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What Causes Persistent High Blood Sugar Despite Taking Medication?

Posted on Fri, 11 Dec 2015

Question: Dear Dr XXXXXXX heijebu.My father 68 years old is taking Metformin 250 for his Diabetes.Recently We got his blood work up.His Sugar levels are very high.He is not using medication properly.Doesnt listen to our words properly.Iam really worried about him.Need your valuable advice?What to do?

Answered by Dr. Prasanna Heijebu (57 minutes later)

Brief Answer:
Please provide me recent blood test reports.

Detailed Answer:
Hello,Mam.

I can understand your concerns.

Please provide me recent blood sugar reports for better guidance.

Post your further queries if any,

Thank you.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Prasanna Heijebu (12 minutes later)

FBS 156 mg/dl and PPBS 204 mg/dl.

Answered by Dr. Prasanna Heijebu (8 minutes later)

Brief Answer:
Dose revision of the medication is advisable.

Detailed Answer:
Hi Mam,

I can understand your concerns.

Yes your father has Uncontrolled Diabetes mellitus.

It can be due to inadequate drug dosage and lack of compliance.

He may need a dose revision of Metformin from 250 to 500 mg.

I advise you to discuss about this with your treating physician and see whether he shares my opinion.

Post your further queries if any,

Thank you.

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

Follow up: Dr. Prasanna Heijebu (2 days later)

Dr XXXXXXX Please tell me a perfect diet plan for my father?

Answered by Dr. Prasanna Heijebu (23 minutes later)

Brief Answer:
Please provide me the following details.

Detailed Answer:
Hi Mam,

I can understand your concern.

I can provide you perfect diet plan including calories if you provide me the following details of your father:

1.The weight of your father.

2.Is he an Indian?or which country?

3.vegetarian or non-vegetarian?

Post your further queries if any,

Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Prasanna Heijebu (2 days later)

Yes doctor.My father is 72 kgs weight 5.6 inch tall and Vegetarian XXXXXXX

Answered by Dr. Prasanna Heijebu (29 minutes later)

Brief Answer:
Please follow the diet schedule given below.

Detailed Answer:
Hi Mam,

I can understand your concerns.

You can follow the below diet schedule:

Early morning (5AM) -Nuts or Almonds or Walnuts -6 to 10 in quantity.

Breakfast:8AM

Oat flakes +MilkEgg sandwich(multigrain bread)/Vegetable oats + MilkVegetable stuffed roti + Curd/Besan cheela + Toast-1 bowl or 2 in number.

Mid morning :10 AM
Fruits: Papaya Buttermilk/Coconut water 1 bowl1 glass

Lunch :12 Noon
Chapatis-2/Brown rice-1 bowl and Vegetable +Curd/Dal/Paneer+ Salad-1 bowl

Evening :3PM

Fruit-1/Roasted chana and murmura chat -1bowl//Vegetable Idli -2 in number

Dinner:7PM

Chapatis-2 in number
Dal/curry-1bowl
Green salad-1 cup.

Bed time:1 glass of milk with protein powder.

This will account to 1400 to 1600 kcal which suits your father's weight.

Post your further queries if any,

Thank you.

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

Follow up: Dr. Prasanna Heijebu (3 hours later)

Dr.Also tell me the blood tests that are to be done for my father? Thanks in advance.

Answered by Dr. Prasanna Heijebu (4 minutes later)

Brief Answer:
Please follow the advice given below.

Detailed Answer:
Hi Mam,

Welcome again,

Yes your father needs to get FBS,PPBS and hbA1C for every 3 months.

Also get his Renal function tests and lipid profile done for every 6-12 months.

Post your further queries if any,

Thank you.

Note: For further follow up on related General & Family Physician Click here.

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