My mother is type 2 diabetic. Her age is 70. Her fasting 127, pp 247, HBA1C is 7.1, Bp avg 165/93. She takes Tenglyn M 1000 for sugar. Before 6 month her HBA1C was 8.3 and she was taking same medicine 500. For bp she takes ascertain H, 1 mg morning. But presently she suffers from sudden maximum hunger and her body shakes also .palpitations is also there. I am staying in remote place. please suggest.
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Hello, Thanks for the query. Fasting and PP glucose values are on the higher side. Ideally when diabetes is well controlled Fasting glucose should be < 100 mg & PP 160 to 170 mg HbA1c% < 7. Tablet Tenelegliptin with metformin (1000 mg) is good, and unlikely to cause any hypoglycemic (low sugar) symptoms. It is better if you check her blood glucose when she complains of those symptoms which you have mentioned. Then one can look at altering the treatment. Thanks.
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It requires a thorough examination and review as to why she complains of sudden hunger and palpitations. Let the doctor also review her cardiac functions and other aspects of health to come to some conclusion. She can be taught to check her blood sugar with a glucometer (easy to do) at home on a regular basis so that the doctor can examine the trend. Please discuss the various options to educate the patient so that she can take proper precautions without getting panicky. Kindly read about Diabetes from the internet and what precautions can be taken to educate the patient to be self reliant.
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