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What Causes Elevated Blood Sugar Levels Despite Taking Medication?
Question: my mother is suffering from type 2 diabetes for six years. currently she is having medicines like jalra m and diamicron xr 60. also ryzodeg insulin injection(24 units). the problem is her suger levels are not normal yet. fasting is 140 and pp is 251, hba1c is 8.1. she is been taking these meds for like 1 month. after taking all the meds and a suggested diet nothing is raelly happening...please suggest me what should i do.
Brief Answer:
Needs more information
Detailed Answer:
Hello Mr XXXX.
I am Dr Mittal.
I have read your message.
I can help.
First , please don't be disheartened.
Sugar medicines have no standard formula by which one can fix a dose.
The medicines need to be titrated to each patient separately.
So please don't worry.
I have seen your prior reports. The sugar levels are definitely better. So the medicines have effect. As for HbA1c, it improves over 3 months. So I would suggest that you test that at the end of the period. Still, even this has shown improvement.
So overall , your medicines are working.
As I said, only the dose has to be adjusted and individualized.
I would need more information before I can help you further.
1. are you taking medicines regularly.
2. what is the exact dose and frequency of the medicines.
3. what is the diet regime.
4. what is the exercise regime.
please do let me know the information so that I can help you further.
Best of luck.
Dr Mittal
Needs more information
Detailed Answer:
Hello Mr XXXX.
I am Dr Mittal.
I have read your message.
I can help.
First , please don't be disheartened.
Sugar medicines have no standard formula by which one can fix a dose.
The medicines need to be titrated to each patient separately.
So please don't worry.
I have seen your prior reports. The sugar levels are definitely better. So the medicines have effect. As for HbA1c, it improves over 3 months. So I would suggest that you test that at the end of the period. Still, even this has shown improvement.
So overall , your medicines are working.
As I said, only the dose has to be adjusted and individualized.
I would need more information before I can help you further.
1. are you taking medicines regularly.
2. what is the exact dose and frequency of the medicines.
3. what is the diet regime.
4. what is the exercise regime.
please do let me know the information so that I can help you further.
Best of luck.
Dr Mittal
Above answer was peer-reviewed by :
Dr. Kampana
Hello sir
Thank you for the informations. Yes she is taking medicines regularly. Insulin at 8 am then diamicron befor brakefast at 8.30. After brakefast jalra m. Then again jalra m after diner at 8.30. Diet is without potato salt and only 2 tsp oil.. She has gained weight and there is a grade 1 fatty lever symptom so 1100kcal diet she is followig. She is doing morning walk for like 30 mins at morning arround 6.30 after taking chai and 2 biscuits. Then 8.30 brakefast 11.30 some fruits excluding banana XXXXXXX Lunch at 1pm then chai at 4pm then a little ragi at 6 pm and then at 8.30 dinner. Thank you again.
Thank you for the informations. Yes she is taking medicines regularly. Insulin at 8 am then diamicron befor brakefast at 8.30. After brakefast jalra m. Then again jalra m after diner at 8.30. Diet is without potato salt and only 2 tsp oil.. She has gained weight and there is a grade 1 fatty lever symptom so 1100kcal diet she is followig. She is doing morning walk for like 30 mins at morning arround 6.30 after taking chai and 2 biscuits. Then 8.30 brakefast 11.30 some fruits excluding banana XXXXXXX Lunch at 1pm then chai at 4pm then a little ragi at 6 pm and then at 8.30 dinner. Thank you again.
Brief Answer:
Suggestions
Detailed Answer:
Hello.
First, apologies for the delay.
I have gone through the information you have provided.
I have following suggestion.
1. the weight should be strictly under control. Any gain in weight is going to make the ongoing medicines inadequate. A milf weight gain is expected, because she was loosing sugars in urine, which probably has now stopped after medicines. You may confirm this by testing a urine test again.
2. you will need to control the diet. That is already done- but be sure you do cover more food groups. Restricting the diet to few groups is going to fail the diet eventually. Make sure she gets some foods of her choice.
3. You will need to increase the insulin. However, the medicine has its major side effects of hypoglycemia, specially in view of ongoing tablets as well. So I would suggest caution. One set of readings is usually not indicative of the change of medicine. So better to repeat sugars in a 15 - 20 days and then decide.
Those are my suggestions. Feel free to contact me again for a doubt on the subject. Apologies again for the delay. Dr Mittal
Suggestions
Detailed Answer:
Hello.
First, apologies for the delay.
I have gone through the information you have provided.
I have following suggestion.
1. the weight should be strictly under control. Any gain in weight is going to make the ongoing medicines inadequate. A milf weight gain is expected, because she was loosing sugars in urine, which probably has now stopped after medicines. You may confirm this by testing a urine test again.
2. you will need to control the diet. That is already done- but be sure you do cover more food groups. Restricting the diet to few groups is going to fail the diet eventually. Make sure she gets some foods of her choice.
3. You will need to increase the insulin. However, the medicine has its major side effects of hypoglycemia, specially in view of ongoing tablets as well. So I would suggest caution. One set of readings is usually not indicative of the change of medicine. So better to repeat sugars in a 15 - 20 days and then decide.
Those are my suggestions. Feel free to contact me again for a doubt on the subject. Apologies again for the delay. Dr Mittal
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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