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Azulix 1 Mf Tablet Sr Health Feed
Asked for male, 67 years old from Amritsar
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M.D. Consultant Pathologist, CCEBDM Diab...read more
General Physician•Sri Ganganagar
Asked for female, 39 years old from Meerut
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Asked for male, 31 years old from Pune
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, Thanks for your query.
The drugs mentioned Glimepiride and Voglibose are different in their action.
Metformin is supposed to reduce or delay glucose absorption and hence slows down blood glucose rise after taking food. Plus it also reduces insulin resistance hence helps blood glucose control. There are other beneficial effects like helps slight weight reduction.
Glimepiride is a sulphonylurea compound, it stimulates insulin secretion by the beta cells of pancreas, t...more
The drugs mentioned Glimepiride and Voglibose are different in their action.
Metformin is supposed to reduce or delay glucose absorption and hence slows down blood glucose rise after taking food. Plus it also reduces insulin resistance hence helps blood glucose control. There are other beneficial effects like helps slight weight reduction.
Glimepiride is a sulphonylurea compound, it stimulates insulin secretion by the beta cells of pancreas, t...more
Asked for male, 54 years old from Kota
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, thanks for the query.
I have seen the query. The information is not enough to give any specific suggestion. I need to know following details :exact fasting, pp glucose, hba1c%, dietary pattern, extent of exercises being done daily, lipid profile, bp readings, serum creatinine and urea. Without all the details, it is not possible to give any specific suggestions.
So please do come back with all the necessary information that I have mentioned. It is better if you come bac...more
I have seen the query. The information is not enough to give any specific suggestion. I need to know following details :exact fasting, pp glucose, hba1c%, dietary pattern, extent of exercises being done daily, lipid profile, bp readings, serum creatinine and urea. Without all the details, it is not possible to give any specific suggestions.
So please do come back with all the necessary information that I have mentioned. It is better if you come bac...more
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Asked for female, 53 years old from Kolkata
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Asked for male, 39 years old from Kolkata
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, thanks for the query.
I have seen the details mentioned. Developing hypoglycemia in a patient with conventional insulin is fairly common seen problem. Plus if patient is also on glimiperide in addition to insulin, then there are greater chances. Since she was on 40 you + 28 u) two doses of insulin with 8 mg of glimiperide, the possibility was more.
Usually giving more than 4 mg of glimiperide a day does not really help. However, she was on 8 mg, which is too high. In addition ther...more
I have seen the details mentioned. Developing hypoglycemia in a patient with conventional insulin is fairly common seen problem. Plus if patient is also on glimiperide in addition to insulin, then there are greater chances. Since she was on 40 you + 28 u) two doses of insulin with 8 mg of glimiperide, the possibility was more.
Usually giving more than 4 mg of glimiperide a day does not really help. However, she was on 8 mg, which is too high. In addition ther...more
Asked for male, 55 years old from Visakhapatnam
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Asked for female, 54 years old from Kolkata
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
lybrate-user, Thanks for the query.
As mentioned your FBG is fine (93 mg), but PP is definitely high. The reason for fasting being low is the Insulin dosage being taken at night. You need to reduce the post lunch glucose level. So you may look at increasing only Glimepiride dosage rather than taking two tablets of double dose of both (glimiperide + Metformin). That may become excess. If you have any specific questions please do come back. You should target PP <100 mg (as is now), PP 150 to 1...more
As mentioned your FBG is fine (93 mg), but PP is definitely high. The reason for fasting being low is the Insulin dosage being taken at night. You need to reduce the post lunch glucose level. So you may look at increasing only Glimepiride dosage rather than taking two tablets of double dose of both (glimiperide + Metformin). That may become excess. If you have any specific questions please do come back. You should target PP <100 mg (as is now), PP 150 to 1...more
Asked for female, 58 years old from Noida
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Asked for female, 25 years old from Hyderabad
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Musk melon and watermelon are high glycemic index fruits and should be avoided by diabetic pt. Because they increase blood sugar rapidly when ingested. For hypoglycemia consult your physician who will reduce some medicine or will do other modefication. Try to find out timing of hypoglycemia and tell to your doctor.
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