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MBBS, PG Diploma In Emergency Trauma Car...read more
General Physician•Delhi
The treatment of diabetes is not that simple. There are many classes of diabetic drugs. It depends on extent of diabetes and complications to decide medicine for the diabetic person.
Dosages are also decided upon depending on your acute and chronic sugar levels, fasting sugar levels, post prandial sugar levels, urine sugar levels, urine microalbumin levels, urea and creatinine levels.
So, a complete diabetic profile needs to be done to reach for the best drugs and proper dosages.
Her...more
Dosages are also decided upon depending on your acute and chronic sugar levels, fasting sugar levels, post prandial sugar levels, urine sugar levels, urine microalbumin levels, urea and creatinine levels.
So, a complete diabetic profile needs to be done to reach for the best drugs and proper dosages.
Her...more
Asked for Male, 59 years old from Lucknow
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1.Do regular exercise
2.Reduce weight if overweight
3Control diet
4.Avoid sweets, sugar/honey, excess calorie and carbohydrate rich diet, avoid all refined food like maida, pasta, starchy food like rice, potato,.include more fiber like pulse,green leafy vegetable, legume. Avoid sweetened fruit like banana,mango,litchi,chickoo,sapota,seethaphaljack fruit,grape etc.avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi,moong and chana Dal. Avoid ghee/ butter...more
2.Reduce weight if overweight
3Control diet
4.Avoid sweets, sugar/honey, excess calorie and carbohydrate rich diet, avoid all refined food like maida, pasta, starchy food like rice, potato,.include more fiber like pulse,green leafy vegetable, legume. Avoid sweetened fruit like banana,mango,litchi,chickoo,sapota,seethaphaljack fruit,grape etc.avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi,moong and chana Dal. Avoid ghee/ butter...more
Asked for female, 21 years old from Hyderabad
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Asked for male, 58 years old from Delhi
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Hubli-Dharwad
Thanks for the query.
The fasting and PP blood glucose levels mentioned are very high, suggesting present treatment is inadequate. Ideally FBG should be < 100 mg, PP should be around 150 to 170 mg & HbA1c% < 6.8.
Considering this, there has to be a re-look at the current treatment. Plus we also have to give a close look at your diet, extent of exercise. Another important aspect is that with a BMI (Body Mass Index) of 32.95 kgs/M2 you are already in grade 1 obesity, (close to grade 2). Th...more
The fasting and PP blood glucose levels mentioned are very high, suggesting present treatment is inadequate. Ideally FBG should be < 100 mg, PP should be around 150 to 170 mg & HbA1c% < 6.8.
Considering this, there has to be a re-look at the current treatment. Plus we also have to give a close look at your diet, extent of exercise. Another important aspect is that with a BMI (Body Mass Index) of 32.95 kgs/M2 you are already in grade 1 obesity, (close to grade 2). Th...more
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Asked for male, 44 years old from Faridabad
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Dear lybrate-user. Thanks for the question. Metformin, marketed under the trade name Glucophage among others, is the first-line medication for the treatment of type 2 diabetes, particularly in people who are overweight. It is also used in the treatment of polycystic ovary syndrome. Talk to your gynecologist. Take care.
77 people found this helpful
Asked for Female, 27 years old from Visakhapatnam
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Hi lybrate-user
Just make sure that the diagnosis of PCOS is right. You need to have irregular periods with signs of excess androgens (like facial and body hair growth, hair loss over scalp, skin darkening at neck, excess pimples) and ultrasound showing ovaries with more than 12 follicles, and increased in volume. If the diagnosis is rightly made. Do give some time. Metformin will help. It's not that women with PCOS do not get pregnant. Do consult if you have any doubts.
Just make sure that the diagnosis of PCOS is right. You need to have irregular periods with signs of excess androgens (like facial and body hair growth, hair loss over scalp, skin darkening at neck, excess pimples) and ultrasound showing ovaries with more than 12 follicles, and increased in volume. If the diagnosis is rightly made. Do give some time. Metformin will help. It's not that women with PCOS do not get pregnant. Do consult if you have any doubts.
82 people found this helpful
Asked for Male, 20 years old from Mumbai
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Hubli-Dharwad
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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.
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