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Rising HbA1c Linked to Sugar and Missed Metformin

Rising HbA1c Linked to Sugar and Missed Metformin
My patient’s HbA1c rose while on Metformin: What was he missing? · indianexpress.com

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.

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.

Sources

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