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Home > Nebistar-H Tablet > Health Feed

Nebistar-H Tablet Health Feed

Asked for Male, 64 years old from Pune

I am a male, 61 years of age, suffering from Type II diabetes and hypertension since the last 17 years. I have been advised to take Human Mixtard insulin in the morning (20 units) and evening (15 units), besides other oral medications - in the morning: 1 Tab. Jalra M 50mg/500mg. For diabetes; 1 Tab Winbp 40H and in the evening: 1 Tab. Glycomet - GP 3/850, 1 Tab. Nebistar 5 mg, 1 Tab Ecosporin AV 75. Since I am on insulin, as it is, what is the rationale/need to have Jalra and Glycomet - since the metformin intake orally, exceeds 1300 mg per day?

Dr. Rakesh Kakkar90%(3830 ratings)

Practical Course In Diabetology, Post Gr...read more

Endocrinologist•Jammu

Addition of metformin will restrict your insulin dose.You can stop glimipride in glycomet Gp 3/850 instead you can use glycomet 1000mg twice a day.You can stop jalra also because it is effective in early years of disease.

898 people found this helpful

Health Query

I am 55 yrs old suffering from sugar, bp, from last eight yrs & knee pain in right leg from last 2 yrs. Hba1c 7.7 % bp 130/80 mmhg pulse 8 bpm weight 112.9 kg height 6.3 feet medicines tab: janumet 50mg/1000mg 2 a day morning 1 night 1 amlozaar - h 1 morning supradyn 1 morning orceringm 2 a day mor 1 nyt 1 alpha d3 0.25mcg mor 1 please let me know any permanent solution if any regards,

Dr. Vitrag Shah88%(642 ratings)

Critical Care Training, MD - Internal Me...read more

General Physician•Delhi

Hello, you have to take medicines lifelong for this and keep bp and sugar both under control. If you will keep regular follow up and bp & sugar remains under control, you won't be having any problem. If you have any queries yet or uncontrolled sugar and wanna modify medicines, msg me with details and I will be glad to help.

5572 people found this helpful

Health Query

I am 46 years male a diabetic patient taking medicines from last 10 years with insulin at morning 44mg & evening 30mg but I tested yesterday to check the blood sugar level but report shows my sugar level almost doubled despite taking insulin & medicines. So kindly guide me how to control it. The medicines which I took daily includes zomelis Met 50mg/1000mg & panto tak DSR. The report attached herewith.

Dr. Lalit Kumar Tripathy91%(20685 ratings)

MBBS

General Physician•Cuttack

You have to adjust insulin doses after consulting diabetologist and switch over to other oral drugs since it is not working
1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc)
2. Reduce weight if overweight
3control diet
a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta
b) avoid all refined food like maida, pasta, starchy food like rice, potato, ...more

Asked for male, 56 years old from Kota

I was diagnosed with dm 2 about two years back. Iam on amaryl-m1 bd & has hba1c of 7. I started feeling extra sensation under the feet, heaviness in foot, leg, thighs from about a month or two, some pain in hip area and finally difficulty in lifting one leg about 2 weeks days back along with knee weakness in one leg although other leg has been affected to a lesser extent till date. I never experienced very sharp pain & 2 weeks back had mild pain in my buttocks for about a week. The loss of movement in the 2 directions direction in the leg & knee weakness was quite quick about 10-12 days back. Now I do not feel any pain but had some falls primarily on account of knee weakness or weakness in right leg. Mri scan, ct scan were ok but problem was reported in nerve conduction test in both legs but mainly in right leg. Was diagnosed with peripheral neuropathy or diabetic amyotrophy which correlates with my overall symptoms. Doctor put me on 8 day course of prednisone (40mg-10mg) with insulin. My sugar with amaryl m1 as on now is under control & I take light food with reasonable physical activity & sugar levels now seems to be ok 92 fasting /140 pp. Also started visiting a physiotherapist from today. As of know there is appears to be some improvements in my walking (can walk 15-20 min at a stretch inside home) though weakness in one leg & knee persist. I cannot drive due to difficulty in movement of my right leg when trying to move it sideways while sitting. It is also not possible to lift the right leg against gravity when laying down though backward lifting & movement on sideways when lying on one side are intact. Have been prescribed pregaba m 75 (hs, neurkind+. Have no pain of any type. My questions 1) has peripheral neuropathy reached a plateau ie. Stopped or not 2) is pregabalin needed in my case as I have no pain, i. E. Whether it play a role in nerve regeneration or is overall beneficial in such situation 3) can I expect improvement in my right leg in 1-2 months time with sugar control & exercises.

Dr. M. Sathyavenkatesan88%(321 ratings)

Diploma in Family Medicine, Fellowship i...read more

General Physician•

1. Peripheral neuropathy is a on going process even in normal individuvals as age advances due to deficiency of vitamins mainly b12
2. In your case pregabalin is needed for some time 3. Nerve regeneration is impossible for anyone 4. Definitely you can expect improvement in the right leg in 1-2 months with good control of sugar & exercises.

2250 people found this helpful

Asked for female, 29 years old from Jabalpur

My age is 57 years. My Dr. Suggest me for thyroid test n my thyroid report is t3 - 1.51 t4- 9.9 tsh-0.60.my Dr. Prescribe me tab- nm 5 mg. Please advice me according to this report is it necessary to take those tab.

Dr. Samit Kumar Sarkar

BHMS

Homeopathy Doctor•Hooghly

At first I told, you, tsh hormone is that hormone which stimulate thyroid to secretion of t3 & t4 hormones. Now t3 & t4 hormone are protein in which iodine is combined .in t3 iodine is 3 & in t4 iodine is 4, presence of t4 is more than t3, t4 converted in t3 later. But you have no problem of thyroidthyroid ,next the tab which is prescribe by your Dr. Nm-5 mgmg which is nitrozepam combination which is work as a sedative & anti anxiety, I don't know you suffering from this type of problem or not, ...more

68 people found this helpful

Health Query

My sister aging 63 is having bp and taking nodon nebivolol tab 5 mg. I just checked the bp, it's 195 / 95 now which is higher than what she was having for last few years. Please let me know if nodon 5 mg is enough?

Dr. Rajiv Bajaj95%(3025 ratings)

MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi

bp should be checked when patient is feeling normal, and she has rested for 10 mins. Recheck it again today and get medicine adjusted if it is still above 170.
If it is 160 measure weekly and wait. If it is below 160 continue with present medicines and measure every 2 weeks or monthly.

Asked for male, 22 years old from Rajkot

I'm 22 years old and a medical student with a little sedentary lifestyle and bmi of 27 and was diagnosed with essential hypertension a month ago, my readings were 160/98 mm hg with the heart rate of 145 at that time (i can assure I was quite anxious while measurement.) echocardiography revealed mild rvoto and trivial tr which the cardiologist told me of being congenital and not life-threatening. Ecg revealed sinus tachycardia. Other reports ct angiography, usg abdomen, chest x-ray and all blood reports namely were normal, except ldl was borderline. I was on medication for a month with nebykare am (nebivolol and amlodipine) and clavilip (clopidogrel and atorvastatin). I monitored the bp at home daily and it was near normal every time. On follow-up, I was told that essential hypertension meds are lifelong which I don't intend to follow, although I know that lifestyle modifications may help me discontinue the medication gradually. I have no issues continuing nebycare am, but clavilip is causing me worry because I don't wanna take clopidogrel and atorvastatin if risks of side effects outweigh benefits. Can I please know your opinion about it, sir? Ps: my total cholesterol: 190 mg/dl, hdl: 58 mg/dl, ldl: 139 mg/dl. And my hb: 16.8 g/dl, platelet count: 392000/dl.

Dr. Kiran Teja

M.D. Internal Medicine, M.B.B.S, DM - Ca...read more

Cardiologist•Hyderabad

There is no indication for clavilip in your case. Continue anti htn though. Ldl doesn't mandate use of statins.

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