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Tresiba Flextouch Health Feed

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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 given. Following are my observations: 1) her hba1c% is too high, similarly fasting and pp glucose levels are also very high. This suggests her present treatment is not working well. There is an urgent need for up grade.
2) with a bmi of 31.45 kgs/sq meter, she is already in grade 1 obesity, carrying an excess of over 20 kgs. This itself is a hindrance in achieving better glucose control.
3) I need to know her dietary pattern, exten...more
Asked for Male, 33 years old from Kolkata
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Hello doctor, this is about my 62 year old mother. She is a known patient of type 2 diabetes mellitus from past 24 years and simultaneously she is hypertensive and went through angioplasty (standing) just six month before. Her uterus and gall bladder is in post operative status. She is also suffering from acute gastritis with recurrent bile vomits. She is on insulin Tresiba, and huminsulin R. Drugs-coversyl 4 mg, stamlo 10, atorvastatin 10 mg, clopivas Ap 75, surprise plus 5. Now the problem from last 2 months she is experiencing tremendous cramps and spasm in her stomach all day long and getting bit Rlfd by evening. When endoscopy was done no such findings had been found rather doctors told due to high diabetic the blood flow in intestine had decreased and as a result of that she is facing cramps on eating. Doctor suggested mebeverine 200 mg twice daily before food. But as of now there is no satisfying result. Sir, please suggest any other remedy if possible. She is suffering a lot.

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

Endocrinologist•Dharwad
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Mr. lybrate-user, Thanks for the query.
I have gone through the details given. As I can see she is on multiple medications. Some times drugs like statins can cause muscle cramps. Plus if she is on any othe acidity reducing drugs, then those may reduce B12 absorption. This can also contribute to cramps.
Your over all information is very general, there is no mention of actual blood glucose values (fasting, PP)& HbA1c%, so there is no way to know about blood glucose control.
Primary nee...more
Asked for male, 30 years old from Pune
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MD - Diabetology, Membership of the Roya...read more

Endocrinologist•Kochi
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If you are now 28 years old & have been using insulin for 15 years, you started insulin at 13 years of age. Right? if so, do you have type 1 diabetes? if yes, insulin is the only option for you. Unfortunately, there are no tablets to treat type 1 diabetes. You have to continue insulin, life long.
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MBBS

General Physician•Jalgaon
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As per your age 17 yrs
It seems to be type 1 diabetes
It is very difficult or say just impossible to leave insulin, pl don't try it.
83 people found this helpful
Asked for female, 45 years old from Bangalore
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MBBS, Diploma in Diabetology

Endocrinologist•Mumbai
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Yes you can continue insulin if your sugars are well controlled. If not then you might need to alter insulin dosage.
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MSc

Dietitian/Nutritionist•Hyderabad
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1. Make wise food choices. 2. Limit sweets. 3. Eat less fat. 4. Eat plenty of whole grain foods, fruits, and vegetables. 5. Eat often. 6. Carefully control your intake of carbohydrates. 7. Eat a set amount of food. 8. Stick to regular meal times. 9. Avoid temptation.
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PDDM, MHA, MBBS

General Physician•Nashik
Insulin causes weight gain. And some local side effects. Kindly mention your bsl reports and ongoing treatment so that I may assist you better.
111 people found this helpful
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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G Vvc in t1 diabetes treatment is only insulin injections because pancreas is not at all producing it. Beta cells which produce insulin are all dead. So only insulin injection works. Tablets are not supposed to be taken in t1 dm.
180 people found this helpful
Asked for male, 26 years old from East Godavari
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Practical Course In Diabetology, Post Gr...read more

Endocrinologist•Jammu
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If you are Type 1 diabetic insulin is only option.If you can afford you can go for insulin pump which injects insulin automatically.
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