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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Rhinitis, High BP, Headaches, Diabetic, Hyperlipidemia, High LDL, High HDL. Treatment?

Scenerio: You had a 48 year old female patient that you have treated for the last 14 years. She originally presented with chronic rhinitis , high blood pressure and headaches. Her yearly labs including thyroid function were completely normal. In the 7th year her labs came back that she had very high fasting glucose levels, high LDL and HDLs, and was diagnosed with Type II diabetes and hyperlipidemia . Changes in her blood pressure medicine seemed to help the headaches. She had normal metabolic labs including TSH panel every year for 14 years, headaches, chronic rhinitis, diabetes type II, and had a hard time controlling the blood sugar levels. She has followed the diet and cut out the sugars. How would you continue treatment with this patient?
Mon, 30 Jul 2012
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Diabetologist 's  Response
Hello!
I like to give direct treatment options:
Better to start basal insulin along with proper orlhypoglycemics according to her blood sugar,life style modifications like daily walking,meditation,strict diabetic diet and also medications for hypertension and dyslipidemia and allied problems.
With Regards'
Dr.Ganesan.P.R.,drganesanpr@ymail.com
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General & Family Physician Dr. Sourav Ganguly's  Response
Hi,
Thanks for posting query.
Continue the oral hypoglycemic drugs for diabetes and if not controlled then I may have to shift to insulin. For dyslipidemia I need to add a hypolipidemic drugs like statin, and to control BP hypertensive should be added.
Other problem like rhinitis can be treated with antibiotics, decongestant nasal drop and antihistaminic.
Consult with physician to choose correct drug and doses.
Wish you a speedy recovery.
Regards,
Dr Sourav Ganguly
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Chronic Rhinitis, High BP, Headaches, Diabetic, Hyperlipidemia, High LDL, High HDL. Treatment?

Hello! I like to give direct treatment options: Better to start basal insulin along with proper orlhypoglycemics according to her blood sugar,life style modifications like daily walking,meditation,strict diabetic diet and also medications for hypertension and dyslipidemia and allied problems. With Regards Dr.Ganesan.P.R.,drganesanpr@ymail.com