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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Glimepiride Dosage Be Increased To Control FBS Levels And Cortisone Shot Be Taken For Trigger Finger?

I’m diabetic with an average morning blood sugar reading of 145. Do you think I should be increasing my dosage of glimiperide from 2 to 3 or is it time to see an endocrinologist instead of my internist? Is it safe for me to get a shot of cortisone to treat trigger finger even though it will raise my blood sugar or is there some other treatment I should ask my orthopedist for?
Fri, 21 Sep 2018
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Internal Medicine Specialist 's  Response
Hello,

You can definitely go ahead with your cortisone injection but with a careful monitoring of blood sugars for 2 days by which time your sugars will be deranged.

I suggest you increase your Glimeperide dose to 3 mg as strict control of sugars are always better option in early diabetes.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Shehzad Ruman
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Should Glimepiride Dosage Be Increased To Control FBS Levels And Cortisone Shot Be Taken For Trigger Finger?

Hello, You can definitely go ahead with your cortisone injection but with a careful monitoring of blood sugars for 2 days by which time your sugars will be deranged. I suggest you increase your Glimeperide dose to 3 mg as strict control of sugars are always better option in early diabetes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shehzad Ruman