Dust allergy is partly genetic and partly environmental. Thus it never goes away. With better, less dusty environment the extent if the problem gets reduced. Medicines help to downregulate the immune response of your body to these environmental allergens.
Long term lifestyle changes with gradually tapering medication helps to tackle chronic sinus problems.
Start taking Steam inhalation twice a day.
*For chronic allergic rhinosinusitis you will need to take a long term course of antibiotics together with Nasal sprays.
*You will need to avoid dusty environment and dust mites, animal dander etc.
Regular cleaning of AC air filters. Wearing mask while driving 2 wheelers/working in dusty areas
Medical management is done for 3 months and then patients condition is reviewed.
Intermittent treatment is not beneficial in the long run.
Around 30 %of people with allergic rhinitis will develop Asthma if not treated. But majority of patients with asthma are allergic to dust. Active treatment of nasal allergy reduces Asthma attacks and medicine requirements. This improve quality of life.
There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile, feel free to consult me privately.
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Hello, Thanks for the query.
All the drugs presently used in treating diabetes are quite safe including pioglitazone.
In a well controlled person fasting glucose should be < 100 mg or closer to 100 mg, PP 150 to 170 mg & HbA1c% < 6.8%. So please see that these levels are achieved. Thanks.
MBBS Bachelor of Medicine and Bachelor of Surgery, nMRCGP, Post Graduate Diploma in Diabetology
Dear Lybrate user, I understand that you have been doing quite a bit of research on the medications, but I just want to make one correction. You are right about pioglitazone, but not the glimepiride whose main function is to stimulate insulin production from the pancreas and not to reduce insulin resistance. This is done by mostly metformin and pioglitazone. Hence you are taking combination of 2 tablets with similar function. If your sugars are controlled and you are not getting any side-effects to the medications, I don't see any reason you need to think of discontinuing the medication. Having said that pioglitazone can be associated with water retention in the body and weight gain, If you feel that you are putting on weight or having swollen legs, then you might need to consider stopping pioglitazone and think of the alternative.
MD - Internal Medicine, DNB medical gastroenterology
Internal Medicine Specialist, Chennai
Hi lybrate-user. Actually metformin is great drug, which actually decreases insulin resistance. May I know why it doesn't suit you? Hope you are following diabetic diet and exercise. Hba1c is not under control. I suggest you to do fbs and ppbs so that we can know which one to target. I often prefer linagliptin instead of teneligliptin as it doesn't have sideedfects .in my patients.
Any queries you can contact me.