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Tenumet 500mg/20mg 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, 28 years old from Bhilai
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General Physician•Anantapur
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Dear lybrate-user ten 20 m 500 contains two medicines i.e teneligliptin 20 mg and metformin 500 mg, where as glycomet 500 sr contains only metformin 500 mg. This ten 20 m 500 is superior in action.
13 people found this helpful
Asked for male, 48 years old from Dimapur
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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 seen the details mentioned. As regards your blood glucose control, it is excellent. In such a situation I do not see the need for any additional medication like pioglitazone half tablet twice a day. As regards bp and changing to benidipine it may be in your doctors judgment that drug could be more suitable to you. I really have no say on that. However, I do not see any reason for adding pioglitazone with metformin when you have such a good control. Thanks.
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Diploma in Diabetology, CCT (Rheumatolog...read more

General Physician•Noida
You are already on heavy medications, i suggest u shift to zitamet50/1000 morning and evening after meals continue volix .3 tds amaryl 1 mg in morning and 2 mg in evening. If yet your HbA1c is more than 7 shift to insulin once a day basal dose.
1444 people found this helpful
Asked for female, 57 years old from Dehradun
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Absolutely no. Both are completely different medicines. Tenepride has one molecule where as in tripride its combination of 3 molecule.
178 people found this helpful
Last Updated: 5 years ago• Featured Tip
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Post Graduate Diploma in Clinical Endocr...read more

Internal Medicine Specialist•Kolkata
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Diabetes is a state of persistent high blood sugar either due to lack of the hormone called insulin or resistance to the action of insulin even if it is somewhat adequate. Few basic points for the readers before we delve into how the medicines act in controlling blood sugar.

1. Type 1 Diabetes occurs in children or adults aged less than 30 years. It is due to the complete destruction of the insulin-producing cells of the pancreas. (these patients will need external insulin for survival ...more
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