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What Causes Fluctuations In Sugar Levels When On Dimicron MR30?

Posted on Mon, 16 Feb 2015

Question: On a random check my blood sugar was 507. I am cancer patient diagnosed as Liomyosarcoma of kidney. Nephrotomy done in September 2010. Metastised to both lungs. Taking Everolimus(Afinitor) for last two months. Earlier I had taken Votrient ( Pazopanib) from July 2012 till April 2014. While on Votrient the sugar level was well within limits . I was taking Dimicron MR30. Which was reduced to below 70 PP. PLEASE SUGGEST which medicine can I safely take and for how long?

Answered by Dr. Saumya Mittal (1 hour later)

Brief Answer:
Need a new test

Detailed Answer:
Hi
I am Dr Mittal
I have read your query
And I think I will be able to help you.

First and foremost, random blood sugar is not the ideal sugar to start and consider when starting a medicine for sugar. I therefore suggest testing a Fasting and PP blood sugar.

Also, I would like to know if you are on steroids, or any steroidal preparations.

I suggest that while you can get the tests done, restart tab Dimicron mr 30 since the sugars are high enough to need a medicine, and since you are used to the medicine- so there are no chances of reaction on it.

Of course the medicine may need to be modified according to FBS, PPBS.

I hope that the information helps you.
Please let us know the reports as soon as possible.
Please feel free to contact us for more information.

Best of luck
Dr Mittal

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Saumya Mittal (3 days later)

Dear Dr. Mittal,
You had advised me to let you know FBS & PPBS values. Here are the values
16/1/15 ( took one tablet of DAIMICRON MR30 on 15th night)
FBS: 251mg/dl at 6.30am
PPBS: 280mg/dl at 11.00 am
17/1/15 ( on local doctor's advice took CETAPIN 1000mg on 16th night and DAIMICRON XR 60 on 17th Morning before B/F)
FBS :211mg/dl at 0645 am
PPBS: 281mg/dl at 11.30 am
18/1/15
FBS : 180 mg/dl at 0645 am.
PPBS: 259mg/dl at 11.45 am
19/1/15
FBS. : 237 mg/dl at 7.00 am
PPBS: 280 mg/dl at 11.00 am
Pl. give 1st follow up advice XXXXXXX Lal

Answered by Dr. Saumya Mittal (3 hours later)

Brief Answer:
Need to add more medicines.

Detailed Answer:
Hi,

Thanks for the details.

By this information, I feel I can surely suggest that you need to have the medicines stepped up.

With duchess sugars, I usually suggest to start on insulin. I think it would be good to let your treating doctor know the chart and let them increase your medicines.

I could have done so but the medicines are available on prescription and so you need to meet your diabetic specialist.

I would add insulin or sitagliptin group of medicine for you.

I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact us for more information.

Best of luck.

Dr Mittal.

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

Above answer was peer-reviewed by : Dr. Ashwin Bhandari