<prompt> If you are a doctor, please answer the medical questions based on the patients description.My FBS Glucose, Serum is 124; Glucose Post-Prandial Plasma is 192; and HbA1c H.P.L.C technology is 6.8. Am I diabetic ? Should I take medication or can it be controlled by dietlifestyle changes ? Thank you for your kind attention - A. Sen Gupta, Bangalore, India.  <response>: Hello Sir, Thank you for your query. I understand your concerns. Based on the reports, you do have diabetes. For good glucose control your HBA1C should be less than 6.5, your fasting blood glucose should be less than 110 mgdo and your 2 post meal glucose should be less than 160-170 mg DL provided you are fit and fine and do not have any other debilitating illnesses. I am not sure of your age. As your sugar levels are borderline you could try 3 month trial of diet and exercise alone to control your glucose levels. After 3 months measure the blood tests again. If they have reduced then you can continue the same healthy lifestyle changes and keep checking your blood glucose levels every 3 months. If your blood glucose levels have not changed or have worsened after the 3-month trial of diet and exercise then you need to start medication along with your lifestyle changes. Healthy lifestyle tips:1 Exercise-moderate exercise like brisk walking, cycling, swimming etc. - for at least 45-60 min every day or at least 5 out of 7 days in a week.2 Diet: Avoid sugary food items and sweets, cookies, chocolates etc. take plenty of vegetables restrict potatoes. Take whole grains products like wheat bread, oats, millets, brown rice etc. Avoid refined plain flour items. You can take 2-3 servings of fruitavoid mango, jack fruit, custard apple, chick. Take adequate protein eggs, pulses, non veg- but restrict mutton. Can take 5-7 nuts like almonds, cashew nuts etc. Restrict saturated fats like butter, cheese, paneer etc. 3 Reduce weight if you are overweight. I wish you well. I hope this answer has been helpful to you. Regards Chat Doctor. 