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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Hubli-Dharwad
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.
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, Thanks for the query.
I have seen the query. The details given are too general. As I understand your mother of 67 years has diabetes for 13 years. She was well controlled , but now she is not having proper control due to ( according to you) a ban on certain combination.
First of all the three drug combination brands are still there. Secondly there is no mention about her earlier of current glucose levels (Fasting & PP) as well as HbA1c%. No mention about dietary pattern, weight, ...more
I have seen the query. The details given are too general. As I understand your mother of 67 years has diabetes for 13 years. She was well controlled , but now she is not having proper control due to ( according to you) a ban on certain combination.
First of all the three drug combination brands are still there. Secondly there is no mention about her earlier of current glucose levels (Fasting & PP) as well as HbA1c%. No mention about dietary pattern, weight, ...more
Asked for male, 56 years old from Jhunjhunu
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Asked for male, 66 years old from Mumbai
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Dear lybrate-user,
I find that your father is quite overweight his correct weight should be about 55-60 kg. I suggest that he go on a strict diet (low carbohydrate, normal protein and fat, walk about 5 km per day and gradually reduce weight to about 60 kg. Keep monitoring his sugars at home with a glucometer (fasting and 2 hours after each meal) once a week if the sugars get under control with this dietary modification he may not need additional medication
I find that your father is quite overweight his correct weight should be about 55-60 kg. I suggest that he go on a strict diet (low carbohydrate, normal protein and fat, walk about 5 km per day and gradually reduce weight to about 60 kg. Keep monitoring his sugars at home with a glucometer (fasting and 2 hours after each meal) once a week if the sugars get under control with this dietary modification he may not need additional medication
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