Patient: Hi, my father was diagnosed with diabetes in January this year, fasting 10.3, and was hospitalized for 10 days on insulin treatment at the advice of our local doctor. After he was discharged from the hospital, he was prescribed Medi-Cal, two pills in the morning and two pills in the evening, and his blood sugar has been basically normal since June. Do you still need to take Medi-Cal if the blood sugar can be controlled within the normal range on its own? Reply: According to your description, you are advised to continue taking Medi-Cal for the following reasons: 1. According to your description, you stopped taking Medi-Cal on your own in June, and after you stopped taking it, your blood sugar was normal, but your glycosylated hemoglobin result was 6.7 thrown high. For the two indicators of blood sugar and glycated hemoglobin, glycated hemoglobin should be more important. The essence of diabetes is a chronic hyperglycemic state that leads to complications, and blood glucose monitoring is a random measurement of blood glucose at one point in 24 hours throughout the day, and the measurement result is affected by many factors. Even if the measured blood glucose is normal, it does not reflect the normal blood glucose throughout the day, while glycosylated hemoglobin reflects the average blood glucose of the past three months, which can better reflect the chronic hyperglycemic state. Your father’s glycosylated hemoglobin of 6.5 is still high, which means that his blood sugar is not at a normal level in the past three months. In addition, the ultimate goal of diabetes treatment is to prevent complications. The main complications of diabetes are macrovascular complications (myocardial infarction, cerebral thrombosis) and microvascular complications (blindness, uremia). The macrovascular complications of diabetes can be caused as long as the blood sugar is higher than normal (i.e. fasting blood sugar >6.1, 2 hours after meal blood sugar >7.8, glycosylated hemoglobin >6.2). The macrovascular complications of diabetes are the main cause of death in diabetic patients, accounting for 70-80% of the causes of death in diabetic patients, from this point of view blood sugar needs to be treated as long as it is higher than normal. 2, your father is taking Metformin should be metformin, this drug can not only treat diabetes, for pre-diabetic patients have the role of preventing diabetes, this has been confirmed at home and abroad, and taking this drug will not cause hypoglycemia, safe and reliable can continue to take.