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Suggest Treatment For Uncontrollable Blood Sugar Levels
Question: What medication is advised according to the reports I have attached. Thanks
Brief Answer:
Lifestyle changes necessary
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. Blood sugar is under bad control.
2. Lipid profile abnormal, with mild lipase elevation.
3. Mild iron deficiency is also seen. Mild reduction in cellular hemoglobin levels, overall good.
4. Increased uric acid is possibly due to protein rich diet
You will need
A. Lifestyle changes - weight reduction, moderate exercises and most importantly diet control.
B. Oral hypoglycemic drugs dosage needs increase, however, injectable insulin can be tried.
C. Iron supplements are not necessary at present.
Lifestyle changes, most important.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM
Lifestyle changes necessary
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. Blood sugar is under bad control.
2. Lipid profile abnormal, with mild lipase elevation.
3. Mild iron deficiency is also seen. Mild reduction in cellular hemoglobin levels, overall good.
4. Increased uric acid is possibly due to protein rich diet
You will need
A. Lifestyle changes - weight reduction, moderate exercises and most importantly diet control.
B. Oral hypoglycemic drugs dosage needs increase, however, injectable insulin can be tried.
C. Iron supplements are not necessary at present.
Lifestyle changes, most important.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Lanatus insulin maybe needed twice daily
Detailed Answer:
Hi,
Thanks for asking again.
If you are already on lantus insulin, you might need to take it twice daily, rather than once. The poor control, as shown by HbA1C is rather serious and at your age, future risk of cardiovascular events, neuropathy and vasculopathy are serious.
The dose needs to adjusted along with your diet.
For your age, lifestyle modifications is much easier to apply for better control of diabetes mellitus, hypertension and abnormal lipid profile. You can try:
a. At least 30-45 minutes every day, moderate physical activity like brisk walking, cycling or water aerobics.
b. Body weight reduction to maintain normal body mass index.
c. Changing refined carbohydrates with whole grain and increase in dietary fibre.
d. Reducing amount of saturated fat in diet.
e. avoid smoking and alcohol
f. avoid sugar sweetened beverages
g. Make every meal balanced and equally nutritious and calories too
h. Stay well hydrated and take medications regularly. Check blood sugar and HbA1C at regular intervals.
Hope it helps.
Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion and rate the answer.
Stay healthy
Dr. Prakash HM
Lanatus insulin maybe needed twice daily
Detailed Answer:
Hi,
Thanks for asking again.
If you are already on lantus insulin, you might need to take it twice daily, rather than once. The poor control, as shown by HbA1C is rather serious and at your age, future risk of cardiovascular events, neuropathy and vasculopathy are serious.
The dose needs to adjusted along with your diet.
For your age, lifestyle modifications is much easier to apply for better control of diabetes mellitus, hypertension and abnormal lipid profile. You can try:
a. At least 30-45 minutes every day, moderate physical activity like brisk walking, cycling or water aerobics.
b. Body weight reduction to maintain normal body mass index.
c. Changing refined carbohydrates with whole grain and increase in dietary fibre.
d. Reducing amount of saturated fat in diet.
e. avoid smoking and alcohol
f. avoid sugar sweetened beverages
g. Make every meal balanced and equally nutritious and calories too
h. Stay well hydrated and take medications regularly. Check blood sugar and HbA1C at regular intervals.
Hope it helps.
Any further queries, happy to help again.
If you do not have any further queries, you can close the discussion and rate the answer.
Stay healthy
Dr. Prakash HM
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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