Get the App
For Doctors
Login/Sign-up
About
Health Feed
AllQ&AsTips
Hilpio 15 MG Tablet Health Feed
Health Query
Share
Bookmark
Report
Health Query
Share
Bookmark
Report
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.
Health Query
Share
Bookmark
Report
Health Query
Share
Bookmark
Report
Health Query
Share
Bookmark
Report
You are suffering this because diabetes has taken a toll on your immunity. You need to strengthen your immunity and have better control over blood sugar. Ayurvedic tablets can do that without any side effects. Kindly let me know your age, height and weight so as to arrive at perfect prescription. Regards Dr. Omkar shahapurkar
Asked for male, 62 years old from Ghaziabad
Share
Bookmark
Report
Health Query
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, thanks for the query.
I have seen the details mentioned. Your hba1c% is high, which means present treatment is not helping enough. Ideally in a well controlled diabetes patient's fbg should be < 100 mg or closer to 100 mg, pp 150 to 160 mg & hba1c% < 6.5%.
So there is a need to look at overall treatment that includes your dietary pattern, extent of daily exercise, present medication and need to upgrade, lipid profile, serum creatinine and urea (since age is not mentioned)
plus...more
I have seen the details mentioned. Your hba1c% is high, which means present treatment is not helping enough. Ideally in a well controlled diabetes patient's fbg should be < 100 mg or closer to 100 mg, pp 150 to 160 mg & hba1c% < 6.5%.
So there is a need to look at overall treatment that includes your dietary pattern, extent of daily exercise, present medication and need to upgrade, lipid profile, serum creatinine and urea (since age is not mentioned)
plus...more
129 people found this helpful
Health Query
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
M lybrate-user, thanks for the additional query.
However, you seem to have not read the details that I had asked. With pp up to 190 mg, will normally not lead to such high hba1c% as it is the average level of fbg & pp over 24 hours. Plus there is no mention of dietary pattern, extent of exercise and lipid profile and age. It is essential to know all thedetails to gve any speidic advise. Howevr, if you have decided to take certain drugs on your own, you can go ahead. In this (open questions) ...more
However, you seem to have not read the details that I had asked. With pp up to 190 mg, will normally not lead to such high hba1c% as it is the average level of fbg & pp over 24 hours. Plus there is no mention of dietary pattern, extent of exercise and lipid profile and age. It is essential to know all thedetails to gve any speidic advise. Howevr, if you have decided to take certain drugs on your own, you can go ahead. In this (open questions) ...more
207 people found this helpful
Health Query
Share
Bookmark
Report
Health Query
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, Thanks for the query
You have mentioned the drugs and dosage being taken, but there us no mention of blood glucose levels and HbA1c%, so I am unable to know whether glucose is well controlled or not.
Another aspect you are taking 30 mg of Pioglitazone, which is the maximum dose recommended. It is better if that is reduced to 15 mg a day. Please let me know the glucose levels and HbA1c% Then only I can comment. Plus I need to know the diet pattern and extent of exercise,...more
You have mentioned the drugs and dosage being taken, but there us no mention of blood glucose levels and HbA1c%, so I am unable to know whether glucose is well controlled or not.
Another aspect you are taking 30 mg of Pioglitazone, which is the maximum dose recommended. It is better if that is reduced to 15 mg a day. Please let me know the glucose levels and HbA1c% Then only I can comment. Plus I need to know the diet pattern and extent of exercise,...more
Ask a free question
Get FREE multiple opinions from Doctors
posted anonymously