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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, Thanks for the query
You have mentioned the drugs and dosage being taken, but there us no mention of blood glucose levels and HbA1c%, so I am unable to know whether glucose is well controlled or not.
Another aspect you are taking 30 mg of Pioglitazone, which is the maximum dose recommended. It is better if that is reduced to 15 mg a day. Please let me know the glucose levels and HbA1c% Then only I can comment. Plus I need to know the diet pattern and extent of exercise,...more
You have mentioned the drugs and dosage being taken, but there us no mention of blood glucose levels and HbA1c%, so I am unable to know whether glucose is well controlled or not.
Another aspect you are taking 30 mg of Pioglitazone, which is the maximum dose recommended. It is better if that is reduced to 15 mg a day. Please let me know the glucose levels and HbA1c% Then only I can comment. Plus I need to know the diet pattern and extent of exercise,...more
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Asked for male, 46 years old from Delhi
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Dear Lybrate user, glimepiride stimulates betacells to secrete insulin. Metformin is supposed to reduce insulin resistance and slow down glucose absorption from the intestine. Usually both these are used together to control increased blood glucose. In newly diagnosed patients metformin alone is used. In some both drugs are used together. Which drug to take for a particular level can be decided by the treating doctor.
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Asked for male, 50 years old from Mysore
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Asked for female, 70 years old from Darbhanga
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Asked for male, 23 years old from Allahabad
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Asked for male, 65 years old from Belgaum
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, thanks for the query.
Looking at your fasting and pp glucose levels, it is clear that diabetes is not at all in control. Ideally in a well controlled diabetes fasting glucose should be < 100 mg & pp 160 to 170 mg and hba1c% < 7, considering your age. It is clear that present medication is not helping, there is a need for upgrading the treatment. Apart from that there is a need to give a closer look at the diet and extent of daily exercise being done. Therefore, you may plea...more
Looking at your fasting and pp glucose levels, it is clear that diabetes is not at all in control. Ideally in a well controlled diabetes fasting glucose should be < 100 mg & pp 160 to 170 mg and hba1c% < 7, considering your age. It is clear that present medication is not helping, there is a need for upgrading the treatment. Apart from that there is a need to give a closer look at the diet and extent of daily exercise being done. Therefore, you may plea...more
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Asked for male, 65 years old from Ranchi
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Diabetologist•Hazaribagh
It is a constant range of your pp blod sugar ,it hence when your diet is not balanced, or you take excessive water amount quickly completion of food, it also happens when you use refine oil in food. Ok don't take tension I suggest you follow me, avoid refine oil in food, use pregabanyl capsule at bed time and take green salad with food. If you want to call me then mobile.
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, Thanks for the query.
I get a feeling that I have answered this query yesterday. Both fasting and PP glucose levels are high. There is a need to upgrade the overall treatment.
Following are my observations : 1) Weight is too high with a BMI of 34.04 kgs she is close to grade 2 obesity. This is a major hindrance for better glucose control.
2) There is a need to look at the dietary pattern, extent of daily physical activity and lipid profile details, serum creatinine and urea...more
I get a feeling that I have answered this query yesterday. Both fasting and PP glucose levels are high. There is a need to upgrade the overall treatment.
Following are my observations : 1) Weight is too high with a BMI of 34.04 kgs she is close to grade 2 obesity. This is a major hindrance for better glucose control.
2) There is a need to look at the dietary pattern, extent of daily physical activity and lipid profile details, serum creatinine and urea...more
69 people found this helpful
Asked for male, 49 years old from Srikakulam
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BSc - Food Science & Nutrition, PGD in ...read more
Dietitian/Nutritionist•Mumbai
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