Istavel 100Mg Tablet Health Feed

Control your diet strictly.
Exercise regularly.
Reduce weight if overweight.
Follow instructions of your treating physician.

Mr. lybrate-user, thanks for the query.
The medications used to treat diabetes and neuropathy, (which you are taking) are quite safe. These need to be taken for a very long time like 25 to 30 plus years by most patients who are treatment. There hardly any reports of side effects or problems being created in kidney or other vital organs. In fact if diabetes or high blood glucose is not well controlled that can cause severe kidney damage not the drugs. Thanks.

It's not harmful if given as appropriate doses. It's approved upto 30 mg per day. You can take your medication without any fear.

Hello. Ask her to take breakfast on time to overcome acidity. And give her nat phos, nat sulph 6x tds for 8 days and report me.

Do
1.no alcohol
2. Reduce body wt
3. No smoking/ tobacco
4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. No sugar, potato, rice
5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily
7..6-8 hrs of sleep at night
8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d.
9. ...more

Thanks for the query.
You have provided incomplete information. Provide details like fbs, ppbs, hba1c etc.
Secondly there are many factors like site and method of insulin injection, his dietary habits.
Thirdly as per his age our goal should be to maintain fbs in the range of 100-130 and ppbs 180-190.
So we need to change /modify the regimen a bit.
For further information, advise and prescription you can book an online consultation with me on Lybrate with the details I have as...more

lybrate-user, You have a BMI of 33.06 kgs/M2, suggesting grade 1 obesity. This itself can be a main cause for increased lipids. High uric acid also needs to be corrected to help reduce ankle pain. Further, if hypothyroidism is not in control (TSH between 3 to 4 mU/L), then efforts to reduce weight do not succeed. Your HbA1c% shows a good blood glucose control. But if you reduce weight dyslipidemia and diabetes control will be much better and even joint pain will be reduced.
For reducing uric...more

Both have same actions and can achieve very good control
Start januvia has better results and less side effects

You have a significant diabetes and need to take these tablets and check again after one month and increase or decrease the dose .Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we ea...more

You are diabetic since 8 years and you are only on metformin total 1500 mg per day. It's time to increase medication. I advice you should do hba1c test to look for your last three months average. And increase 500 mg metformin post dinner and add 50 mg sitagliptin (januvia/zita) bbf so that will take care of post prandial high sugars.