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The Question
Fri Mar 16 04:21:54 EDT 2012

Dear Dr my hubby checked his hba1c is 6% can we stop or lessen the dose of medicines.he is on glymepride+metformin .morning 1 tab night 1/2 tab.
Asked By: sripriya  

Background Info Hide
He is diabetic for the past 6 mnths he is following diet & exercise properly.can we taper the dose.his hdl cholesterol is slightly low that is .80 which has to be more than 1.20 is it ok pls tell hw to improve his hdl cholesterol.u have given me wonderfull suggestions.expecting a valauable answer from u.thanks doc.
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Expert Answers (1)
2012-03-21 20:29:51.0

Hello

Thanks for asking dLife.

Glad that your husband has achieved excellent hemoglobin A1C level. This test presents an average blood glucose for the last 2-3 months.

It is also important to know the blood glucose (sugar) readings during different times of the day and night. How close are the fasting blood glucose levels compare to the target range? Also, the readings before meals, after meals, and bed time blood glucose readings? Any lows? Any unusual high readings? When do they usually occur? How often?

Keep in mind that it has been the diabetes medicines, along with diet and exercise that helped your husband achieve the excellent A1C level. I recommend that your husband talk with his doctor about the best approach to reduce his diabetes medicines. He or she can determine the most appropriate diabetes medicine to reduce, how much to reduce and when the reduction should occur.

This discussion on monitoring and understanding different kinds of numbers might be helpful!

High-density lipoprotein (HDL) is considered the good cholesterol because high levels seem to protect against heart attacks. To increase HDL-cholesterol, regular physical activity with at least 30 minutes of moderate intensity exercise per day is often recommended. Blood glucose and weight control will also help improve the lipid profile.

There are many factors associated with cholesterol management!

Take care.

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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