Hello doctors,
I wanted to ask if I should focus on lowering my A1C, and if so, how to go about doing that given my already somewhat healthy lifestyle?
Here is a history of some markers. I’m 5’8”, male, and currently 40 y/o.
Family history, my dad’s side has CVD and diabetes risk. My dad has been on Crestor for well over a decade or two to keep his LDL at bay. Parents are both South Asian ethnicity (southern India).
For my LDL and ApoB, I asked my PCP to prescribe me Rosuvastatin 5 mg and just started. I plan to test in 3 months to see how it goes. Goal long-term is to get LDL below 100 and total cholesterol below 200, and stay on it for life if needed. I’m mildly wondering about side effects in re: to my training performance (what I can expect), but I saw what Dr. Baraki posted elsewhere about the SAMSON trials showing 90% of reported adverse effects of statins were nocebo-like in nature. I think I’m good here.
It’s my A1C consistently being over that 5.7% that I’m wondering about. Given the readings but also my lifestyle (more on that below), should I put effort into trying to lower it? If so, how?
My PCP doesn’t seem too concerned about it, and mentioned I could consider Metformin. But I wanted to see how I could approach this with lifestyle first, as I think there is room for me to make some adjustments.
On that note, in terms of the health priorities you guys published, I meet all of them either fully (e.g. been training with your guys’ templates for 6 years with some great PRs!, always a waist below 34 inches) or with some room to improve (could increase my conditioning up from ~60 min/week, increase fiber from current average of 20-25g/day, sleep more than 5-6 hours/day, etc). I’ve attached a document with more detail:
detail.txt (2.3 KB)
But wondering if I should put stock into getting my A1C lower or would that be a TWOD given my context and just continue doing what I’m doing for overall health.
Thanks!