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Suggest Ways To Control Diabetes
Question: hi doctor,
my self XXXXXXX
suffering from diabetes since more then 6 years.
but still fasting sugar is 180-220.
and taking triglycerides 2 twice in a day before breakfast and dinner and one tablet of zomelis met 50/500 after lunch.
kindly suggest
my self XXXXXXX
suffering from diabetes since more then 6 years.
but still fasting sugar is 180-220.
and taking triglycerides 2 twice in a day before breakfast and dinner and one tablet of zomelis met 50/500 after lunch.
kindly suggest
Brief Answer:
Diabetes
Detailed Answer:
Hi Mr. XXXXXXX
Thanks for your question.
Noted your concern.
Please confirm the name of Tab Triglyceride 2, I am not aware of any such medicine.
But my interpretation regarding it is a combination of Glimepiride 2mg, Pioglitazone 15mg & Metformin 500mg.
Tab Zomelis - Met contains Metformin 500mg and Sits glinting 50mg.
In total you are on 4 different medicines for diabetes almost in a maximum effective dose of each.
In such a case I may suggest
- Continue taking Tab Trigl.... 2 twice a day.
- Increase Tab ZomelisMet 50/500 twice a day.
- Recheck fasting & pist-prandial blood sugar levels after 2 weeks.
If it is still not in control then addition of following medicine to above mentioned combination may help
- I may prefer use of long acting insulin like Insulin Glargine single dose at night time.
- In patients not willing for insulin, I may suggest use of tablet containing Canagliflozin or Dapagliflozin.
Along with this you should follow diabetic diet & regular exercise.
Whatever above treatment options mentioned are considering normal kidney & heart function.
All these options need to be discussed with your treating diabetologist.
Hope this helps you.
Regards,
Dr. Abhay Mali.
Diabetologist.
Diabetes
Detailed Answer:
Hi Mr. XXXXXXX
Thanks for your question.
Noted your concern.
Please confirm the name of Tab Triglyceride 2, I am not aware of any such medicine.
But my interpretation regarding it is a combination of Glimepiride 2mg, Pioglitazone 15mg & Metformin 500mg.
Tab Zomelis - Met contains Metformin 500mg and Sits glinting 50mg.
In total you are on 4 different medicines for diabetes almost in a maximum effective dose of each.
In such a case I may suggest
- Continue taking Tab Trigl.... 2 twice a day.
- Increase Tab ZomelisMet 50/500 twice a day.
- Recheck fasting & pist-prandial blood sugar levels after 2 weeks.
If it is still not in control then addition of following medicine to above mentioned combination may help
- I may prefer use of long acting insulin like Insulin Glargine single dose at night time.
- In patients not willing for insulin, I may suggest use of tablet containing Canagliflozin or Dapagliflozin.
Along with this you should follow diabetic diet & regular exercise.
Whatever above treatment options mentioned are considering normal kidney & heart function.
All these options need to be discussed with your treating diabetologist.
Hope this helps you.
Regards,
Dr. Abhay Mali.
Diabetologist.
Above answer was peer-reviewed by :
Dr. Yogesh D
Hi Doctor,
Tablet name is " triglynase 2"
Tablet name is " triglynase 2"
Brief Answer:
Yes Triglynase 2 contains Glimepiride, Metformin & Pioglitazone.
Detailed Answer:
Hi XXXXXXX
Whatever I have mentioned in earlier answer, I considered the same combination.
I will be happy to answer your follow up question if any.
Yes Triglynase 2 contains Glimepiride, Metformin & Pioglitazone.
Detailed Answer:
Hi XXXXXXX
Whatever I have mentioned in earlier answer, I considered the same combination.
I will be happy to answer your follow up question if any.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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