Sitagliptin Health Feed

Hello, thanks for the query.
I have seen the details given and understand your concern. From the glucose levels mentioned it is clear that your present medication is not adequate. Plus there is a need to look at your diet, exercise being done daily, weight control, lipid profile as well as serum creatinine and urea. Unless all the aspects are looked at there is no way to give any fruitful advice. Another important aspect is with a bmi of 28.72 kgs /sq meter (normal < 23 kgs/sq meter) you are...more

Ovarian cyst more than 7 cm has to be evaluated by a gynaecologist. Kindly follow diabetic diet and exercise without diabetic diet and exercise its difficult to control blood sugars.

Hello, thanks for the query.
Tablet diamet contains only metformin where as istamrt is a combination of metformin plus sitagliptin.

Mr. lybrate-user, Thanks for the query.
The blood glucose levels mentioned are high, suggesting there is no control on glucose levels. Ideally fasting glucose should be < 100 mg, PP 150 to 160 mg & HbA1c% < 6.8 (not mentioned). This shows clearly that your present treatment is not adequate. There has to be an up-gradation of treatment, either by increasing the Insulin dosage or adding some other oral drug. Plus there has to be a closer look at your diet and extent of daily exercise. Unless y...more

T) amaryl M2. Twice a day
T) Istamet 50/1000. Twice a day
inj) Lantus. 10 unit morning, 10 units in evening. After testing FBS plbs and Hba1s we can change dose.

It's due to overweight, try to reduce your weight, start with proper diet and regular exercises to strengthen the muscles and to reduce weight.

Mr. lybrate-user, Thanks for the query.
There is no fixed schedule for taking anti-diabetes medications. Schedule can be altered based on the need of a specific patient. Most important is the blood glucose control achieved by the patient. Ideally with treatment fasting blood glucose should be < 100 mg, Pp 160 to 170 mg & HbA1c% < 7. If your father has been able to maintain his glucose levels in the above mentioned fashion, then treatment is working well. Along with the drugs, diet control an...more

Mr M D Agrawala, Thanks for the query.
With HbA1c% 10, it is clear that diabetes is not in control. That is the reason Insulin injections have been added in the treatment. There is no mention as to from when is on the insulin injections. Plus it is also necessary to know her serum creatinine & urea levels, to look at the possibility of reducing or discontinuing Insulin. Unless blood glucose level is strictly controlled, it is not possible to discontinue Insulin. Thanks.

A egfr below 60 for three months or more or a egfr above 60 with kidney damage (marked by high levels of albumin in your urine) indicates chronic kidney disease. Blood or protein in the urine can be an early sign of kidney disease.
For people without diabetes, the normal range for the hemoglobin a1c level is between 4% and 5.6%. Hemoglobin a1c levels between 5.7% and 6.4% mean you have a higher chance of getting diabetes. Levels of 6.5% or higher mean you have diabetes.

Along with medicines follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains.
U can take (moderate amount)
grapes.
Apples.
Berries.
Citrus fruits.
Papaya.
U should avoid
sugar-sweetened beverages. Sugary beverages are the worst drink choice fo...more