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Jalra 50/500 and zoryl, and basalog insulin are given for diabetes to my mom, why 3 different drugs?
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Hubli-Dharwad
Hello, Thanks for the query. In diabetes when required control is not achieved with single drug, multiple drugs are used. In T2 diabetes the beta cell mass is already down to 50 % by the time diagnosis is made. Then if severe hyperglycemia is present then there's further damage to remaining beta cells. In such situations Insulin injections are required along with oral anti- diabetic drugs. Thus the reason for using more drugs is to achieve better glucose control. Thanks.
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Asked for Female, 64 years old from Vasco
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
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Sitagliptin and metformin is a good combination which you are on. It does not cause hypoglycemia in monotherapy and helps to preserve beta cells. In diet avoid high carbs and high glycemic load food avoid mango chickoo grapes banana custord apple.
Avoid cashew kismis dates
avoid fruit juices.
Avoid extra salt and oil
regular daily 40 min walk.
Avoid cashew kismis dates
avoid fruit juices.
Avoid extra salt and oil
regular daily 40 min walk.
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, Thanks for the query.
I have seen the detail and following are my observations : Both fasting & PP glucose are very high. Which shows that present treatment is not adequate. Ideally in a well controlled diabetic person fasting glucose should be < 100 mg or closer to 100 mg, PP 150 to 170 mg & HbA1c% < 6.8%. There is no mention of HbA1c%, which gives a comparatively clearer picture of long term control.
Therefore, there is a need to upgrade the current treatment and also loo...more
I have seen the detail and following are my observations : Both fasting & PP glucose are very high. Which shows that present treatment is not adequate. Ideally in a well controlled diabetic person fasting glucose should be < 100 mg or closer to 100 mg, PP 150 to 170 mg & HbA1c% < 6.8%. There is no mention of HbA1c%, which gives a comparatively clearer picture of long term control.
Therefore, there is a need to upgrade the current treatment and also loo...more
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Asked for male, 36 years old from Kochi
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, thanks for the query.
I have seen the details given. However, there is only mention of medication being taken. That does not give any idea about how is the actual glucose control, because there is no information on fasting, pp glucose, hba1c%, dietary pattern, lipid profile, extent of daily exercise and bp readings. As regards changing a brand of metformin hardly matters. Unless above information is provided I am unable to comment or give any suggestions.
Another important aspect ...more
I have seen the details given. However, there is only mention of medication being taken. That does not give any idea about how is the actual glucose control, because there is no information on fasting, pp glucose, hba1c%, dietary pattern, lipid profile, extent of daily exercise and bp readings. As regards changing a brand of metformin hardly matters. Unless above information is provided I am unable to comment or give any suggestions.
Another important aspect ...more
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Asked for male, 60 years old from Chennai
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. Lybrate-user, thanks for the query.
Tablet obimet contains metformin. Whereas vildagliptin is a different compound. These drugs are usaully combined together. But whether to to one or both depends on the glucose levels, hba1c%, I can not answer without all the necessary details. Thanks.
Tablet obimet contains metformin. Whereas vildagliptin is a different compound. These drugs are usaully combined together. But whether to to one or both depends on the glucose levels, hba1c%, I can not answer without all the necessary details. Thanks.
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Asked for male, 63 years old from Bangalore
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Asked for male, 69 years old from Mumbai
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