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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetes, Pain In Legs. On Insulin, Metformin Medication. Elevated Blood Sugar Levels. Treatment?

I AM A DIABETIC PATIENT AND TAKING INSULIN DAILY TWICE. 30 UNITS BEFORE LUNCH AND 20 UNITS BEFORE DINNER ALONG WITH 500MG METFORMIN TWICE DAILY(CETAPIN-XR-500). BUT MY BLOOD GLUCOSE LEVEL IS REMAINING HIGH FASTING SUGAR IS AROUND 150 AND HBA1C IS 9.6 ON 13TH JUNE. IT WAS 8.9 IN MARCH 12 AND 10.9 IN DEC 11. OTHER MEDICINES I AM TAKING ARE TRINERVE 1 TAB AND EVEION 400 ONE CAP DAILY. SINCE LAST FEW DAYS I FEEL PAIN IN MY LEGS AND THE PROBLEM IS HIGH IN THE MORNING TIME AND AT THE NIGHT WHEN GOING TO SLIP. SOME ONE ADVISED ME TO TAKE TAB. ALDONIL TO CONTROL PERIPHERIAL NEUOROPATHY IN DIABETIC PATIENT. SHOULD I TAKE THIS AND IF YES THEN HOW MANY TIMES DAILY AND AT WHAT TIME? SHOULD I REQUIRE FRESH PRESCRIPTION FOR MY DIABETIC PROBLEM?
Mon, 1 Jul 2013
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Diabetologist,  's  Response
DEAR SIR/MADAM

YOUR CURRENT TREATMENT
INSULIN 30 - 0 - 20
METFORMIN 500 MG 1- 0 -1
TRINERVE 1 OD
EVION 400 MG OD


MEDICATIONS REVIEWED

NOW PIOGLITAZONE IS BANNED IN INDIA.

ALDONIL CONTAINS EPALRESTAT 50 MG WHICH IS ALDOSE REDUCTASE INHIBITOR,
IT BLOCKS THE PATHWAY RESPONSIBLE FOR PROGRESSION OF NEUROPATHY..

IF YOU WANT TO TAKE THAT TABLET, IT SHOULD BE TAKEN FOR A LONG TIME, WITH THREE TIMES A DAY DOSAGE.

THANKS
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  Anonymous's Response
Anonymous's  Response
Hello and welcome to HCM



Tab. Aldonil controls diabetic neuropathy and its effect is much greater if your sugar level is controlled. Now your question is should you take this than I must say Yes it this to a maximum dose of 150 mg/day. But before taking this medicine you should revise your treatment for diabetes mellitus.

Your HbA1c should be between 6-7. It means good control. >7 means fair control. > 8 means poor control and >9 means uncontrolled sugar level.



So try to revise to diabetic treatment and change your life style to control it. It is better to start Aldonil in a controlled blood sugar level.



Thanks



Dr. Dinesh
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Diabetes, Pain In Legs. On Insulin, Metformin Medication. Elevated Blood Sugar Levels. Treatment?

DEAR SIR/MADAM YOUR CURRENT TREATMENT INSULIN 30 - 0 - 20 METFORMIN 500 MG 1- 0 -1 TRINERVE 1 OD EVION 400 MG OD MEDICATIONS REVIEWED NOW PIOGLITAZONE IS BANNED IN INDIA. ALDONIL CONTAINS EPALRESTAT 50 MG WHICH IS ALDOSE REDUCTASE INHIBITOR, IT BLOCKS THE PATHWAY RESPONSIBLE FOR PROGRESSION OF NEUROPATHY.. IF YOU WANT TO TAKE THAT TABLET, IT SHOULD BE TAKEN FOR A LONG TIME, WITH THREE TIMES A DAY DOSAGE. THANKS