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Hi Sir, I Have Type 2 Diabetes . It Was

Posted on Mon, 25 May 2020

Question: Hi Sir, i have type 2 diabetes. It was foud on 2017. After that doctor suggested janumet 50/500 and triglonose 1mg. Used 1year and stopped. Post that when ever i see the number high used. Now from past 1 year not used any tablets and no issue as well. 15 days back just checked instantly and foud before food 220 and after food 420. So i used janumet 50/500 and triglonose 1mg from April 15th 2020. As on today before food 99 and after food 97. Not sure why this instable.

My daily routine...

Morning brisk walk 12KM
Morning kovaikai juice 200ml
Lemon with honey juice 400ml
Idle or rice breakfast
Sancks or fruits at 11am
Evening snacs at 3pm
Rice or dosa at dinner

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
Investigations needed

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through your query and can see the details of your medication and diet plan. However, that is not sufficient to comment why the given measures are not enough. I would need you to check the following:
* Blood for fasting and post prandial blood sugar (preferably checked on the same day), HbA1c, Creatinine

Based on the above I would be able to guide you further.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Prof. Kunal Saha (32 hours later)

Hi Sir,

Today i have tested HBA1C. Please find the attached report. Also please suggest the medicine.

Regards,
Thulasibabu. M

Follow up: Dr. Prof. Kunal Saha (16 hours later)

Hi Sir,

Kindly let me know the opinion.

Regards,
Thulasibabu. M

Answered by Dr. Prof. Kunal Saha (4 hours later)

Brief Answer:
Blood sugar has been high for long

Detailed Answer:
Thanks for writing back. I have checked the attached reports. A HbA1c level of 10.5 is huge indicating an undetected high blood glucose for a prolonged duration even though the episodic blood sugar measurements fail to pick it up. In such a case medication would be tricky as hypoglycemia needs to be avoided. In such a case it would be best to visit an endocrinologist/diabetologist without delay.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Prof. Kunal Saha (20 hours later)

Thank you sir for the advice. Yesterday i met doctor and he suggested Gemer 2mg and supranex vitam tablet. I am continuing with his suggestions. Is the above tablets will be controlling my blood sugar or can i continue with Triglonyse 1mg and Janumet 50/500? What is the difference on these both. Please advice.

Answered by Dr. Prof. Kunal Saha (24 hours later)

Brief Answer:
Please follow the directions of your treating physician

Detailed Answer:
Thanks for writing back. Sorry for the inadvertent delay in responding. I would insist you to try the current medicines suggested by your doctor. As you can understand, the control with the previous medicines was inadequate and therefore a modification in the treatment regimen is needed.

If I were the treating physician I would perhaps have chosen Janumet 50/500 with Gemer 2. But please discuss with your treating physician before deciding on what to take. I would rely on his judgement. Close follow up would be needed.

Regards

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng