My tsh level is 3.8 and my hb1ac level is 5.6. And doctor suggested thyronorm 50 mg and glycomet 500 mg. My sugar level is normal thn also doctor suggested me to take glycomet 500 mg. Can you please help me .wht the use of glycomet 500 mg as l have normal sugar level.

Dr. Sunita SayammagaruEndocrinologist14yrs exp

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Dear Sir, Both your TSH and HBA1C are in Normal range, though you are very near borderline for Pre-diabetes (HbA1C between 5.7 % to 6.4% is prediabetes). I am not sure why you have been started on Thyronorm either. Was you TSH greater than 5 before? You can stop the Glycomet, but you need to decrease weight. Your BMI which is ration of weight/height square is 27.1. Your ideal BMI should be around 23. So you need to lose approximately 19 kgs. F you stop Glycomet and you do not lose weight within a couple of years you may well be in PreDiabetic range or with Overt diabetes. So my advise is stop Glycomet, eat a healthy balanced diet with plenty of vegetables/ both in salad form or a Sabji which is cooked in less oil. At least half your plate should be of vegetables. 1/4 plate should be of carbohydrate- like rice/roti/chapati/phulka etc. Include plenty of whole grain foods like millets etc. 80% of remaining 1/4 plate should be of protein-pulses-dals, eggs, non veg etc. 20% should be fats/oil. Eat 2 fruits /day. Drink semi skimmed milk 1glass/day. Take curd/buttermilk from semi skimmed milk. Can take one handful of nuts/day. Avoid high calorie food like sweets or junk food. Most important is to exercise -at least 45 min of moderate exercise per day- like cycling, brisk walking, jogging, swimming etc. Aim to lose 2 kgs weight per month. Hope this has helped you. I wish you best of luck Thank you. 

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Dr. Rajesh JainGeneral Physician26yrs exp

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Please Avoid glycomet No need to take it. 

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