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Dear Doc My Mom Is Diabetic For 17 Odd Years.
Question: Dear Doc
My mom is diabetic for 17 odd years.
Here is her HbA1c figures
HbA1C REPORTS IN 2017. 2018 AND 2019
1.02/2017- 6.6%,
2.12/2017- 7%,
3.10/2018- 7.2%
4. 03/2019-5.9%
5. 05/2019 - 6.2%
Creatinine - Very Normal
ECG - Normal
BP - 110/70
Cholestrol - Normal
Liver Function - Normal
Her current medications are listed in current medications section
Please advice
1. If she needs to move to Insulin as her HbA1c readings are very good
2. Can she reduce some medication
My mom is diabetic for 17 odd years.
Here is her HbA1c figures
HbA1C REPORTS IN 2017. 2018 AND 2019
1.02/2017- 6.6%,
2.12/2017- 7%,
3.10/2018- 7.2%
4. 03/2019-5.9%
5. 05/2019 - 6.2%
Creatinine - Very Normal
ECG - Normal
BP - 110/70
Cholestrol - Normal
Liver Function - Normal
Her current medications are listed in current medications section
Please advice
1. If she needs to move to Insulin as her HbA1c readings are very good
2. Can she reduce some medication
Brief Answer:
About DM treatment:
Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
First i would like to know if the has hypoglicemic events (blood sugar under 70 mg/dl) under treatment?
Secondly, is she overweight or obese?
If she has hypoglicemic events, the dose of gliclazide should be reduced.
If she does not have hypoglicemic events, she may take off Voglibose and try to reduce gliclazid if she is overweight as it may cause weight gain.
Will be a pleasure to help you further,
Best wishes,
Dr.Mirjeta
About DM treatment:
Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
First i would like to know if the has hypoglicemic events (blood sugar under 70 mg/dl) under treatment?
Secondly, is she overweight or obese?
If she has hypoglicemic events, the dose of gliclazide should be reduced.
If she does not have hypoglicemic events, she may take off Voglibose and try to reduce gliclazid if she is overweight as it may cause weight gain.
Will be a pleasure to help you further,
Best wishes,
Dr.Mirjeta
Above answer was peer-reviewed by :
Dr. Yogesh D
Hello,
She is NOT HYPOGLYCEMIC.
She is NOT Overweight or OBESE
She doesnt have any Hypoglycemic events.
She is NOT HYPOGLYCEMIC.
She is NOT Overweight or OBESE
She doesnt have any Hypoglycemic events.
Her weight is 54 Kgs at height of 5feeth 5 inch. So she is very slim.
Please advice accordingly based on above 2 notes
Please advice accordingly based on above 2 notes
Brief Answer:
About Diabetes treatment;
Detailed Answer:
Hi again,
I would suggest to take off voglibose. It is recommended in obese patients and causes rapid intestinal transit reducing food absorption. It is not for her body construction.
Check Hba1c every 3 months and consult a physician again.
Best wishes,
Dr.mirjeta
About Diabetes treatment;
Detailed Answer:
Hi again,
I would suggest to take off voglibose. It is recommended in obese patients and causes rapid intestinal transit reducing food absorption. It is not for her body construction.
Check Hba1c every 3 months and consult a physician again.
Best wishes,
Dr.mirjeta
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Prasad
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