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Suggest Medication To Lower Blood Sugar Levels
Hi, my dad has type 2 diabetes but because of the holidays most doctors are out of clinic. My dad s been taking junovia, norizec and coversyl daily but struggles to put his blood sugar down. He hasn t eaten his breakfast this morning and bs was at 270. Please advice what medication we can take to atleast lower it down while doctors are not available. Thanks!
Mon, 8 Sep 2014
Hi.
I can understand your concern.
I would try to advice for your query based on your given history and details, More history and clinical examination would have enhanced the Advice.
As your father is already on Januvia (Sitagliptin) & Norizec (Glimiperide) for glycemic control.
I would advice for addition of Metformin for your father (if he is not having contraindications life kidney disease or intolerance/allergy to Metformin)
Metformin is first line oral hypoglycemic agent recommended worldwide for type 2 diabetes. Metformin will certainly add to control raised fasting blood glucose levels.
Hope this helps
Thanks and Regards
Dr. Kalpesh S. Kavar
Diabetologist
Ahmadabad, India
I can understand your concern.
I would try to advice for your query based on your given history and details, More history and clinical examination would have enhanced the Advice.
As your father is already on Januvia (Sitagliptin) & Norizec (Glimiperide) for glycemic control.
I would advice for addition of Metformin for your father (if he is not having contraindications life kidney disease or intolerance/allergy to Metformin)
Metformin is first line oral hypoglycemic agent recommended worldwide for type 2 diabetes. Metformin will certainly add to control raised fasting blood glucose levels.
Hope this helps
Thanks and Regards
Dr. Kalpesh S. Kavar
Diabetologist
Ahmadabad, India
I find this answer helpful
Hello,
although it's not quite right to decide treatment based on a single fasting glucose measurement, given that this is a very high glucose level and that your father is not ill (having a fever or any kind of inflammation) I would suggest a few things.
If you haven't done so already then please check his glycosylated hemoglobin.
You haven't written anything about his weight. If he is overweight then loosing weight would benefit him regarding his blood sugar regulation.
Mild exercise (walking) is very beneficial for patients with diabetes. It should be done every day (or every other day) and last at least 30 minutes each time.
Since his fasting glucose is too high, I suggest he adds metformin (unless contraindicated) to his treatment. He should start with 500mg taken with his meal (noon or afternoon). If he has no serious side-effects he can increase the dosage (maximum 2-2.5 gr per day in 2-3 doses). 850mg twice a day is a good regimen. Keep in mind that increasing the dosage above 850mg twice a day will increase the likelihood of side effects disproportionately more than the anticipated benefit.
You can also increase glimepiride dosage (if you haven't done so already). Maximum daily dosage is 6mg.
Finally, if his blood sugars are above 200 every day don't expect him to get to the target range with the addition of metformin. If he complies with body weight and eating advice and still his sugars are that high, then he'll probably need insulin.
I hope I've addressed your concerns!
You may ask again if you need me to clarify anything.
Kind Regards!
although it's not quite right to decide treatment based on a single fasting glucose measurement, given that this is a very high glucose level and that your father is not ill (having a fever or any kind of inflammation) I would suggest a few things.
If you haven't done so already then please check his glycosylated hemoglobin.
You haven't written anything about his weight. If he is overweight then loosing weight would benefit him regarding his blood sugar regulation.
Mild exercise (walking) is very beneficial for patients with diabetes. It should be done every day (or every other day) and last at least 30 minutes each time.
Since his fasting glucose is too high, I suggest he adds metformin (unless contraindicated) to his treatment. He should start with 500mg taken with his meal (noon or afternoon). If he has no serious side-effects he can increase the dosage (maximum 2-2.5 gr per day in 2-3 doses). 850mg twice a day is a good regimen. Keep in mind that increasing the dosage above 850mg twice a day will increase the likelihood of side effects disproportionately more than the anticipated benefit.
You can also increase glimepiride dosage (if you haven't done so already). Maximum daily dosage is 6mg.
Finally, if his blood sugars are above 200 every day don't expect him to get to the target range with the addition of metformin. If he complies with body weight and eating advice and still his sugars are that high, then he'll probably need insulin.
I hope I've addressed your concerns!
You may ask again if you need me to clarify anything.
Kind Regards!
I find this answer helpful
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