Get the App
For Doctors
Login/Sign-up
About
Health Feed
AllQ&AsTips
Motivyst 300Mg Tablet Health Feed
Asked for female, 52 years old from Hyderabad
Share
Bookmark
Report
M.Sc - Dietitics / Nutrition, Diploma in...read more
Dietitian/Nutritionist•Bangalore
Asked for male, 55 years old from Kolkata
Share
Bookmark
Report
Asked for Male, 31 years old from Noida
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Lybrate-user, Thanks for the query.
I have gone through the details given. With HbA1c% of 7.7, your diabetes is not very well controlled. Ideally considering your age, HbA1c% should be < 6.8. Plus looking at your height & weight, the BMI is 27.156 kgs/M2 (normal <23 kgs), which shows that you are overweight. This also contributes in not achieving desired control of blood glucose. Your ideal weight should be 77 kgs.
As regards higher level of SGPT, again due to being over weight leading t...more
I have gone through the details given. With HbA1c% of 7.7, your diabetes is not very well controlled. Ideally considering your age, HbA1c% should be < 6.8. Plus looking at your height & weight, the BMI is 27.156 kgs/M2 (normal <23 kgs), which shows that you are overweight. This also contributes in not achieving desired control of blood glucose. Your ideal weight should be 77 kgs.
As regards higher level of SGPT, again due to being over weight leading t...more
Asked for male, 62 years old from Mumbai
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
The drug canagliflozin (invokana) acts on sgl2 receptors in the kidney and prevents reabsorption of glucose from kidney and reduces blood sugar. In this action there is no additional effect on other substances that are excreted by kidney. There is no excess loss of any otherelctrolyr by the action of canagliflozin.
Health Query
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, Thanks for the query.
HbA1c% 8.3, is suggestive of improperly controlled diabetes. SInce you are already on Glycomet GP and Invokana (Canagliflozin 100 mg), one needs to give a closer look at your diet and exercisem plus height and weight. There is no info on height. My suggestion is to take relook at diet and exercise and plan weight reduction. Thanks.
HbA1c% 8.3, is suggestive of improperly controlled diabetes. SInce you are already on Glycomet GP and Invokana (Canagliflozin 100 mg), one needs to give a closer look at your diet and exercisem plus height and weight. There is no info on height. My suggestion is to take relook at diet and exercise and plan weight reduction. Thanks.
Asked for male, 59 years old from Mumbai
Share
Bookmark
Report
Dapagliflozin increases and empagliflozin reduces adverse renal events in type 2 diabetes. Compared to placebo, dapagliflozin was found to increase the risk for adverse renal events, while empagliflozin reduced renal events compared with placebo, canagliflozin, and dapagliflozin.
4 people found this helpful
Health Query
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, thanks for the query.
The forxiga (dapagliflozin) belongs to a comparatively newer class of drugs called sglt - 2 inhibitors. There are other similar molecules like campagliflozin, canagliflozin. I am not sure if any othese drugs are being considered by the insurance companies. You may check the same. If none of those molecules are covered then doctor may look at dpp - iv inhibitors like saxagliptin, vildagliptin, linagliptin and tenelegliptin as alternative. Thanks.
The forxiga (dapagliflozin) belongs to a comparatively newer class of drugs called sglt - 2 inhibitors. There are other similar molecules like campagliflozin, canagliflozin. I am not sure if any othese drugs are being considered by the insurance companies. You may check the same. If none of those molecules are covered then doctor may look at dpp - iv inhibitors like saxagliptin, vildagliptin, linagliptin and tenelegliptin as alternative. Thanks.
Asked for male, 42 years old from Kolkata
Share
Bookmark
Report
General Physician•Bangalore
1. Martifur Mr. 100 (nitrofurantoin) is a good antibiotic and no need to use levofloxacin. 2. Drink plenty of fluids and re evaluates blood sugars and glycemic control. 3. If he is on sglt2 inhibitor drugs (canagliflozin, dapagliflozin, and empagliflozin) for diabetes, it can cause recurrent uti. 4. If he has recurrent uti, get urine culture and sensitivity for definitive treatment.
19 people found this helpful
Asked for male, 34 years old from Thane
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, thanks for the query. I have seen the details mentioned. With h/o acute pancreatis there is no insulin secretion. Hence no oral medication can work. Because the oral drugs act either by stimulating beta cell to secrete insulin (by different methods) or by reducing insulin resistance. But because there is no insulin secretion at all so those drugs can not act. Hence, insulin injections is the only option. That to multiple doses may be required (long acting & rapid acting). The drugs like s...more
Asked for male, 37 years old from Kochi
Share
Bookmark
Report
MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, thanks for the query.
I have gone through the details given. However, I did not see any mention of important info like fasting & pp glucose and current hba1c%, dietary details, extent of daily physical exercise and bp as well as lipid profile.
Another aspect is that drugs like udupa (dapagliflozin), invokana (canagliflozin) tablet motyvyst 300 (canagliflozin 300 mg) & jardiance (empagliflozin) all these are similar drugs, known as sglt - 2 inhibitors, which act by excreting extra ...more
I have gone through the details given. However, I did not see any mention of important info like fasting & pp glucose and current hba1c%, dietary details, extent of daily physical exercise and bp as well as lipid profile.
Another aspect is that drugs like udupa (dapagliflozin), invokana (canagliflozin) tablet motyvyst 300 (canagliflozin 300 mg) & jardiance (empagliflozin) all these are similar drugs, known as sglt - 2 inhibitors, which act by excreting extra ...more
105 people found this helpful
Ask a free question
Get FREE multiple opinions from Doctors
posted anonymously