Gp 4 MG Tablet Health Feed

Dr. lybrate-user for the query.
The blood glucose levels mentioned are fairly high, suggesting diabetes is uncontrolled. It is clear that present medication is not really helping, there is a need for up gradation of treatment. Ideally in a well controlled diabetesfasting should be < 100 mg, PP 160 to 180 mg in a slightly older person. HbA1c% < 7.
To help achieve better control we need to look at his dietary pattern, extent of daily physical activity (exercise) and the medication. I would...more

Hello, Thanks for the query.
I have seen the details mentioned. It is not possible to give any opinion on your specific question. To give a clear answer I need to know the following: 1)which is the earlier brand of glimiperide + metformin combination was being used? At that time what were fasting & pp levels as well as hba1c%? 2) since when generic drugs are bing used? How often blood glucose is being checked after changing the tablets (brands or generics)? 3) has there been any change in th...more

Follow diabetes diet. It 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.
Pineapple.
Papaya.
U should avoid
sugar-sweetened beverages. Sugary beverages are the worst drink choice for someon...more

You need to add aspirin and a statin for prevention of cardiac issues in future. Ping me in private for a detailed prescription. Your current prescription is incomplete.

The most important question here is whether your sugar is controlled or not. If your sugar crosses the level of 180 mg/dl then weight gain would not happen. Beyond 180 mg/dl - our kidneys start to excrete sugars in urine. So whatever you eat and digest - ultimately making glucose in the body will get eliminated in your urine. Hence to aim for weight gain - your sugar control below 180 mg/dl is paramount.

First follow strict diet including timely food intact with recommended quantity and quality. Along with present medications he may need to take some days insulin mixtard30/70 twice daily according to blood sugars, which is to be checked before breakfast and after breakfast and also before dinner and 2 hours after dinner, accordingly you can increase or decrease the dosage of insulin till to get near normal ranges. This way of follow up may improve, along with possible physical activity and medit...more

Hi
Do contrast bath that is immersion of foot in hot water for few minutes then in cold water, repeat the process for 4 to 5 times twice daily.
Avoid prolonged standing.
Use comfortable footwear.
Use silicon heel pads to minimize the strain on heels.
Visit physiotherapy center for Ultrasonic therapy.
Take care.

Lybrate-user, Thanks for the query.
Blood glucose level of 350 mg is too high, suggesting that present treatment is too inadequate, needs to be upgraded. So your local doctor can help in giving appropriate drugs for that. It is necessary to maintain fasting glucose < 100 mg, PP 150 to 170 mg & HbA1c% <6.8. With one can prevent or postpone the long term complications of diabetes affecting a variety of vital organ systems.
If online help is desired then please come back with following deta...more

Hello, thanks for the query.
I have seen the query and understand your concern. However, there is no mention of blood glucose levels (fasting & pp), hba1c%, your weight, height, dietary pattern and extent of daily exercise and lipid profile as well as bp readings. All these details are needed before any advise can be given. Action of glimiperide and metformin is different. The need for the patient depends on the severity of glucose levels. If you are looking for a less priced glimiperide the...more

You can stop panlipase if you donot have much signs of pancreatic exocrine insufficiency, which your physician might have already evaluated clinically.
You are on optimum treatment for RA .What was your pretreatment level of RA antbody titre.
Occasional newer generation painkillers can be taken for symptomatic relief, if indicated.