I am 52 years female and for last 4 years I was diagnosed  as a pre diabetic .My status almost always stays as Fasting sugar between  120 to 140 and Postprandial always normal  My Hbac1 remains below 6.5Should I start Metfield or still manage with  lifestyle  changes
Hello, Treatment with metformin is not absolutely necessary at this time. Glucose control requires a combination of lifestyle changes which include increased physical activity, body weight control and a proper diet. Regarding physical activity, 30 minutes of fast walking every day is effective and sufficient. If you're doing more than that already then you should keep on doing it. I can't give you a specific diet plan, butte main idea is to avoid food with high calories (fat) and eat a lot of fiber. Your diet should make you lose weight if you're overweight or obese. If the aforementioned measures are not sufficient to control the blood sugar and keep it less than 120-130 in the morning (fasting) and less than 140-160 a couple of hours after meals then Chat Doctor. You can contact me again if you'd like any clarifications. Kind regards!