Resolved question:
I am a 190lb, 5' 10", 28 year old white male (BMI 27.3). I recently had a (wellness) blood test and results came back with a 5.7 A1C. Three years ago it was 5.5. Diabetes does run on my father's side of the family. My family doctor suggested the usual diet and exercise. Since that visit two months ago, I have been eating better (lots more vegetables) and exercising 4-5 days a week. I am not trying to lose weight (not counting calories anyway) but have lost five pounds so far. My dad is a doctor and very strongly suggests I start taking Metformin. I am not opposed to taking the drug if it prevents or delays diabetes, but the research I have read says combining Metformin with exercise is no more effective than exercise alone. I would like a second opinion from a doctor who specializes in the treatment of prediabetes/diabetes and is more up to date on the latest research. And of course I am open to any other suggestions, such as paying a visit to a local specialist or going on a special diet. Thank you.
Submitted:
4 Days
Category:
Endocrinologist
Hello,
Thank you for your query at DoctorSpring.com
You are right that Metformin with Diet and Exercise is as good as Exercise alone. However, thats in Trial settings over a short term.
As you have already tried that and have family risk of DM and rising HbA1c, You will do well with stricter diet restriction and exercise with targetted weight loss to BMI around 20 and then if still the HbA1c continues to be above 5.7, then Metformin may be a good option to prevent further progression.
Feel free to discuss further,
Regards.