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Trigli Ls 1Mg/500Mg/7.5Mg Tablet Sr 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.
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, 55 years old from Varanasi
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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.
When one takes adequate dosage of drugs, plus follows a strictly controlled diet and does regular exercise, blood glucose does get controlled. Therefore, it appears your present treatment is not proper. I need to know following things for giving any suggestions: fasting & PP glucose levels, HbA1c%, present dietary pattern and extent of daily exercise. Looking at your weight and height it is clear that with a BMI of 28.23 kgs/Sq meter (normal < 23 kgs/S...more
38 people found this helpful
Asked for male, 67 years old from Amritsar
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M.D. Consultant Pathologist, CCEBDM Diab...read more

General Physician•Sri Ganganagar
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No two times metformin and glimipride and voglibose all three times. For details contact with me on line by paid audio consultation.
571 people found this helpful
Asked for male, 42 years old from Medak
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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 query. It is incomplete. There is no information on what is the fasting, pp glucose level or hba1c%, or your weight, height, dietary pattern and extent of physical activity. So difficult to give any suggestions. Thanks.
84 people found this helpful
Asked for female, 39 years old from Meerut
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BAMS

Ayurvedic Doctor•
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We must find cause of your high bsl even after using medicines kindly consult me so that I can suggest you ayurvedic remedies, diet etc.
708 people found this helpful
Asked for female, 62 years old from Delhi
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F.D.R.C.

Diabetologist•Raipur
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Kidney damage can be prevented by maintaining good blood sugar and BP control. Apart from medications for diabetes and bp you should follow strict Diabetic diet, avoid oily, fatty and fried items with regular physical activity. Monitor your blood sugar and BP and serum creatinine regularly accordingly medications will be recommended. All the best.
Asked for male, 31 years old from Pune
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, Thanks for your query.
The drugs mentioned Glimepiride and Voglibose are different in their action.
Metformin is supposed to reduce or delay glucose absorption and hence slows down blood glucose rise after taking food. Plus it also reduces insulin resistance hence helps blood glucose control. There are other beneficial effects like helps slight weight reduction.
Glimepiride is a sulphonylurea compound, it stimulates insulin secretion by the beta cells of pancreas, t...more
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MBBS, Diploma In Diabetology

Diabetologist•Mumbai
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Since you are overweight, instead of pioglitazone we can start other medication which may help in weight loss.
51 people found this helpful
Asked for female, 53 years old from Kolkata
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Asked for female, 51 years old from Alappuzha
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
the drugs used to treat T2 diabetes which you are on, do tend to act on various causes that lead to increased blood glucose levels or diabetes. For example Glimepiride stimulates Beta cells to produce Insulin, Metformin helps slow down glucose absorption and reduces glucose load, plus helps reduce insulin resistance. Pioglitazone again helps reduce Insulin resistance. Tenelegliptin acts through Incretin system and helps insulin secretion. Therefore, there is no ...more
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