Glitaris M Forte 7.5Mg Tablet Health Feed

Hello, thanks for the query.
I have seen the details mentioned. Your hba1c% is high, which means present treatment is not helping enough. Ideally in a well controlled diabetes patient's fbg should be < 100 mg or closer to 100 mg, pp 150 to 160 mg & hba1c% < 6.5%.
So there is a need to look at overall treatment that includes your dietary pattern, extent of daily exercise, present medication and need to upgrade, lipid profile, serum creatinine and urea (since age is not mentioned)
plus...more

M lybrate-user, thanks for the additional query.
However, you seem to have not read the details that I had asked. With pp up to 190 mg, will normally not lead to such high hba1c% as it is the average level of fbg & pp over 24 hours. Plus there is no mention of dietary pattern, extent of exercise and lipid profile and age. It is essential to know all thedetails to gve any speidic advise. Howevr, if you have decided to take certain drugs on your own, you can go ahead. In this (open questions) ...more

Mr. lybrate-user, Thanks for the query
You have mentioned the drugs and dosage being taken, but there us no mention of blood glucose levels and HbA1c%, so I am unable to know whether glucose is well controlled or not.
Another aspect you are taking 30 mg of Pioglitazone, which is the maximum dose recommended. It is better if that is reduced to 15 mg a day. Please let me know the glucose levels and HbA1c% Then only I can comment. Plus I need to know the diet pattern and extent of exercise,...more

Gave Tablet TRIGLIMIPREX-1 DOSE HALF TABLET MORNING AND HALF TABLET EVENING AFTER TAKE FOOD THEN TAB HEALTH OK ONE TABLET ONCE A DAY after food , then capsule PREGABANYL- NT ONE CAPSULE IN NIGHT AT BED TIME. AND NO ANY TYPED OF FOOD RESTRICTIONS ALLOW ALL TYPED OF FOOD INCLUDE SWEET,RICE, POTATOES ETC.

Metformin acts peripherally at the tissue level and Pioglitazone is one of the alternative but depends on patient to patient

Mr metformin can be taken up to 2500 mg per day. But 100 mg is also a high dose only. If it is not causing any gastro intestinal side effects then no problem. It is really good that you have started on insulin because looking at amount of drugs that you are taking, it is necessary for you to shift to insulin. By doing self monitoring of blood sugar daily you can increase the insulin dosage every alternate day till you reach target fasting level. It is good to reduce or take away pioglitazone.

Mr. lybrate-user, Thanks for the query.
The glucose levels mentioned are definitely high. It appears that present (new) treatment is not suiting you. Since no details are mentioned in terms of drugs and dosage, it is difficult to comment. If the previous treatment was giving good results with better glucose control, what was the reason for changing? You should tell the doctor that you were better of with earlier treatment and hence, he should revert you to that. Find out what he says. Or els...more

Not to reduce dose
continue same but take glimipiride metformin sr 1 20 min before breakfast instead lunch
and the other 20 min before dinner.

It seems that the diet also is not being followed. Please follow strict diet and exercise. Continue current medicines and add tab olymprix 20 mg one after breakfast and tab pioz 15 mg one after dinner. Check blood sugars after 10 days and consult your doctor.

First we should measure his lipid profile and hba1c levels in blood and than we can change the drugs