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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 female, 58 years old from Delhi
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Asked for male, 57 years old from Dindigul
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, Thanks for the query.
I have seen the details given. She is definitely on multiple medications for controlling her blood glucose levels. The glucose levels and HbA1c % mentioned show there is very good control achieved. Which also means medications are working very well. One of the draw backs of very strict glucose control is the possibility of hypoglycemic episodes. Major contributor for that is the Insulin. So if there are repeated episodes, then pleas look at the possibility of r...more
I have seen the details given. She is definitely on multiple medications for controlling her blood glucose levels. The glucose levels and HbA1c % mentioned show there is very good control achieved. Which also means medications are working very well. One of the draw backs of very strict glucose control is the possibility of hypoglycemic episodes. Major contributor for that is the Insulin. So if there are repeated episodes, then pleas look at the possibility of r...more
Asked for male, 37 years old from Kochi
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, Vivek, Thanks for the query.
I have seen the details given. From that it is clear that she is on multiple medications. However, there is no mention of herHbA1c%, weight, extent of physical activity, particularly exercises like brisk walking or any other activity plus dietary pattern . It is very essential to concentrate on following aspects - 1) weight control (BMI <23 kgs/Sq meter), 2) Taking a healthy balanced diet like - increased intake of green leafy vegetables, salads and certai...more
I have seen the details given. From that it is clear that she is on multiple medications. However, there is no mention of herHbA1c%, weight, extent of physical activity, particularly exercises like brisk walking or any other activity plus dietary pattern . It is very essential to concentrate on following aspects - 1) weight control (BMI <23 kgs/Sq meter), 2) Taking a healthy balanced diet like - increased intake of green leafy vegetables, salads and certai...more
Asked for male, 42 years old from Ranchi
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According to your drug history, u are taking 5 types of antidiabetic drugs simultaneusly at this moment. I would suggest u to check your hba1c, urea, creatinine. If hba1c is higher than 8 % and your creatinine is more than 1. 5 despite taking all these medications, u should switch over to insulin which will be better for your health. For further help, u may be send me private message.
Dr. S. Modak, m. D.
Dr. S. Modak, m. D.
Asked for male, 60 years old from Indore
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Diabetes is much common now a days.
Tell me your fasting and after meal sugar. Your weight, your hba1c level. Also check yr lipids,
voglibose should b taken with meal preferably with last bite not before meal.
Tell me your fasting and after meal sugar. Your weight, your hba1c level. Also check yr lipids,
voglibose should b taken with meal preferably with last bite not before meal.
574 people found this helpful
Asked for male, 35 years old from Mandla
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Hubli-Dharwad
Mr. lybrate-user, Thanks for the query.
Based on the details mentioned it looks like her blood glucose level is not in good control. It is better if her HbA1c% is checked, which gives an idea about long term control. Usually in patients with long standing diabetes in later years, treatment with Insulin becomes a necessity. Because oral drugs do not give necessary response. My suggestion is please comeback with following details: Fasting, PP glucose levels, HbA1c%, dietary pattern extent of d...more
Based on the details mentioned it looks like her blood glucose level is not in good control. It is better if her HbA1c% is checked, which gives an idea about long term control. Usually in patients with long standing diabetes in later years, treatment with Insulin becomes a necessity. Because oral drugs do not give necessary response. My suggestion is please comeback with following details: Fasting, PP glucose levels, HbA1c%, dietary pattern extent of d...more
Asked for male, 60 years old from Coimbatore
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Asked for male, 44 years old from Chennai
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