? I have never gone above normal blood sugar levels in my life. This is sudden and very high and I am very demoralized. Kindly advise.

Answered by Dr. Shaikh SadafVerified by iCliniq 

Hello,

Welcome to icliniq.com.

I just read your query and from what you have mentioned, it appears that you have diabetes and you must definitely take treatment for it. I suggest that you start with the tablet Metformin 500 mg thrice a day and then repeat your HbA1c (glycated hemoglobin) after three months. This drug helps with insulin resistance. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to take a low fat andlow carbohydrate diet. Exercise, like walking briskly and running, will improve your insulin sensitivity. We will review again in three months. I assume that you have no other associated medical conditions. Bloating after meals signify that your intestines are probably sensitive to something that you are taking regularly or newly. I suggest that you go gluten free as well.

Hope you find my advice beneficial. Good luck.

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Patient's Query

Thank you doctor,

Since I have incidental diabetic symptoms induced by excess BCAA (branched chain amino acids) supplements, is it possible to reverse it to a nondiabetic condition as I was a few months back? My sister is a doctor and she suggests I reduce my sugar. But I would like to know if I can recover from my induced insulin resistance permanently?

Answered by Dr. Shaikh SadafVerified by iCliniq 

Hello,

Welcome back to icliniq.com.

Yes, why not? Although it could be a very optimistic approach.

Be hopeful and try your very best.

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Dr. Shaikh Sadaf

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