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Asked for male, 56 years old from Bangalore
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, Thanks for the query.
The dosage of various medicines for glucose control can be adjusted on the basis of patients needs, doctor's advise and also based on dietary intake. Usually Glimepiride is either given once a day or twice in some cases. Metformin can be given 3 times a day again depending upon the need. Voglibose is usually recommended with each meal, that is three times a day. As it is mainly for reducing post food glucose rise. Thanks.
The dosage of various medicines for glucose control can be adjusted on the basis of patients needs, doctor's advise and also based on dietary intake. Usually Glimepiride is either given once a day or twice in some cases. Metformin can be given 3 times a day again depending upon the need. Voglibose is usually recommended with each meal, that is three times a day. As it is mainly for reducing post food glucose rise. Thanks.
Asked for male, 47 years old from Kota
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. Lybrate-user, your glucose levels show a pre diabetes situation. No treatment is needed with drugs. A modified lifestyle is the requirement. Daily 1 hour exercise, maintaining normal weight and taking a balanced diet is needed. Avoid sweets, deep fried foods, junk foods, pastries & other bakery items, sweetened aerated drinks (colas), fructose corn syrup containing products, highly processed foods & high fat milk products. Consume more of green leafy vegetables, salads. & fruits. Use whole g...more
Asked for Male, 60 years old from Patiala
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sir its good that her blood sugar is fairly controlled....numbness in feet may be due to diabetic neuropathy which is a common complication of type2 diabetes..but get her thyroid function test done and vit b12 levels...as metformin causes vit b12 deficiency dat may be another cause of numbness in diabetics...good luck
Asked for female, 53 years old from Kolkata
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Pancreas is the site to produce insulin in body. So if the pancreas is diseased the only option left is to give insulin from outside body by an injection. In my opinion glimeperide will not help you.
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, Thanks for the query.
It is difficult give a clear answer whether a SGLT - 2 Inhibitor can be added to existing therapy withput knowing full details of the case. I need to know the following: Fasting, PP glucose levels, HbA1c%, weight, height, serum creatinine & urea levels, eGFR and whethe there is microalbuminura. If kidney function is compromised or eGFR is low, then certain drugs can not be sude including metformin and SGLT-2 Inhibitors. Thanks.
It is difficult give a clear answer whether a SGLT - 2 Inhibitor can be added to existing therapy withput knowing full details of the case. I need to know the following: Fasting, PP glucose levels, HbA1c%, weight, height, serum creatinine & urea levels, eGFR and whethe there is microalbuminura. If kidney function is compromised or eGFR is low, then certain drugs can not be sude including metformin and SGLT-2 Inhibitors. Thanks.
Asked for male, 55 years old from Varanasi
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, Thanks for the query.
When one takes adequate dosage of drugs, plus follows a strictly controlled diet and does regular exercise, blood glucose does get controlled. Therefore, it appears your present treatment is not proper. I need to know following things for giving any suggestions: fasting & PP glucose levels, HbA1c%, present dietary pattern and extent of daily exercise. Looking at your weight and height it is clear that with a BMI of 28.23 kgs/Sq meter (normal < 23 kgs/S...more
When one takes adequate dosage of drugs, plus follows a strictly controlled diet and does regular exercise, blood glucose does get controlled. Therefore, it appears your present treatment is not proper. I need to know following things for giving any suggestions: fasting & PP glucose levels, HbA1c%, present dietary pattern and extent of daily exercise. Looking at your weight and height it is clear that with a BMI of 28.23 kgs/Sq meter (normal < 23 kgs/S...more
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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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