How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Josh Your Own Question

Dr. Josh
Dr. Josh, Doctor
Category: Health
Satisfied Customers: 2221
Experience:  Practicing Physician, Family Physician for 7 years
6740150
Type Your Health Question Here...
Dr. Josh is online now
A new question is answered every 9 seconds

Male 54, 61", 215#. My Hemoglobin A1C is 6.1. Can that improve

Resolved Question:

Male 54, 6'1", 215#. My Hemoglobin A1C is 6.1. Can that improve with diet/exercise? Am I nuking my pancreas everytime I eat a piece of candy or is there a reasonable amount of sugar I can consume?
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Josh replied 1 year ago.
Welcome to Justanswer website.
Myself Dr Josh and I’m happy to help with your question today. Please provide me the following information so that I

Do you have family history of diabetes?
Are you overweight?
Are you on any medications?
Any past significant medical issue?
Have you undergone blood tests, if yes please share results.

Thanks

Customer: replied 1 year ago.

Thank you for your quick response, Dr. Josh.


At 75 with bad kidneys, heart and system shutting down, my dad finally tested positive for diabetes; was clean before then. Have an uncle who lost both legs (assume diabetes, but don't know), and was 300ish# XXXXX that.


 


As the question stated, I'm 6'1" 215#. Do you think I'm overweight?


 


20mg Lovastatin daily.


 


No other significant medical issues.


HDLs test 27-40 over the years.


8/4/12 LDL 34


Total Cholesterol 148


Triglicerides 84, LDL 97 (calculated)


Non-HDL Cholesterol 114


Cholesterol/HDL Ratio 4.4


LDL/HDL Ratio 2.85


PSA 0.9


 

Expert:  Dr. Josh replied 1 year ago.
Thanks for quick input.

Well, considering your height and weight Body mass index (BMI)comes to be 28.4

Body mass index (BMI) is a measure of body fat based on height and weight.
Underweight = <18.5
Normal weight = 18.5-24.9
Overweight = 25-29.9
Obesity = BMI of 30 or greater .

Your BMI comes to be 28.4, So you lie in Overweight Category.

According to studies-

Normal range for the hemoglobin A1c test is between 4% and 5.6%.
HbA1c levels between 5.7% and 6.4% indicate increased risk of diabetes, and levels of 6.5% or higher indicate diabetes.

Your levels of HbA1c makes you Prediabetes. It should not be left ignored and have to be evaluated by doctor.

Borderline diabetes is a wake-up call to lose weight, exercise more, improve the diet with more fiber, drink more coffee without milk or sugar, and generally improve the health to try and head off diabetes proper.
At this time, you need to undergo lifestyle changes to delay or even prevent the onset of full-blown diabetes.

You should follow these measures-
1. Obese and overweight people are at high risk of having pre-diabetes changing into diabetes. You need to loose weight.

2. You should have a moderate exercise for 30 minutes a day, you can go for exercise such as cycling, swimming, or brisk walking.

3. You should mix a balance of low-fat protein, vegetables, and whole grains, this can prevent pre-diabetes from turning to diabetes.

4. You should avoid caffeine, alcohol. You should get engaged in aerobic exercise and stress-management techniques like deep breathing and yoga.

5. At this time, Your physician can determine what range of sugar intake will be specifically beneficial for you. You may be limited to only 25 or even 20 g of sugar per day, after your doctor's evaluation.

Yes, at this time you may not need medications, But lifestyles changes are must. I would suggest that you should have a thorough discussion with your doctor for this issue.

If you have any further query then please feel free to ask.
Please remember to rate my service once you have all the information you need. If you have any other questions, please ask me –
I’ll be happy to respond. Thank you!

Best wishes
Customer: replied 1 year ago.

Good wake up call!


Caffeinated soda & coffee under 10/month.


Tea (never sugar) maybe 5/week, more when it's cold. I've heard much about health benefits of tea; any concerns about this level of caffeine consumption?

Expert:  Dr. Josh replied 1 year ago.
Jeff, Thanks for asking follow up question.

Yes, you can safely take tea( without sugar) in your present amount.
Research has shown that tea brings a number of health benefits including improving insulin sensitivity.

researchers believe that Teas such as black tea, green tea and oolong tea contain polyphenols may increase insulin activity.
Yes, you can also take soda and coffee at your present levels, It will not have any harmful effects.

If you have any further query then please feel free to ask.
Please remember to rate my service once you have all the information you need. If you have any other questions, please ask me –
I’ll be happy to respond. Thank you!

Best wishes



Dr. Josh, Doctor
Category: Health
Satisfied Customers: 2221
Experience: Practicing Physician, Family Physician for 7 years
Dr. Josh and 3 other Health Specialists are ready to help you
Expert:  Dr. Josh replied 1 year ago.
Hello.
How are you doing? Let me know if you have any more follow up questions.
Thank you and take care.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery