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Dianorm 80 MG Tablet Health Feed

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MBBS

General Physician•Mumbai
Stop previous anti diabetic pills and try this tb metatime 500 mg 1-1-1after breakfast, lunch, dinner and tb gliclazide 80 mg 0-1-1 before lunch and dinner and revert back after a week with only fbs
Asked for male, 42 years old from Delhi
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
It is bit strange to know that you are taking Glimiperide as well as Gliclazide as both drugs are similar in action. I do not understand how such a prescription is given. Any ways if you want to take any multivitamin it is finr. Thanks.
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, Thanks for the query.
I have gone through the details given. I really do not see the reason to change to newer tablets, because earlier too you were on Tenelegliptin, then Dimicron (Gliclazide) with metformin. The newer tablets do not have Gliclazide, hence the blood glucose control will not be as good as earlier.
You should contnue the earlier drugs, plus take a restricted diet and do more exercise per day ove 1 hour. That will help in reducing HbA1c%. Thanks.
29 people found this helpful
Asked for male, 64 years old from Bangalore
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MBBS, MD

Endocrinologist•Delhi
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You have not mentioned your blood sugar fasting, pp and hba1c report.
It is better to start with first one as it contains two medicines and second contsins three. Monitor blood sugar and keep in touch with your doctor.
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Asked for male, 32 years old from Pune
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About my wife back pain started in her lumber and thoracic back portion in the month of feb. 2012. We started treatment under local doctor's advice and took pain killers and some muscle relaxant and pain healed. But, it got repeated every week and we did the same treatment for the span of month. After that we did total analysis and it was found that there is compression at d8-d-9 and infection from d8-d10 and l3-l4 of spine. Then we did biopsy (first biopsy) of developed lesions and all reports were normal. At this time othopedician doctor advise us that it can be non-detectable tb infection (as it is non-pulmonary) and we started akt-4 on the basis of symptoms even though mtb was negative up to 4th week of culture growth. She took akt-4 for 20 months (june 2012 to feb-2014). During last 6 months of this time of period she was absolutely fine and started normal movements which were restricted during initial part of treatment. Infection was healed partially, and lesions was also started to disappear. We monitored it by ct scan after every 3 months. But in dec 2014 when medicine supposed to stop completely, again sever back pain started and it was found that there is formation of pus and damage of tissues at d8-d10, l3-l4. During this time of period she suddenly lost her weight by 18 kg (within 15 days), so operated and currated all the pus and infected part from the infected location (second biopsy). That sample we again sent for all the lab tests and it is again negative for mtb. We cultured that sample further and it is fount that this is slow growing ntm (non tuberculin mycobacterium) infection. And rest of all test were normal. As it is very slow growing we cannot found out exact genome of that bacterium. So, at this time infectious disease specialist and spine specialist doctors took decision together and stop akt 4 and started her; 1. Amikacin sulphate 1g: daily im/iv 2. Clarrithromycin: 500mg twice a day 3. Doxycyclin and lactic acid bacillus: twice a day 4. Levofloxacin: 750mg once a day during this treatment only her bsl found high without any diabetic history; so she is also taking, 5. Reclide 80mg twice a day 6. Metformine 500 mg twice a day as amikacin daily 1 gm is very high dose we are monitoring her serum creatinine, lft, esr, crp level on weekly basis; and if serum creatinine level is above standard value doctor advising to stop amikacin for some time and once it comes to normal level again we are starting it. Rests of the medicines are same. Above mentioned medicine has been taken for 4.5 months and again we did contrast mri for analyzing effectiveness of therapy. But in this latest mri report it is found that there is new disease has been developed at d9-d10 vertebral bodies and intervention disc. So, we taken advice from Dr. Rajeev soman, hinduja, mumbai. He has diagnosed it as below; 1. Primary tuberculine infection 2. Secondary nosocomial infection 3. Non-tubeculine mycobacterium and prescribed following medicines for 6 months; 1. Inj. Tigecycline (tiganex) 50 mg, bd - 6 months 2. Tab. Clarrithromycine (synclar) 500 mg, bd - 6 months 3. Tab. Levofloxacine (levoflox) 750 mg, od - 6 months 4. Tab. Linezolid 600 mg, od - 6 months } now all medicines stopped due to severe side effect. Side effect recovery is going on. What should we do?

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MBBS, MS - Orthopaedics

Orthopedist•Delhi
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She is not one of the common cases koch's infection. She is already under care of a competent team. Kindly follow their advice & keep me informed of the progress.
Asked for female, 65 years old from Hyderabad
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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gfr 53 is low, means kidneys are affected due to long term diabetes. Apart from gliclazide what other medications are you taking? how are sugar levelsand hba1c%. If diabetes is in check nephropathy can also be controlled. Do you have high blood pressure, if so what are the drugs for that? few precautions restrict salt intake and do not eat more proteins. Please inform me otherdetails.
Asked for male, 32 years old from Murshidabad
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MBBS, MD - Geriatrics, MRCP-1 (UK), MRCP...read more

General Physician•Jaipur
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Their is some duplication in diabetic medication in this case. Janumet has sitagliptin and trajenta has linagliptin (both belonging to same class). Azulix has glimipride and diamicron has gliclazide (both belonging to same class). You need to stop duplications and also get a hba1c done (it shows 3 months average of blood sugar level).
Review with reports.
180 people found this helpful
Asked for male, 26 years old from Hyderabad
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MBBS, MD

Endocrinologist•Delhi
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Best medicine for a patient who is having multiple problems is selected by a doctor as par patients clinical profile.One medicine best for one patoent may not be so for another.
Asked for male, 78 years old from Mumbai
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I am diabetic type 2 male person aged 73 years. I am on oral medication. My everyday dose is as follows. Morning empty stomach 1 tablet Glyclazide 80mg plus i tablet 500 mg merformine. Evening before dinner 2 tablet 80 mg Glyclazide plus 1 tablet 500 mg Metformin. With this my sugar remains under control. Last testing done 2 months back indicate HbA1c as 7.1 and fasting sugar level 112 and post meals as 143. I have one more problem the waistline is constantly going up. It measures 40 inches on date. My height is 5feet 5.5 inches and weight 77 Kgs. I have no extra flesh except at belly. My BP level is also well under control. Earlier my HbA1c was 6.9. I donot know why the belly fat is going up with my best care. Some people tell me it is because of Metformin which I am taking. Please advise what care i should take to reduce the belly fat. Further what care I can take to reduce my HbA1c reading. My creatine level of kidney is also at 1.3 the last limit.

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Diploma in Diabetology, CCT (Rheumatolog...read more

General Physician•Noida
I am pretty sure the people who tell you that your belly fat is because of metformin are either not doctors or self declared degree less doctors. Metformin is the basic medicine which helps to decrease the belly fat and BMI of a diabetic its a wonderful drug and you are taking minimal amount only which is moderate dose. Gliclazide may increase your belly fat as it is insulin secreting drugs and insulin is a anabolic hormone and puts weight on you. i suggest change your medication. You can easily...more
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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Drugs like glimepiride, gliclazide, glinides etc are given before food about 30 to 40 minute earlier. Because they stimulate insulin secretion. So when food reached the gut, adequate insulin should be available.
Metformin is usually given after food as in some taking it before food may cause gastrointestinal symptoms. But in combination mostly it is given before food. Voglibose and acarbose are given with food as they inhibit enzymes which convert disaccharides to glucose and delay the absor...more
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