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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Blisto And Nebivolol Advisable For High Sugar Levels?

Dear Doctor,

I am a diabet patient for the last 10 years and am taking the following

medicines.



Blisto 2MF - one tab in the evening

Cardice 5 mg - one at night

LO 50 - one in the mroning

Nebivolol 2.5 mg - one at night

Ecosprin AV 75 - one at night



Recently I underwent a full medical check up and it was reported

that blood sugar is high and brief report is as under:



Blood routine; Hb 13.9 gm%

ESR 12 mm/Hr

LRT

T. Bilirubin 0.8

D. Bilirubin 0.4

S. Protein 7.0

S. Albumin 4.1

ALP 56 iu/dl



RFT



Creatinine 1.0 mg/dl



LIPIDS

T. holesterol 154 mg.dl

Triglycerides: 77 mg/dl

HDL 56

LDL 83



URINE Albumin : NIL, Sugar :NIL



Blood Sugar

FBS 269, PPBS 264



Chest X-ray : Prominent Bronchovascular markings

Electrocardiogram : No significant ST - T changes

Threadmill Test : Negative of inducible ischemia, Dukes score +14

Colour Doppler Echocardiogram : No RWMA

Ultrasonography Abdomen : Normal

Provisional Diagnosis : Uncontroller DM/HTN



Age : 59 years, Weight : 62 mg, Height 163 cm

BMI : 23



I have been advised to continue the same medicines and asked

to increase Blisto from one to two. Dear Doctor, I would like to

seek your kind avvise.



With kind regards,



Prasad

Kerala, India

Wed, 20 Aug 2014
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Diabetologist,  's  Response
Dear Prasad,
Namaskaram...
Welcome to HCM.
I have gone through your reports. All parameters seem to be fine except for the sugars. Keeping in mind the duration of diabetes and the current dosage of medicine i would prefer to change your glimipride (blisto ) to a stronger sulphonylurea. Glimipride is a very safe tablet and is also cardiac friendly but given the duration of diabetes i think glimipride wont do the job. i also notice that your FBS is more than your PPBS. This can happen when
1. You have forgotten to take medicines on the previous day of test
2. There is an increased hepatic glucose output.
If it is reason number 2 you will benefit better with increasing the dosage of metformin...
All your other tablets are safe in the preview of Diabetes.
Hope i have answered your query
Dr.Riyaz Sheriff...
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Are Blisto And Nebivolol Advisable For High Sugar Levels?

Dear Prasad, Namaskaram... Welcome to HCM. I have gone through your reports. All parameters seem to be fine except for the sugars. Keeping in mind the duration of diabetes and the current dosage of medicine i would prefer to change your glimipride (blisto ) to a stronger sulphonylurea. Glimipride is a very safe tablet and is also cardiac friendly but given the duration of diabetes i think glimipride wont do the job. i also notice that your FBS is more than your PPBS. This can happen when 1. You have forgotten to take medicines on the previous day of test 2. There is an increased hepatic glucose output. If it is reason number 2 you will benefit better with increasing the dosage of metformin... All your other tablets are safe in the preview of Diabetes. Hope i have answered your query Dr.Riyaz Sheriff...