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Glimchek 2 MG Tablet Health Feed
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 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 male, 21 years old from Kottayam
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Asked for male, 49 years old from Pathanamthitta
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Asked for male, 47 years old from Kolkata
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user Kumar, Thanks for the query.
While prescribing jardiance I am sure doctor must have given you instructions about washing the penis and prepuce cleanly so as to remove any glucose deposition that might occur there. The reason being Jardiance increases glucose excretion through urine. This helps in better blood glucose control and even weight reduction. But if care is not taken, then there is a strong possibility of developing fungal infection of prepuce and tip of penis area....more
While prescribing jardiance I am sure doctor must have given you instructions about washing the penis and prepuce cleanly so as to remove any glucose deposition that might occur there. The reason being Jardiance increases glucose excretion through urine. This helps in better blood glucose control and even weight reduction. But if care is not taken, then there is a strong possibility of developing fungal infection of prepuce and tip of penis area....more
Asked for male, 44 years old from Uttarkashi
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Diabetologist•Chennai
Dear sir, rbs 400 is too high. We need your fbs, ppbs and hba1c. Very important thing is that we have to check your retinal changes as well as kidney functions too. You can come to private consultation online and we can start your treatment. Till then make a habit of walking daily for 60 mins, strict diet should be followed.
77 people found this helpful
Asked for male, 34 years old from Kollam
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Dear lybrate-user,
though your fasting sugar is reasonable pp sugar value and hba1c are high. Pay attention to diet exercise and weight recudion as set out below and you may find better diabetes control as your weight is now 102 kg you are nearly 30-35 kg overweight. If you are unable to lose weight on diet and exercise contact us on a video call and we may be able to help you
reduce the quantity of carbohydrate (rice, wheat, rava, maida) in each meal and increase the quantity of protein...more
though your fasting sugar is reasonable pp sugar value and hba1c are high. Pay attention to diet exercise and weight recudion as set out below and you may find better diabetes control as your weight is now 102 kg you are nearly 30-35 kg overweight. If you are unable to lose weight on diet and exercise contact us on a video call and we may be able to help you
reduce the quantity of carbohydrate (rice, wheat, rava, maida) in each meal and increase the quantity of protein...more
Asked for male, 59 years old from Kolkata
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Follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains.
U can take (moderate amount)
grapes.
Apples.
Berries.
Citrus fruits.
Papaya.
U should avoid
sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabet...more
U can take (moderate amount)
grapes.
Apples.
Berries.
Citrus fruits.
Papaya.
U should avoid
sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabet...more
93 people found this helpful
Asked for male, 42 years old from Ajmer
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr Vasudev, Thanks for the query.
You are multiple drugs for controlling blood glucose. The reason these drugs have been prescribed must be improperly controlled blood glucose. Plus you are also on a drug combination to reduce LDL & TGL. There is nothing like high or low dose. Drugs are given based on the need. Since there is no mention of either fasting, PP glucose HbA1c% or lipid profile, it is difficult to know how good the control is. Thanks.
You are multiple drugs for controlling blood glucose. The reason these drugs have been prescribed must be improperly controlled blood glucose. Plus you are also on a drug combination to reduce LDL & TGL. There is nothing like high or low dose. Drugs are given based on the need. Since there is no mention of either fasting, PP glucose HbA1c% or lipid profile, it is difficult to know how good the control is. Thanks.
123 people found this helpful
Asked for male, 40 years old from Midnapore
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, Thanks for the query.
It is very difficult to understand what you mean by"Glimepiride & Metformin are not working". As no details about blood glucose (fasting & PP levels) HbA1c% are given. So my suggestion is please come back with all the following details : Current fasting, Pp glucose levels, HbA1c%, weight, height, extent of daily exercise, diet pattern, lipid profile and BP readings. After going through those details I will be able to guide. Thanks.
It is very difficult to understand what you mean by"Glimepiride & Metformin are not working". As no details about blood glucose (fasting & PP levels) HbA1c% are given. So my suggestion is please come back with all the following details : Current fasting, Pp glucose levels, HbA1c%, weight, height, extent of daily exercise, diet pattern, lipid profile and BP readings. After going through those details I will be able to guide. Thanks.
21 people found this helpful
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