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Teniva-M Tablet Health Feed

Asked for male, 25 years old from Malappuram
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Age 25, male (History: h/o stroke 10 yr old, recovered 70% but on bp medication for last 10 years, diagnosed as type 2 DM @ 19 age since that taking insulin and oral diabetes medicines) From last three months he has uncontrollable blood sugar despite maintaining all diabetes workout. ( diet, exercise, sleeping, medication etc) 1. Insugen 50/50  40 unit morning + 40 unit noons 2. Metformin 1000+ teneligliptin 20 (noon) 3.NPH 26 unit before sleep (10 pm) (added just 2 weeks before) Hba1c is 9.6 , after starting bed time NPH, FBS is now getting 140 to 160 ranges but high ppbs (280-320) range despite eating less and highly fluctuations in RBS (RBS always high)    Life style: same food timetable (low calorie) /fixed moderate exercise schedule/no alcohol/no smoking/etc. What should do now? His oral medications seem not working is there any chance that he has type 1 diabetes instead of 2. If that's so how confirm that.(He is obese, so the first doctor immediately diagnosed as type 2) I searched net and found that c-peptide test will do that, so to get correct insulin production should the external insulin need to stop one day before that test. Or is there any test to check the cause of hyperglycemia. Please ask if need any further information.

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
I have gone through the details given. It is clear that at present the diabetes is totally uncontrolled. Because he is obese ((BMI 32.57 kgs/Sq meter), doctor must have concluded he has T2 DM. But it is better if you get C-peptide test plus GAD antibodies, to confirm whether there T1 DM. I have a few questions: 1) What is his routine diet? In detail like from early mornong till he goes to sleep.
2) What is the amount of daily exercise being done both interms ...more
Asked for female, 23 years old from Lucknow
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My mother 51 years old has been diagnosed with type 2 dm. Her hba1c is 9.7 % fasting glucose was 134 and post prandial was 294. Past few days she has been complaining of online work stress. She used to say 'ghabrahat hoti hai' so we got her tested. She has no other symptoms. She has been prescribed teneligliptin+ metformin and lovastatin for 20 days and after that follow up. Can you suggest me what can she eat? Like in pulses, eggs, fruits etc. Her height is 160 cm weight is 70 kgs cholesterol hdl 44 mg per dl, ldl 122 mg per dl, vldl 20 mg per dl, ast 36 u/l alt 57 u/l alp 146 u/l hb 14 g/dl presence of xanthelasma. H/o hysterectomy with unilateral oophorectomy 5 years back with no post op complication. She used to take heavy meal as in fats and carbohydrate but since she has been diagnosed, she is on strict diet and its been 1 week now. Today was her 1st day of oral hypoglycemic drugs and a statin as i've mentioned to you above. She is quite determined and has been going on morning and evening walk 1 hour each.

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BHMS

Homeopathy Doctor•Noida
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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 for someone with diabet...more
154 people found this helpful
Asked for male, 62 years old from Valsad
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MD - Obstetrtics & Gynaecology

Gynaecologist•Mumbai
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To get pregnant you need to have fallopian tubes patent which is checked by hsg test and semen should be adequate quality which is checked by semen analysis. These both tests are done before the treatment of any infertile couple. Once the above tests are normal, then treatment with clomiphene citrate is started with monitoring of egg. You need to consult a good gynecologist who would start proper treatment for u.
Asked for male, 55 years old from Aurangabad
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Asked for male, 61 years old from Bangalore
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Critical Care Training, MD - Internal Me...read more

General Physician•Delhi
If your thyroid and sugar both under control, then don't think too much. Thyroxine is to be taken on empty stomach and metformin to be taken with food and both doesn' t have any interaction with each other.
Asked for male, 56 years old from Ludhiana
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Certified Diabetes Educator, Registered ...read more

Dietitian/Nutritionist•Mumbai
I am a registered dietitian, certified diabetes educator and a doctor who will help you in your diabetes problem. You need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed:
take high fiber prescribed diet.
Maintain a healthy body weight
eat a balanced diet as prescribed by a registered dietitian, I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also p...more
Asked for male, 25 years old from Ludhiana
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MBBS, MS - Obstetrics and Gynaecology, D...read more

Gynaecologist•Bangalore
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Dear Mr. lybrate-user,
Metformin is an insulin sensitizer and is usually prescribed in women with Polycyctic ovaries. It helps in improving hormonal profile, cycle regularity and increases the chances of pregnancy. It can be safely continued even in pregnancy. Most common Side effects are Abdominal or stomach discomfort
decreased appetite, diarrhea, fever or chills, general feeling of discomfort, muscle pain or cramping
lethargy etc, Side effects can be minimized by taking the medica...more
Asked for male, 69 years old from Chandigarh
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These are latest formulations where medicines are sprayed onto a matrix; after the medicines get absorbed, the matrix comes out with stool. This is normal.
314 people found this helpful
Asked for female, 75 years old from Chennai
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MRCP (UK), MRCGP int, MRCP (UK) Endocrin...read more

Endocrinologist•Thrissur
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You can try other medications like glimepride, glitazones or gliptins.. But consult your doctor before switching.
224 people found this helpful
Asked for male, 58 years old from Mumbai
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
Your fasting glucose is a bit high. Ideally FBG should be < 100 mg & PP 160 to 170 mg. It is important to look at your overall lifestyle along with the drug treatment. As regards taking the talet that yiu have mentioned, it is claimed to be beneficial in diabtes, about which I have no idea. You can try it along with metformin. Thanks.
218 people found this helpful
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