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Asked for female, 32 years old from Delhi
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Diabetologist•Nagpur
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Asked for female, 44 years old from Bangalore
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Asked for Female, 30 years old from Bhagalpur
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Asked for female, 48 years old from Kozhikode
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Lybrate-user, Thanks for the query.
With metformin there may be some side effects like the ones described. However, if taken after food, the drug is better tolerated. Since there is no mention of glucose levels & HbA1c%, there is no idea how good the glucose control is.
Switching over to alternat therapies is your choice. There are no drugs that can reduce blood glucose or make pancreas secrete insulin in those therapies, even though a lot of false claims are made. Thanks.
With metformin there may be some side effects like the ones described. However, if taken after food, the drug is better tolerated. Since there is no mention of glucose levels & HbA1c%, there is no idea how good the glucose control is.
Switching over to alternat therapies is your choice. There are no drugs that can reduce blood glucose or make pancreas secrete insulin in those therapies, even though a lot of false claims are made. Thanks.
Asked for male, 45 years old from Trivandrum
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MBBS, PhD - Endocrinology, Fellowship in...read more
Endocrinologist•Srinagar
Diabetes is a progressive disease. The oral drugs work as long as the body is producing itâs own adequate insulin. The drugs which he is currently taking stimulates insulin making cells to produce more insulin thus controlling sugars, but with time the insulin making cells donât make enough insulin to control the metabolic needs thus the sugar levels goes up. So at this point one would ideally need insulin.
You have not mentioned his current hba1c and kft. If he is reluctant for insulin....more
You have not mentioned his current hba1c and kft. If he is reluctant for insulin....more
Asked for male, 45 years old from Trivandrum
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Dear Mr. lybrate-user, I note that your blood sugar after breakfast is quite high. You have not mentioned your height or weight. If you are overweight (weight in kg more than height in cm minus 100) then you will have tobe very strict with diet, avoid carbohydrates as much as possibel and take more proteins and vegetables. If you also walk for 1 hour per day you can reuce about 1 mg weight per month. If youbring your weight down ot ideal body weight then your sugars may remain under control with...more
Asked for male, 36 years old from Kochi
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, thanks for the query.
I have seen the query. However, there is no mention of how the glucose levels are controlled. It is essential to know fasting & pp levels as well as hba1c% before any comment can be made or any suggestion is given. As regards dapagliflozin and vildagliptin+ metformin combination usage, both these (dapagliflozin & vildagliptin) are totally different drugs. One can not be substituted for the other. Mode actions are totally different. Thanks.
I have seen the query. However, there is no mention of how the glucose levels are controlled. It is essential to know fasting & pp levels as well as hba1c% before any comment can be made or any suggestion is given. As regards dapagliflozin and vildagliptin+ metformin combination usage, both these (dapagliflozin & vildagliptin) are totally different drugs. One can not be substituted for the other. Mode actions are totally different. Thanks.
Asked for female, 21 years old from Hyderabad
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