Get the App
For Doctors
Login/Sign-up
About
Health Feed
AllQ&AsTips
Glycomet Trio 1 Tablet SR Health Feed
Asked for male, 40 years old from Delhi
Share
Bookmark
Report
Asked for female, 36 years old from Bangalore
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Hubli-Dharwad
Thanks for the query.
When diabetes goes on for very long time (many years), most often the insulin producing beta cell activity goes down. So in many patients oral drugs may not be effective. Secondly if blood glucose remains high, that also causes damage to beta cells. Hence diabetes becomes totally uncontrolled. So in your case there has to be a re-look at the present treatment. Plus we will also have to look at diet and extent of daily exercise and weight reduction. So if you want me to ...more
When diabetes goes on for very long time (many years), most often the insulin producing beta cell activity goes down. So in many patients oral drugs may not be effective. Secondly if blood glucose remains high, that also causes damage to beta cells. Hence diabetes becomes totally uncontrolled. So in your case there has to be a re-look at the present treatment. Plus we will also have to look at diet and extent of daily exercise and weight reduction. So if you want me to ...more
Asked for female, 31 years old from Bangalore Rural
Share
Bookmark
Report
Dear lybrate-user, hi
Warm welcome to Lybrate.com
I have evaluated your query thoroughly.* There is no chance of gall stone appearance again after gall bladder removal surgery.* Constipation is related to colon motility and intestinal flora issue.* Guidelines for the same - Drink plenty of liquids.- Consume high fiber diet with more of green leafy veg, whole grains, cereals,pulses, legumes.- Bulk forming laxative as Ispaghula husk 3 teaspoonful at night with a glass of lukewarm drinking<...more
Warm welcome to Lybrate.com
I have evaluated your query thoroughly.* There is no chance of gall stone appearance again after gall bladder removal surgery.* Constipation is related to colon motility and intestinal flora issue.* Guidelines for the same - Drink plenty of liquids.- Consume high fiber diet with more of green leafy veg, whole grains, cereals,pulses, legumes.- Bulk forming laxative as Ispaghula husk 3 teaspoonful at night with a glass of lukewarm drinking<...more
391 people found this helpful
Health Query
Share
Bookmark
Report
MD, DND NUTRITION & DIETETICS, Ph.D medi...read more
Dietitian/Nutritionist•Bangalore
Asked for male, 57 years old from Bangalore
Share
Bookmark
Report
Asked for male, 57 years old from Delhi
Share
Bookmark
Report
Along with medicines 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 fo...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 fo...more
51 people found this helpful
Asked for male, 52 years old from Delhi
Share
Bookmark
Report
MBBS, CCEBDM, Diploma In Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, thanks for the query.
From the details given you are on tablet glycomet trio 2 and tablet remogliflozin 100 mg. Post dinner glucose goes up 190 - 200 mg is fine. That can be effectively controlled by reducing the intake of carbohydrates like chapati or rice and other crbs in the diet. There is no reason to add any further drugs. Invariably we tend to eat more than what we need. So slight reduction in carbs, substituted by green leafy vegetables and items like curds or fruits will help...more
From the details given you are on tablet glycomet trio 2 and tablet remogliflozin 100 mg. Post dinner glucose goes up 190 - 200 mg is fine. That can be effectively controlled by reducing the intake of carbohydrates like chapati or rice and other crbs in the diet. There is no reason to add any further drugs. Invariably we tend to eat more than what we need. So slight reduction in carbs, substituted by green leafy vegetables and items like curds or fruits will help...more
Health Query
Share
Bookmark
Report
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.
Asked for male, 55 years old from Varanasi
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
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
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, 42 years old from Medak
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Ask a free question
Get FREE multiple opinions from Doctors
posted anonymously