Expert: Dr. Ravindra Bhaskar Ghooi - 12/7/2008

Question
Respected Sir,Sir, I am male/51 years and hypertnsive on Tenormin 100 Losartan 100 Amlodepine 10 and Indapamide 1.5 SR I have normal lipids No thyroid. Recently, I had routine check up and my Glucose tolerance test reading :
Fasting-110 Urine sugar-Trace Urine Acetone Nil: After 75 mg glucose orally, Blood sugar after one hour 212 Urine sugar present Acetone bodies-nil Blood sugar after 2 hours 152 Comments IMPAIRED GLUCOSE TOLERANCE. After 2 days, post prandial Blood sugar 108.My dr prescribed Metformin 250 mg once daily.  

Can U guide me as to whether metformin is good drug for impaired glucose tolerance ?( pre diabetic stage ? I have been transferred to place 600 kms from my native place
and stay alone. I am extremely worried I am very scared since my mother died at the age of 58 due
to diabetic comaI need your guidance I am obese I
shall be obliged if you can guide me  Thanks and regards  

Answer
Dear Mr. Harsvadan,
The diagnosis of IGT is absolutely correct. As I recall from your previous posts you are slightly overweight. Weight control, exercise and diet are the first things I would advice. But Metformin (250 mg) is a logical choice. Since you are away from your home, diet would play a very important role. However at 51 to have IGT is not a catastrophe. While I am sorry that yor mother passed away due to diabetic coma, you are in no such danger. Do not worry excessively about this. These are normal changes of age and I am sure you will live a long and productive life.
Ravi Ghooi