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Glykind 40Mg Tablet Health Feed

Asked for male, 36 years old from Jammu
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, thanks for the query.
I have seen the details mentioned. You are already on multiple drugs, if still blood glucose levels are not adequately controlled then there is a need to look at the over all treatment including drugs, diet and extent of exercise per day. Plus there may be a need for either upgrading or changing the therapy in terms of adding or changing some drug/s. To that following information is required: fasting, pp glucose, hba1c%, present dietary pattern, daily extent of e...more
Asked for male, 32 years old from Pune
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About my wife back pain started in her lumber and thoracic back portion in the month of feb. 2012. We started treatment under local doctor's advice and took pain killers and some muscle relaxant and pain healed. But, it got repeated every week and we did the same treatment for the span of month. After that we did total analysis and it was found that there is compression at d8-d-9 and infection from d8-d10 and l3-l4 of spine. Then we did biopsy (first biopsy) of developed lesions and all reports were normal. At this time othopedician doctor advise us that it can be non-detectable tb infection (as it is non-pulmonary) and we started akt-4 on the basis of symptoms even though mtb was negative up to 4th week of culture growth. She took akt-4 for 20 months (june 2012 to feb-2014). During last 6 months of this time of period she was absolutely fine and started normal movements which were restricted during initial part of treatment. Infection was healed partially, and lesions was also started to disappear. We monitored it by ct scan after every 3 months. But in dec 2014 when medicine supposed to stop completely, again sever back pain started and it was found that there is formation of pus and damage of tissues at d8-d10, l3-l4. During this time of period she suddenly lost her weight by 18 kg (within 15 days), so operated and currated all the pus and infected part from the infected location (second biopsy). That sample we again sent for all the lab tests and it is again negative for mtb. We cultured that sample further and it is fount that this is slow growing ntm (non tuberculin mycobacterium) infection. And rest of all test were normal. As it is very slow growing we cannot found out exact genome of that bacterium. So, at this time infectious disease specialist and spine specialist doctors took decision together and stop akt 4 and started her; 1. Amikacin sulphate 1g: daily im/iv 2. Clarrithromycin: 500mg twice a day 3. Doxycyclin and lactic acid bacillus: twice a day 4. Levofloxacin: 750mg once a day during this treatment only her bsl found high without any diabetic history; so she is also taking, 5. Reclide 80mg twice a day 6. Metformine 500 mg twice a day as amikacin daily 1 gm is very high dose we are monitoring her serum creatinine, lft, esr, crp level on weekly basis; and if serum creatinine level is above standard value doctor advising to stop amikacin for some time and once it comes to normal level again we are starting it. Rests of the medicines are same. Above mentioned medicine has been taken for 4.5 months and again we did contrast mri for analyzing effectiveness of therapy. But in this latest mri report it is found that there is new disease has been developed at d9-d10 vertebral bodies and intervention disc. So, we taken advice from Dr. Rajeev soman, hinduja, mumbai. He has diagnosed it as below; 1. Primary tuberculine infection 2. Secondary nosocomial infection 3. Non-tubeculine mycobacterium and prescribed following medicines for 6 months; 1. Inj. Tigecycline (tiganex) 50 mg, bd - 6 months 2. Tab. Clarrithromycine (synclar) 500 mg, bd - 6 months 3. Tab. Levofloxacine (levoflox) 750 mg, od - 6 months 4. Tab. Linezolid 600 mg, od - 6 months } now all medicines stopped due to severe side effect. Side effect recovery is going on. What should we do?

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MBBS, MS - Orthopaedics

Orthopedist•Delhi
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She is not one of the common cases koch's infection. She is already under care of a competent team. Kindly follow their advice & keep me informed of the progress.
Asked for male, 74 years old from Mumbai
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BHMS

Homeopathy Doctor•Hyderabad
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You should not think in that way. You can always eat things in moderation and adapt a very holistic approach towards maintaining good health. Read more about healthy lifestyle changes from the internet so that you can follow a very healthy diet plan. You can exercise every day and eat healthy food (homemade food / organic foods - and take care of the nutritional needs and also keep a check on overall calories ). Go for regular health check up and do the tests as suggested by your doctor. You can...more
Asked for male, 30 years old from Karimnagar
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, thanks for the query.
I have seen the details given. Since there is no information on fasting, pp glucose, hba1c%, lipid profile, dietary pattern & extent of daily exercise, there is no way to give any suggestion. Secondly your bmi (body mass index) is 28.65 kgs/sq meter (normal < 23 kgs/sq meter) which means you have an excess of over 15 kgs. This is a major hindrance in better glucose control. Plus I do not understand the reason for changing the medication. Please come ba...more
56 people found this helpful
Asked for male, 56 years old from Malda
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MBBS , MD - Biochemistry

General Physician•Lucknow
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If you are not having any side effects like hypoglycemia, you should continue with the same treatment. Because if you reduce the dose, the chances are that blood sugar will creep up again. Also your triglyceride is high so, you should make life style modifications (low calorie diet & exercise) to bring it down.
Asked for male, 73 years old from Mumbai
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PGP In Diabetologist, Fellowship in Non-...read more

Endocrinologist•Delhi
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Taking medicines is not enough. Is your diabetes (blood sugar) in control? what is your hba1c level? localized itching is often caused by uncontrolled diabetes. It can be caused by a yeast (fungal) infection, dry skin, or poor circulation. When poor circulation is the cause of itching, the itchiest areas may be the lower parts of the legs.
You may be able to treat itching yourself. First, control your blood sugar levels. Second, limit your showers or baths to no more than 10 minutes, pat dry...more
Asked for male, 59 years old from Hyderabad
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MD - General Medicine, DM - Endocrinolog...read more

Endocrinologist•Delhi
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You can take that but monitor your fasting and post prandial blood glucose levels with HBA1C. Don't good for random blood sugar.
27 people found this helpful
Asked for male, 42 years old from Delhi
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, thanks for the query.
From the glucose level and hba1c5 given, it is clear that there is good control of her diabetes. Same should be continued. That will help in preventing majority of long term complications associated with diabetes. Thanks.
63 people found this helpful
Asked for male, 33 years old from Guwahati
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, You are having a seriously uncontrolled diabetes, which can lead to very bad consequences related to multiple vital organs and systems. There is need for urgent upgradation of present treatment. Ideally fasting glucose should be closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8. Plus your BP is also high. If are really willing to get properly treated please come in a private conversation, where I will be able to help. This is urgent looking at your glucose levels. Thanks.
Asked for male, 56 years old from Malda
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, thanks for the query. The. Glucose levels & hba1c% show you have excellent control. I could not get any clear information what medications you are taking. Glycinorm is metformin but no strength is mentioned. The tablet name or ingredient is not clear. So please come back with specific details plus your height & weight as well as day physical activity. Then I will be able to guide. Thanks.
121 people found this helpful
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