Hello doctor! very good evening !my relative have hyperglycemia. He used just oral medicine is that metformin 1 gm combined with sitagliptin 50 mg. But he's sugar levels sunday rise and 500 in fasting and attacked cva. He can't speak and two fingers can't respond. Now doctor gives two insulin with oral medicines .also speech therapy and physiotherapy. My question is he may can normal like before doctor? And how to improve? If some advice.
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Hello, thanks for your query on Lybrate "as" per your clinical history is concerned do control sugar level with insulin and adjust her fasting level within (70-110 mg/dl), do check her vital signs with ecg time to time by her doctor and try to keep blood pressure below 85mmhg (diastolic). She will improve soon and it will take a few months. Do follow lifestyle modifications like this - 1) try to limit cholesterol and fat in diets 2) eat plenty of fruits and vegetables 3) try to avoid extra salts in diets 4) do exercise regularly and maintain a healthy weight 5) try to avoid alcohol and smoking and illegal drugs hope that helps.
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Your relative had suffered cv stroke most probably due to uncontrolled diabetes as evident from your description. If treatment started within one hour of onset of stroke symptoms reverse in most of the patients. As your doctor has advised speech therapy and physiotherapy means stroke features can not be reversed. Further improvement will depend upon control of all risk factors like diabetes, hypertension, dyslipidemia etc. And effective speech therapy and physiotherapy.
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