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Hi Doctor , I Am Taking GP1forte Before Breakfast -
Question: hi doctor , i am taking GP1forte before breakfast - after dinner glycomet 1000Mg , for the last 15 days i am checking every morning average FBS is 160 to 190 before it was 130 to 140 , also after breakfast it become 210 t0 240 before it was less than 190 . what shall could you please advice .
hi doctor , i am taking GP1forte before breakfast - after dinner glycomet 1000Mg , for the last 15 days i am checking every morning average FBS is 160 to 190 before it was 130 to 140 , also after breakfast it become 210 t0 240 before it was less than 190 . what shall could you please advice .
Brief Answer:
Needs more information
Detailed Answer:
Hello,
I am Dr. Mittal.
I have read your message.
And I quite understand your concern.
I, however, need some more information-
Specifically-
1. What was your HbA1C?
2. What was your lipid profile?
3. What is your diet pattern?
4. Timing of your medicines, compared to diet?
5. When was your diabetes detected?
6. How long have you been on medicines?
7. Was there a regime of medicines/diet before?
8. It looks like you have been monitoring your sugars. I, therefore, assume you have a sugar chart. So may I request you upload the chart?
Awaiting the information, so that I may be able to help you further.
Best of luck,
Dr. Mittal.
Needs more information
Detailed Answer:
Hello,
I am Dr. Mittal.
I have read your message.
And I quite understand your concern.
I, however, need some more information-
Specifically-
1. What was your HbA1C?
2. What was your lipid profile?
3. What is your diet pattern?
4. Timing of your medicines, compared to diet?
5. When was your diabetes detected?
6. How long have you been on medicines?
7. Was there a regime of medicines/diet before?
8. It looks like you have been monitoring your sugars. I, therefore, assume you have a sugar chart. So may I request you upload the chart?
Awaiting the information, so that I may be able to help you further.
Best of luck,
Dr. Mittal.
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Needs more information
Detailed Answer:
Hello,
I am Dr. Mittal.
I have read your message.
And I quite understand your concern.
I, however, need some more information-
Specifically-
1. What was your HbA1C?
2. What was your lipid profile?
3. What is your diet pattern?
4. Timing of your medicines, compared to diet?
5. When was your diabetes detected?
6. How long have you been on medicines?
7. Was there a regime of medicines/diet before?
8. It looks like you have been monitoring your sugars. I, therefore, assume you have a sugar chart. So may I request you upload the chart?
Awaiting the information, so that I may be able to help you further.
Best of luck,
Dr. Mittal.
Needs more information
Detailed Answer:
Hello,
I am Dr. Mittal.
I have read your message.
And I quite understand your concern.
I, however, need some more information-
Specifically-
1. What was your HbA1C?
2. What was your lipid profile?
3. What is your diet pattern?
4. Timing of your medicines, compared to diet?
5. When was your diabetes detected?
6. How long have you been on medicines?
7. Was there a regime of medicines/diet before?
8. It looks like you have been monitoring your sugars. I, therefore, assume you have a sugar chart. So may I request you upload the chart?
Awaiting the information, so that I may be able to help you further.
Best of luck,
Dr. Mittal.
Above answer was peer-reviewed by :
Dr. Prasad
Dear Doctor,
Thank you for your swift response. Below is the answer to your quires.
hat was your HbA1C?
8.2
2. What was your lipid profile?
Cholesterol – 224 mg/dl, triglycerides 523, HDL 26mg/dl, LDL65mg/dl,VLDL279mg/dl, HDL ratio 10.31 , (triglycerides since last 15 years are high as genetic reason which was told by doctor after number of tests and was taking long time fenolip 140mg now taking lipicrad 200mg
3. What is your diet pattern?
Two wheat roti or 2 dosa with veg or non veg curry , one orange or banana or one apple, tea with milk breakfast , lunch with rice non veg , dinner 2 wheat roti , two egg , one orange or banana or one apple .
4. Timing of your medicines, compared to diet?
GP1 forte before breakfast , glycomet 1 gram after dinner , met- neurobion one and lipicard 200mg
5. When was your diabetes detected?
2012 during annual medical checkup .
6. How long have you been on medicines?
Since 2012
7. Was there a regime of medicines/diet before?
Yes it was started with metformin 500mg after berak fast , after 4 years changed to gp1 , then last two years GP1 forte before breakfast , glycomet 1 gram after dinner. When diet is with high carbohydrate items I also take 100Mg sitagilfin.
Looking forward to receive your valuable advice .
Regards
Shajikutty
Thank you for your swift response. Below is the answer to your quires.
hat was your HbA1C?
8.2
2. What was your lipid profile?
Cholesterol – 224 mg/dl, triglycerides 523, HDL 26mg/dl, LDL65mg/dl,VLDL279mg/dl, HDL ratio 10.31 , (triglycerides since last 15 years are high as genetic reason which was told by doctor after number of tests and was taking long time fenolip 140mg now taking lipicrad 200mg
3. What is your diet pattern?
Two wheat roti or 2 dosa with veg or non veg curry , one orange or banana or one apple, tea with milk breakfast , lunch with rice non veg , dinner 2 wheat roti , two egg , one orange or banana or one apple .
4. Timing of your medicines, compared to diet?
GP1 forte before breakfast , glycomet 1 gram after dinner , met- neurobion one and lipicard 200mg
5. When was your diabetes detected?
2012 during annual medical checkup .
6. How long have you been on medicines?
Since 2012
7. Was there a regime of medicines/diet before?
Yes it was started with metformin 500mg after berak fast , after 4 years changed to gp1 , then last two years GP1 forte before breakfast , glycomet 1 gram after dinner. When diet is with high carbohydrate items I also take 100Mg sitagilfin.
Looking forward to receive your valuable advice .
Regards
Shajikutty
Dear Doctor,
Thank you for your swift response. Below is the answer to your quires.
hat was your HbA1C?
8.2
2. What was your lipid profile?
Cholesterol – 224 mg/dl, triglycerides 523, HDL 26mg/dl, LDL65mg/dl,VLDL279mg/dl, HDL ratio 10.31 , (triglycerides since last 15 years are high as genetic reason which was told by doctor after number of tests and was taking long time fenolip 140mg now taking lipicrad 200mg
3. What is your diet pattern?
Two wheat roti or 2 dosa with veg or non veg curry , one orange or banana or one apple, tea with milk breakfast , lunch with rice non veg , dinner 2 wheat roti , two egg , one orange or banana or one apple .
4. Timing of your medicines, compared to diet?
GP1 forte before breakfast , glycomet 1 gram after dinner , met- neurobion one and lipicard 200mg
5. When was your diabetes detected?
2012 during annual medical checkup .
6. How long have you been on medicines?
Since 2012
7. Was there a regime of medicines/diet before?
Yes it was started with metformin 500mg after berak fast , after 4 years changed to gp1 , then last two years GP1 forte before breakfast , glycomet 1 gram after dinner. When diet is with high carbohydrate items I also take 100Mg sitagilfin.
Looking forward to receive your valuable advice .
Regards
Shajikutty
Thank you for your swift response. Below is the answer to your quires.
hat was your HbA1C?
8.2
2. What was your lipid profile?
Cholesterol – 224 mg/dl, triglycerides 523, HDL 26mg/dl, LDL65mg/dl,VLDL279mg/dl, HDL ratio 10.31 , (triglycerides since last 15 years are high as genetic reason which was told by doctor after number of tests and was taking long time fenolip 140mg now taking lipicrad 200mg
3. What is your diet pattern?
Two wheat roti or 2 dosa with veg or non veg curry , one orange or banana or one apple, tea with milk breakfast , lunch with rice non veg , dinner 2 wheat roti , two egg , one orange or banana or one apple .
4. Timing of your medicines, compared to diet?
GP1 forte before breakfast , glycomet 1 gram after dinner , met- neurobion one and lipicard 200mg
5. When was your diabetes detected?
2012 during annual medical checkup .
6. How long have you been on medicines?
Since 2012
7. Was there a regime of medicines/diet before?
Yes it was started with metformin 500mg after berak fast , after 4 years changed to gp1 , then last two years GP1 forte before breakfast , glycomet 1 gram after dinner. When diet is with high carbohydrate items I also take 100Mg sitagilfin.
Looking forward to receive your valuable advice .
Regards
Shajikutty
Brief Answer:
Responses noted. Need to know a few more things
Detailed Answer:
Good to hear from you again.
Observations from your response:
1. HbA1C is high.
2. The lipid profile is deranged. I think instead of plain fenofibrate, you should take Atocor F.
3. Orange, Banana is a NO-NO. They have a very decent amount of carbohydrates in the diet.
4. Medication timings noted.
5. You have relatively long-standing diabetes. And you have been on medicines.
So, I need to know-
a. What was the previous HbA1C? What is the usual trend?
b. I also need you to upload your sugar chart.
c. Has your diet pattern changed recently? If yes, what have been the additions/deletions? It may be a minor change, but please do not neglect it.
Awaiting the information, so that I may be able to help you further.
Best of luck,
Dr. Mittal.
Responses noted. Need to know a few more things
Detailed Answer:
Good to hear from you again.
Observations from your response:
1. HbA1C is high.
2. The lipid profile is deranged. I think instead of plain fenofibrate, you should take Atocor F.
3. Orange, Banana is a NO-NO. They have a very decent amount of carbohydrates in the diet.
4. Medication timings noted.
5. You have relatively long-standing diabetes. And you have been on medicines.
So, I need to know-
a. What was the previous HbA1C? What is the usual trend?
b. I also need you to upload your sugar chart.
c. Has your diet pattern changed recently? If yes, what have been the additions/deletions? It may be a minor change, but please do not neglect it.
Awaiting the information, so that I may be able to help you further.
Best of luck,
Dr. Mittal.
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Responses noted. Need to know a few more things
Detailed Answer:
Good to hear from you again.
Observations from your response:
1. HbA1C is high.
2. The lipid profile is deranged. I think instead of plain fenofibrate, you should take Atocor F.
3. Orange, Banana is a NO-NO. They have a very decent amount of carbohydrates in the diet.
4. Medication timings noted.
5. You have relatively long-standing diabetes. And you have been on medicines.
So, I need to know-
a. What was the previous HbA1C? What is the usual trend?
b. I also need you to upload your sugar chart.
c. Has your diet pattern changed recently? If yes, what have been the additions/deletions? It may be a minor change, but please do not neglect it.
Awaiting the information, so that I may be able to help you further.
Best of luck,
Dr. Mittal.
Responses noted. Need to know a few more things
Detailed Answer:
Good to hear from you again.
Observations from your response:
1. HbA1C is high.
2. The lipid profile is deranged. I think instead of plain fenofibrate, you should take Atocor F.
3. Orange, Banana is a NO-NO. They have a very decent amount of carbohydrates in the diet.
4. Medication timings noted.
5. You have relatively long-standing diabetes. And you have been on medicines.
So, I need to know-
a. What was the previous HbA1C? What is the usual trend?
b. I also need you to upload your sugar chart.
c. Has your diet pattern changed recently? If yes, what have been the additions/deletions? It may be a minor change, but please do not neglect it.
Awaiting the information, so that I may be able to help you further.
Best of luck,
Dr. Mittal.
Above answer was peer-reviewed by :
Dr. Prasad
dear Dcotor,
Thank you for the advice and swift response.
a. What was the previous HbA1C? What is the usual trend?
usually i check every 3 months always it s above 7 and below 8.3 .
b. I also need you to upload your sugar chart.
i dot have one other than the one i sent yesterday - reloaded
c. Has your diet pattern changed recently? If yes, what have been the
additions/deletions? It may be a minor change, but please do not neglect i
only breakfast changed , it was like dosa or iddli now it change to roti 2 nos.
dinner also changed to roti .
can i eat steamed raw banana instead of roti.
today FBS was 130 ppbs just checked 280 - took Gp1 fort before breakfast . breakfast was only 2 roti and 2 tea with milk i dont understand why its jumped today to 280 .
regards
shaji
dear Dcotor,
Thank you for the advice and swift response.
a. What was the previous HbA1C? What is the usual trend?
usually i check every 3 months always it s above 7 and below 8.3 .
b. I also need you to upload your sugar chart.
i dot have one other than the one i sent yesterday - reloaded
c. Has your diet pattern changed recently? If yes, what have been the
additions/deletions? It may be a minor change, but please do not neglect i
only breakfast changed , it was like dosa or iddli now it change to roti 2 nos.
dinner also changed to roti .
can i eat steamed raw banana instead of roti.
today FBS was 130 ppbs just checked 280 - took Gp1 fort before breakfast . breakfast was only 2 roti and 2 tea with milk i dont understand why its jumped today to 280 .
regards
shaji
Brief Answer:
Suggestions
Detailed Answer:
Hello.
Thanks for the information.
These are my recommendations.
1. Switch back to your old diet. It is possible that the change in diet was the main trigger of change in sugars that you had reported in your very first message (morning average FBS is 160 to 190 before it was 130 to 140, also after breakfast, it become 210 t0 240 before it was less than 190 ).
2. are you using spirit etc to clean finger before the prick. if you are doing so, I recommend letting the fluid dry completely before you take a prick.
3. Don't worry about one sugar being high. That can happen. And no medicine change is needed based on one sugar report.
4. I recommend you start maintaining a chart. You are checking the sugars diligently anyways. Might as well maintain a record. It always helps to do so, when a doctor is trying to change the medicine.
5. As for boiled raw banana, you need to maintain your calorie intake. You can use a XXXXXXX app to do so. Before you eat, put in the entry of the food you eat. And decide the portions of food accordingly. You see diabetes and sugar control is a balance between added calories (by what you eat), and the calories burnt (by exercise regime and medicines). So this may be able to help you find the excess calories you may be consuming.
6. Keep your diet regular, in quantity and food preferences. If your diet remains regular, the medications can be regulated better.
I hope that helps.
Let me know if any point needs clarification.
Best wishes,
Dr. Saumya Mittal
Suggestions
Detailed Answer:
Hello.
Thanks for the information.
These are my recommendations.
1. Switch back to your old diet. It is possible that the change in diet was the main trigger of change in sugars that you had reported in your very first message (morning average FBS is 160 to 190 before it was 130 to 140, also after breakfast, it become 210 t0 240 before it was less than 190 ).
2. are you using spirit etc to clean finger before the prick. if you are doing so, I recommend letting the fluid dry completely before you take a prick.
3. Don't worry about one sugar being high. That can happen. And no medicine change is needed based on one sugar report.
4. I recommend you start maintaining a chart. You are checking the sugars diligently anyways. Might as well maintain a record. It always helps to do so, when a doctor is trying to change the medicine.
5. As for boiled raw banana, you need to maintain your calorie intake. You can use a XXXXXXX app to do so. Before you eat, put in the entry of the food you eat. And decide the portions of food accordingly. You see diabetes and sugar control is a balance between added calories (by what you eat), and the calories burnt (by exercise regime and medicines). So this may be able to help you find the excess calories you may be consuming.
6. Keep your diet regular, in quantity and food preferences. If your diet remains regular, the medications can be regulated better.
I hope that helps.
Let me know if any point needs clarification.
Best wishes,
Dr. Saumya Mittal
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
Suggestions
Detailed Answer:
Hello.
Thanks for the information.
These are my recommendations.
1. Switch back to your old diet. It is possible that the change in diet was the main trigger of change in sugars that you had reported in your very first message (morning average FBS is 160 to 190 before it was 130 to 140, also after breakfast, it become 210 t0 240 before it was less than 190 ).
2. are you using spirit etc to clean finger before the prick. if you are doing so, I recommend letting the fluid dry completely before you take a prick.
3. Don't worry about one sugar being high. That can happen. And no medicine change is needed based on one sugar report.
4. I recommend you start maintaining a chart. You are checking the sugars diligently anyways. Might as well maintain a record. It always helps to do so, when a doctor is trying to change the medicine.
5. As for boiled raw banana, you need to maintain your calorie intake. You can use a XXXXXXX app to do so. Before you eat, put in the entry of the food you eat. And decide the portions of food accordingly. You see diabetes and sugar control is a balance between added calories (by what you eat), and the calories burnt (by exercise regime and medicines). So this may be able to help you find the excess calories you may be consuming.
6. Keep your diet regular, in quantity and food preferences. If your diet remains regular, the medications can be regulated better.
I hope that helps.
Let me know if any point needs clarification.
Best wishes,
Dr. Saumya Mittal
Suggestions
Detailed Answer:
Hello.
Thanks for the information.
These are my recommendations.
1. Switch back to your old diet. It is possible that the change in diet was the main trigger of change in sugars that you had reported in your very first message (morning average FBS is 160 to 190 before it was 130 to 140, also after breakfast, it become 210 t0 240 before it was less than 190 ).
2. are you using spirit etc to clean finger before the prick. if you are doing so, I recommend letting the fluid dry completely before you take a prick.
3. Don't worry about one sugar being high. That can happen. And no medicine change is needed based on one sugar report.
4. I recommend you start maintaining a chart. You are checking the sugars diligently anyways. Might as well maintain a record. It always helps to do so, when a doctor is trying to change the medicine.
5. As for boiled raw banana, you need to maintain your calorie intake. You can use a XXXXXXX app to do so. Before you eat, put in the entry of the food you eat. And decide the portions of food accordingly. You see diabetes and sugar control is a balance between added calories (by what you eat), and the calories burnt (by exercise regime and medicines). So this may be able to help you find the excess calories you may be consuming.
6. Keep your diet regular, in quantity and food preferences. If your diet remains regular, the medications can be regulated better.
I hope that helps.
Let me know if any point needs clarification.
Best wishes,
Dr. Saumya Mittal
Above answer was peer-reviewed by :
Dr. Kampana
dear Doctor ,
thanks a lot for the valuable inputs .
i remain
shajikutty
thanks a lot for the valuable inputs .
i remain
shajikutty
dear Doctor ,
thanks a lot for the valuable inputs .
i remain
shajikutty
thanks a lot for the valuable inputs .
i remain
shajikutty
Brief Answer:
Best wishes
Detailed Answer:
Best of luck Shaji Kutty.
Glad to have been of assistance.
Dr Saumya Mittal
Best wishes
Detailed Answer:
Best of luck Shaji Kutty.
Glad to have been of assistance.
Dr Saumya Mittal
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Best wishes
Detailed Answer:
Best of luck Shaji Kutty.
Glad to have been of assistance.
Dr Saumya Mittal
Best wishes
Detailed Answer:
Best of luck Shaji Kutty.
Glad to have been of assistance.
Dr Saumya Mittal
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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