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Answell 400 Mg/325 Mg Tablet Questions

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I am 55 yrs old suffering from sugar, bp, from last eight yrs & knee pain in right leg from last 2 yrs. Hba1c 7.7 % bp 130/80 mmhg pulse 8 bpm weight 112.9 kg height 6.3 feet medicines tab: janumet 50mg/1000mg 2 a day morning 1 night 1 amlozaar - h 1 morning supradyn 1 morning orceringm 2 a day mor 1 nyt 1 alpha d3 0.25mcg mor 1 please let me know any permanent solution if any regards,

Dr. Vitrag Shah 90% (636 ratings)
Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Hello, you have to take medicines lifelong for this and keep bp and sugar both under control. If you will keep regular follow up and bp & sugar remains under control, you won't be having any problem. If you have any queries yet or uncontrolled sugar and wanna modify medicines, msg me with details and I will be glad to help.
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I am 46 years male a diabetic patient taking medicines from last 10 years with insulin at morning 44mg & evening 30mg but I tested yesterday to check the blood sugar level but report shows my sugar level almost doubled despite taking insulin & medicines. So kindly guide me how to control it. The medicines which I took daily includes zomelis Met 50mg/1000mg & panto tak DSR. The report attached herewith.

Dr. Lalit Kumar Tripathy 91% (20289 ratings)
MBBS
General Physician, Cuttack
I am 46 years male a diabetic patient taking medicines from last 10 years with insulin at morning 44mg & evening 30mg...
You have to adjust insulin doses after consulting diabetologist and switch over to other oral drugs since it is not working 1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
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I was diagnosed with dm 2 about two years back. Iam on amaryl-m1 bd & has hba1c of 7. I started feeling extra sensation under the feet, heaviness in foot, leg, thighs from about a month or two, some pain in hip area and finally difficulty in lifting one leg about 2 weeks days back along with knee weakness in one leg although other leg has been affected to a lesser extent till date. I never experienced very sharp pain & 2 weeks back had mild pain in my buttocks for about a week. The loss of movement in the 2 directions direction in the leg & knee weakness was quite quick about 10-12 days back. Now I do not feel any pain but had some falls primarily on account of knee weakness or weakness in right leg. Mri scan, ct scan were ok but problem was reported in nerve conduction test in both legs but mainly in right leg. Was diagnosed with peripheral neuropathy or diabetic amyotrophy which correlates with my overall symptoms. Doctor put me on 8 day course of prednisone (40mg-10mg) with insulin. My sugar with amaryl m1 as on now is under control & I take light food with reasonable physical activity & sugar levels now seems to be ok 92 fasting /140 pp. Also started visiting a physiotherapist from today. As of know there is appears to be some improvements in my walking (can walk 15-20 min at a stretch inside home) though weakness in one leg & knee persist. I cannot drive due to difficulty in movement of my right leg when trying to move it sideways while sitting. It is also not possible to lift the right leg against gravity when laying down though backward lifting & movement on sideways when lying on one side are intact. Have been prescribed pregaba m 75 (hs, neurkind+. Have no pain of any type. My questions 1) has peripheral neuropathy reached a plateau ie. Stopped or not 2) is pregabalin needed in my case as I have no pain, i. E. Whether it play a role in nerve regeneration or is overall beneficial in such situation 3) can I expect improvement in my right leg in 1-2 months time with sugar control & exercises.

Dr. M. Sathyavenkatesan 87% (319 ratings)
Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
I was diagnosed with dm 2 about two years back. Iam on amaryl-m1 bd & has hba1c of 7. I started feeling extra sensati...
1. Peripheral neuropathy is a on going process even in normal individuvals as age advances due to deficiency of vitamins mainly b12 2. In your case pregabalin is needed for some time 3. Nerve regeneration is impossible for anyone 4. Definitely you can expect improvement in the right leg in 1-2 months with good control of sugar & exercises.
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