how to decrease weight and am i really diabetic can i stop it - #10152
my fasting insulin is 11 do i need to worry but my rbs is sometimes 140 to 150 I'm 77 kgs 162cm recently i found my hba1c 5.8 fasting insulin 11 my fasting is 89 but my post meal it is 130-155 i sleep for more than 10-12 hrs in a day
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Doctors’ responses
Your fasting insulin level of 11 and HbA1c of 5.8% suggests that you may be dealing with insulin resistance or pre-diabetes. While not yet diabetes, these numbers indicate that you are at increased risk, and it’s important to take steps to prevent progression. Your random blood sugar (RBS) values between 140 to 150 mg/dL and post-meal readings of 130-155 mg/dL are relatively high, especially after meals. To reduce weight and lower your risk, consider initiating a regular exercise regimen; aim for at least 150 minutes of moderate-intensity aerobic activity per week, such as brisk walking or cycling. This will help manage your weight and improve insulin sensitivity. Dietary changes are crucial too. Focus on reducing refined sugars and carbs by choosing whole grains, lean proteins, healthy fats, and plenty of vegetables. Try to incorporate portion control to avoid overeating. Monitoring portion sizes and keeping a food diary can be helpful in staying on track. Since you sleep more than 10-12 hours a day, it may be beneficial to evaluate this with your healthcare provider as excessive sleep can be due to sleep disorders or other underlying medical issue. Prioritizing consistent sleep patterns by going to bed and waking up at the same time every day, while ensuring 7-9 hours of quality sleep, might improve your overall energy levels and metabolism. Regular follow-up with your healthcare provider is essential to adjust and refine your management plan, considering repeat HbA1c and fasting insulin tests every 3-6 months. If you notice significant changes in your blood glucose levels or experience symptoms such as excessive thirst, frequent urination, or unexplained weight loss, seek medical advice promptly. Managing stress through mindfulness or relaxation techniques, and avoiding tobacco and excess alcohol will also contribute positively to controlling your blood sugar.
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