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Suggest Treatment For Elevated Fasting Blood Sugar Levels
84 yr old my father has been taking Dimicron MR 30 mg (gliclazide) since 2006 after his 2PPH was found to high 240 mg, fasting 110, Hb A1c 6.2 while he was on Anti-TB treatment. Creatinine ranges 1.2-1.5. As he was thin and appetite was not good, we chose Gliclazide. Then his sugar was controlled well till last year 2016. In Aug 2016 he got relapse of clinically suspected TB (bacteria not detected by sputum gene expert test twice, culture after 6 weeks) probably due to raise glucose. Then Dimicron was increased to 60 mg. He well responded to anti-TB treatment and now on nearly 8 months. He has underlying bronchiectasis. Recently his FBS raises up to 126-136 mg and 2 hr PPG (after dinner) ranges 196-230 mg. His recent creatinine is 1.2 but his crea: once rises up to 1.7. Kidney friendly amino acid has been given for years and his creatinine usually ranges from 1.2 to 1.5. As his FBS seems to be raises is that OK to add Metformin 250 mg (not SR) before dinner? or how would you like to recommend to treat DM? His HbA1 C 2 days ago was 6.7 and fasting sugar was 126. last 4 months his HbA1 c was 6.3. thanks in advance
Tue, 20 Mar 2018
Hello,
I would like to suggest that your father diabetes mellitus is under control as his HBA1C is below 7 for a diabetic patient on treatment we would always suggest that his HbA1C should be below 7% and moreover we cannot jump on to uncontrolled diabetes by just looking at one time reading of PP for that we at least need to monitor the PP value for a continuous period of three days because the PP value can vary as per the diet of the patient. So I would like to advise you that ask your father for taking the reading for the next three days and that too without altering much of its diet for those days.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Medhavi Agarwal
I would like to suggest that your father diabetes mellitus is under control as his HBA1C is below 7 for a diabetic patient on treatment we would always suggest that his HbA1C should be below 7% and moreover we cannot jump on to uncontrolled diabetes by just looking at one time reading of PP for that we at least need to monitor the PP value for a continuous period of three days because the PP value can vary as per the diet of the patient. So I would like to advise you that ask your father for taking the reading for the next three days and that too without altering much of its diet for those days.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Medhavi Agarwal
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