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Suggest Methods To Control The Blood Sugar Level
Hi, my wife is suffering from type 2 diabetes since 20 yes, her fasting blood glucose level is 186 mg/DL n pop blood glucose level is 161 mg/DL. Her hba1c level is 7.8 %. Her HB is 10.1 gm%. Her creatinine is 0.7mg/DL. She has been prescribed with following medicines.Tab Grid-2mg, two tabs at nasta. Tab istamet 50mg/500mg, one tab 20 minutes before lunch n tab starvog o.3 mg,one tab while starting lunch. Tab glyciphage 500 mg, 20 minutes before dinner n tab starvog 0.3 mg, one tab while starting dinner. My question is will this course control ablood sugar level to normal and what would be the side effects of these drugs on the kidney, bladder n her metabolism.
Mon, 8 Sep 2014
Hi, welcome to our site. I am Dr Saumya Mittal, MD.
Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query
The regime suggested seems to be a good one. There are too many medicines, so you need to be careful that the doses are not confused. The medicines are common medicines of diabetes control and as such there is no major side effects.
However there have been reports of some pancreatic cancer with medicine in brand starvog. These have been refuted, but I personally prefer to avoid them as far as possible and give them only when needed.
There is no effect on bladder. Kidneys they all have some effect, but the effect of uncontrolled sugars is worse. So if you really want to avoid side effects of the tablets on kidneys, the only option worth considering is insulin.
Personally I would have simplified the therapy by giving a combination tablet. So instead of 6 tablets, you can do with 3.
I will suggest the test Lipid profile, if not already done
I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.
I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.
Please do understand that some details could be extracted from a detailed history and examination.
Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida
Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query
The regime suggested seems to be a good one. There are too many medicines, so you need to be careful that the doses are not confused. The medicines are common medicines of diabetes control and as such there is no major side effects.
However there have been reports of some pancreatic cancer with medicine in brand starvog. These have been refuted, but I personally prefer to avoid them as far as possible and give them only when needed.
There is no effect on bladder. Kidneys they all have some effect, but the effect of uncontrolled sugars is worse. So if you really want to avoid side effects of the tablets on kidneys, the only option worth considering is insulin.
Personally I would have simplified the therapy by giving a combination tablet. So instead of 6 tablets, you can do with 3.
I will suggest the test Lipid profile, if not already done
I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.
I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.
Please do understand that some details could be extracted from a detailed history and examination.
Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida
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