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Gemer DS 3 Tablet ER Health Feed

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I am from Odisha. I have been suffering in diabetes since 7 month. At first my FBS was 240 and PPBS was 254. HbA1c was 9. Then I am continuing my medicine Zoryl M 0.5 (half dose per day)(composition- glimpride 0.5 mg and metformin hydrochloride IP extended release form -500 mg), Carbophage XR 500 (composition- metformin hydrochloride extended release IP 500 mg), crevast 10, Voltaneuron dn. Now my FBS is 136, PPBS is 196. HbA1c is 7. BP is normal, height is 177 cm, weight is 78 kg. I am a 25 years old male. I am staying in hostel and continuing my study at Navi Mumbai. So as I am in hostel, there are hostel can notene food, no facility of self cooking. So I need a perfect diet for lifestyle. Also want to do gym. Hence I need proper nutritions. Please help me sir. I need proper chart for my diet and gym workout also. Thanking you.

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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Mr. lybrate-user, Thanks for the query.
First and foremost is to achieve a strict blood glucose control with FBG <100 mg, PP 150 to 160 mg & HbA1c% <6.8. When that is achieved, with proper diet and exercise you can build a good physique, plus remain quite fit. That will help in postponing the long term complications of diabetes or prevent them.
As regards the diet chart or diet required has to be based on your weigh (ideal weight), present dietary habits and the need for either weight re...more
173 people found this helpful
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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 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
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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
38 people found this helpful
Asked for male, 67 years old from Amritsar
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M.D. Consultant Pathologist, CCEBDM Diab...read more

General Physician•Sri Ganganagar
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No two times metformin and glimipride and voglibose all three times. For details contact with me on line by paid audio consultation.
571 people found this helpful
Asked for female, 39 years old from Meerut
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BAMS

Ayurvedic Doctor•
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We must find cause of your high bsl even after using medicines kindly consult me so that I can suggest you ayurvedic remedies, diet etc.
708 people found this helpful
Asked for male, 31 years old from Pune
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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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
Asked for male, 51 years old from Navi Mumbai
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B.H.M.S., Senior Homeopath Consultant

Homeopath•Delhi
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You can take cholestrinum 3x / 4 tabs thrice a day for one month.
Keep regular walking with exercises at least half an hour in the morning and half an hour at evening.
Try to avoid spicy food, oily food, junk food in any form.
Revert back after one month with feedback.
385 people found this helpful
Asked for male, 59 years old from Bangalore
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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Mr, if you are ok with online consultation then I can guide. But you need to give all details like fasting, pp sugar levels, hba1c %, present treatment with dosage, dietary pattern and extent of daily exercise. Thanks.
96 people found this helpful
Asked for male, 59 years old from Barabanki
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MBBS, MD

Endocrinologist•Delhi
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It is better to control blood sugar with oral antidiabetics and insulin may used when oral medicines are not able to control your blood sugar.
78 people found this helpful
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