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TENEZA-M 1000 TABLET ER Health Feed
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, Vivek, Thanks for the query.
I have seen the details given. From that it is clear that she is on multiple medications. However, there is no mention of herHbA1c%, weight, extent of physical activity, particularly exercises like brisk walking or any other activity plus dietary pattern . It is very essential to concentrate on following aspects - 1) weight control (BMI <23 kgs/Sq meter), 2) Taking a healthy balanced diet like - increased intake of green leafy vegetables, salads and certai...more
I have seen the details given. From that it is clear that she is on multiple medications. However, there is no mention of herHbA1c%, weight, extent of physical activity, particularly exercises like brisk walking or any other activity plus dietary pattern . It is very essential to concentrate on following aspects - 1) weight control (BMI <23 kgs/Sq meter), 2) Taking a healthy balanced diet like - increased intake of green leafy vegetables, salads and certai...more
Asked for male, 30 years old from Karimnagar
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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 details given. Since there is no information on fasting, pp glucose, hba1c%, lipid profile, dietary pattern & extent of daily exercise, there is no way to give any suggestion. Secondly your bmi (body mass index) is 28.65 kgs/sq meter (normal < 23 kgs/sq meter) which means you have an excess of over 15 kgs. This is a major hindrance in better glucose control. Plus I do not understand the reason for changing the medication. Please come ba...more
I have seen the details given. Since there is no information on fasting, pp glucose, hba1c%, lipid profile, dietary pattern & extent of daily exercise, there is no way to give any suggestion. Secondly your bmi (body mass index) is 28.65 kgs/sq meter (normal < 23 kgs/sq meter) which means you have an excess of over 15 kgs. This is a major hindrance in better glucose control. Plus I do not understand the reason for changing the medication. Please come ba...more
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, Thanks for the query.
It is difficult give a clear answer whether a SGLT - 2 Inhibitor can be added to existing therapy withput knowing full details of the case. I need to know the following: Fasting, PP glucose levels, HbA1c%, weight, height, serum creatinine & urea levels, eGFR and whethe there is microalbuminura. If kidney function is compromised or eGFR is low, then certain drugs can not be sude including metformin and SGLT-2 Inhibitors. Thanks.
It is difficult give a clear answer whether a SGLT - 2 Inhibitor can be added to existing therapy withput knowing full details of the case. I need to know the following: Fasting, PP glucose levels, HbA1c%, weight, height, serum creatinine & urea levels, eGFR and whethe there is microalbuminura. If kidney function is compromised or eGFR is low, then certain drugs can not be sude including metformin and SGLT-2 Inhibitors. Thanks.
Asked for male, 33 years old from Durg
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MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CC...read more
Diabetologist•Hyderabad
Asked for male, 53 years old from Bangalore
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Dear, a proper measure for knowing and managing mothers diabetes will be to ensure a hba1c below 6.5%. She is on lot of medications already. Regarding diet, we indians have high carbohydrate diet. You have to closely observe your plate and you can come up with a better diet plan for her. To simplify it, identify the items which are carb rich in your plate and try to compensate the same with protein and fibres, for eg cut down a roti and increase sabji, dal or salad. To have a better control you ...more
Asked for male, 56 years old from Bangalore
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, Thanks for the query.
The dosage of various medicines for glucose control can be adjusted on the basis of patients needs, doctor's advise and also based on dietary intake. Usually Glimepiride is either given once a day or twice in some cases. Metformin can be given 3 times a day again depending upon the need. Voglibose is usually recommended with each meal, that is three times a day. As it is mainly for reducing post food glucose rise. Thanks.
The dosage of various medicines for glucose control can be adjusted on the basis of patients needs, doctor's advise and also based on dietary intake. Usually Glimepiride is either given once a day or twice in some cases. Metformin can be given 3 times a day again depending upon the need. Voglibose is usually recommended with each meal, that is three times a day. As it is mainly for reducing post food glucose rise. Thanks.
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Asked for male, 69 years old from Mumbai
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