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Rising HbA1c Linked to Sugar and Missed Metformin
HbA1c shows a person’s average blood sugar over about two to three months.
This man’s result stayed high even though he took Metformin.
He added sugar to his tea and later replaced it with jaggery.
Jaggery and honey are still forms of sugar.
He also forgot his evening tablet several times each week.
He began taking the tablet at a regular time with a reminder from his daughter.
He stopped adding sweeteners to his tea.
After three months, his HbA1c returned to the target range without adding another medicine.
The story shows that regular habits can make treatment work better.
A man in his early 60s had rising HbA1c levels despite taking Metformin.
He used sugar in tea, then switched to jaggery believing it was healthier.
He frequently forgot his evening Metformin, missing it three or four times weekly.
He stopped adding sugar, jaggery, or honey and began using evening reminders.
After three months, his HbA1c returned to the target range without another medication.
- Who
- A man in his early 60s with diabetes who was taking Metformin.
- What
- His HbA1c rose because of added sweeteners and frequently missed evening Metformin doses, then improved after those habits changed.
- Where
- At a clinic; no specific location is given.
- When
- The improvement was measured three months after the routine changes.
- Why
- He used sugar substitutes that were still sugary and often forgot his evening dose.
Key facts
- Test discussed
- HbA1c, which reflects blood glucose exposure over roughly two to three months.
- Medication
- Metformin.
- Missed doses
- The patient missed his evening Metformin three or four times a week.
- Sweeteners used
- Sugar, jaggery, and honey were discussed as added sugars.
- Reminder method
- His daughter sent a WhatsApp reminder each evening, and he replied after taking the tablet.
- Outcome
- His HbA1c returned to the target range after three months.
- Medication change
- No additional medication was needed.








