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Vysov 50Mg Tablet Health Feed

Asked for female, 56 years old from Delhi
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Medical history- i'm 56, female, diabetic since ten years approx. My fasting glucose remains around 240 while pp around 290. I've been taking medicines (galvus met 50/1000 mg and amaryl 2 -both bd) since long, but my sugar levels didn't show any significant changes and hence my doctor added vogliboz 0.3 tds to my regime (two weeks back). Last, I got my glucose levels tested yesterday and they are still the same, only a mild reduction registered. I walk 3-4 kms daily in the morning, apart from that I don't have any other physical activity on schedule. My last month's thyroid report- (t3/t4-normal tsh-low-0.21 iu/ml) i'm currently on thyroxine 75 mcg as well. Main problem- my toe nails have been showing an inward growth since an year or two, which has now started causing pain. I feel soreness in my left toe almost all the time, while it hurts insanely whenever it contacts any hard surface. Nailbed has become so thickened, that it is not possible for me to cut the toenail myself. What should I do to curb this problem? Also i'm having a little pain in my heels and ankles lately, but it is not much significant. And my doctor told me that I will need to switch to insulin, if my sugar levels remain the same after two months. Can I not be treated with oral drugs anymore?

DVDL, MBBS

Dermatologist•Ranchi
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From your history it sounds like you hv developed ingrown toe nai. Along with fungal infection of nail (onychomycosis). Correct diagnosis to be made only after proper examination. For acute pain you can take nsaids (like aceclofenac). Once the pain is subsided, you can cut the ingrown portion of toe nail (or removal of matrix of nail. For onychomycosis pulse dose of cap itraconazole is given along with topical (like cyclopirox olamine/ amorolfine lotion). Visit nearst dermatolgist. Thanks.
Asked for female, 50 years old from Bangalore
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MBBS, Diploma in Family Medicine, Fellow...read more

Diabetologist•Bhubaneswar
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Thanks for your Query.

Your information is incomplete. For better advice you should give both FBS, PPBS and also HbA1c. Secondly you didn't mention the dose of Glycomet..!!

Thirdly Galvus met should be taken twice daily for effective action.

Let me know more details for complete advice.

For any further information or advice you can book an online consultation with me on Lybrate. Thank you. Take care till then.
52 people found this helpful
Asked for male, 21 years old from Navi Mumbai
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Hi I Am An Diabetic Patient And I Am 19th Years Old I Got My Blood Report On 18th March, 2016. As I Was Feeling Weak And Tired All Day And Was Thirsty All The Time And Was Having Frequent Urination From Last 1 Week I Searched It On Google Why All This Is Happening To Me Then I Came To Know That This All Signs Are Of Diabetes Then I Decided To Test My Blood Sugar Level When I Got My Report My Fasting Glucose Level Was 396.2 And P.P Blood Glucose Was 564.8 In Mg/Dl Units. It Was Very High I Got So Panic I Visited To A Doctor He Gave Me Metformin And Glenmark For 1 Week But I Took It Only For 4 Days Because My Uncle Took Me To A Diabetes Specialist Doctor Told Me To Take Immediate Insulin But I Told The Doctor That After Getting My Report After 3 Days My Blood Sugar Level Decreased To 271 From 564.8 Because I Don’t Wanted To Take Insulin Injection  Doctor Gave Me 3 Types Of Medicine For 1 Month Cyblex M80 For After Breakfast And Dinner, Vildagliptin Tablets Vysov 50 Mg For After Lunch And Zevit Capsules Of Vitamin B- Complex And C With Zinc Sulphate For After Dinner Which I Am Continuing Have This Tables After All My Meals Today Is 25th March, 2016 It’s The 8th Day I Am Having Diabetes My Blood Sugar Level Decreased Now It’s 171  As I Tested It On My Glucometer And I Have Changed My Diet. I Am Still Worried About My Diabetes And I Don’t Even Know Which Type Of Diabetes I Have As Doctors Says I Have To Take Insulin I Had Searched It Comes Under Type 1 Diabetes. I Am Again Worried So Please Help Me Out For My Diabetes Doctor I Don’t Want To Take Insulin As It Will Cost Me A Lot And I Cannot Afford All This Medicines And All  I Decided That I Will Stop My Treatment If I Have To Take Insulin I Will Decided To Stop My Treatment And I Will Just Live Till I Die And Please Tell Me If I Am Taking The Right Medicine Or Not Please Reply Me As Soon As Possible Doctor Thank You.

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BHMS

Homeopath•Chennai
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Dear, relax. I know it would have been shocking to have found out that you have diabetes but it will help to know that your condition is still manageable. Don't worry about insulin. At times, especially initially, insulin is given temporarily to manage the very high sugar levels. Your doctor may taper off and possibly even stop insulin if your sugar levels respond to oral antidiabetics alone. As of now, it is too early to know whether you will require insulin all your life. So relax. Find out if...more
Asked for female, 36 years old from Bangalore
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MD - Obstetrtics & Gynaecology, FCPS, DG...read more

Gynaecologist•Mumbai
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Everyone's blood sugar changes from day to day and hour to hour and those who have diabetes or are prediabetic variations are more. You need treatment from diabetecian and like soldier need to follow same instead of you changing same.
Asked for male, 56 years old from Kolkata
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MBBS, Diploma in Diabetology, Certificat...read more

Diabetologist•Mumbai
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Dietary reassessment, regular exercise and change of medicines are needed. Also, get a blood test done called as hba1c. It will help the doctor decide on the dose of new medication required.
79 people found this helpful
Asked for female, 15 years old from Delhi
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MD - Homeopathy, BHMS

Homeopathy Doctor•
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Better take them exactly written in the prescription given by the specialist.
These medicines are very dangerous and never experiment with them without knowledge.
Rest is your wish.
Asked for female, 68 years old from Belgaum
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MBBS, MD Internal Medicine, PhD (Endocri...read more

Endocrinologist•Vellore
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Dear lybrate-user,
kindly provide details regarding height weight bp the diet she is on and level of physical activity and whether in the ast couple of weeks she has nausea or vomiting
glimcor m2 contains glimiperide 2 mg which is the likely cause for the low sugar. She may have to change to a preparation with glimieride of 0.5 or 1 mg, follwo the dietary advice below and then monitor sugars as follows
reduce the quantity of carbohydrate (rice, wheat, rava, maida) in each meal and in...more
134 people found this helpful
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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 detail and following are my observations : Both fasting & PP glucose are very high. Which shows that present treatment is not adequate. Ideally in a well controlled diabetic person fasting glucose should be < 100 mg or closer to 100 mg, PP 150 to 170 mg & HbA1c% < 6.8%. There is no mention of HbA1c%, which gives a comparatively clearer picture of long term control.
Therefore, there is a need to upgrade the current treatment and also loo...more
56 people found this helpful
Asked for male, 36 years old from Kochi
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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. However, there is only mention of medication being taken. That does not give any idea about how is the actual glucose control, because there is no information on fasting, pp glucose, hba1c%, dietary pattern, lipid profile, extent of daily exercise and bp readings. As regards changing a brand of metformin hardly matters. Unless above information is provided I am unable to comment or give any suggestions.
Another important aspect ...more
90 people found this helpful
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PDDM, MHA, MBBS

General Physician•Nashik
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I don't recommend metformin more than 1500mg in a day. Kindly consult further with your recent blood sugar levels.
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