68 year, Male taking Glucophage 500mg twice daily, now having prediabetic level of fasting plasma level at 115-120mg/dl with normal post-parendial glucose level. Subject having thyroidactomy 9 years before and taking Thyroxin 100mg OD. Also having hypertension and taking Renitec 5mg OD with the normal BP at 120/75 mm of Hg. Should this subject be taking basal insulin or change the medication for treating prediabetes?
I wouldn't recommend any medications until there were some A1cs done. As far as I'm concerned if you need medications, you aren't pre diabetic, you're diabetic. Pre diabetes can usually be dealt with by controlling diet.
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