HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Ways To Control High Blood Sugar Levels

Dear Dr Sahab I am working huge pressure and tension. i m detected with sugar. my doctor has advised me Metsmall 500 mg two times a days before meal and because heat is coming out from my palm and legs( Talwa in Hindi). Now Dr Sahab has doubled the dose. Addition to that one Pregablin capsules in night. My sugar level is 145 Fasting and 202 PP. Kindly advise me. Thanking you Hooda
Mon, 16 Mar 2015
Report Abuse
General & Family Physician 's  Response
Hi
Thank you for asking HCM
I have gone through your query. Metformin (metsmall) is the first line therapy in diabetes and is very safe also. But serum urea and creatinine should be measured to find out about your kidney function. Your sugar level for fasting and PP is high. If this reading is after taking medication then you should approach your doctor for adding another drug. In such case i would recommend adding DPP4 inhibitors like sitagliptin. But if you cant afford it and want cheaper one then i would recommend thiazolidinediones like pioglitazone. Better avoid sulfonylureas as the long term outcome of it is not satisfactory. Also consider diet modification and exercises like brisk walking , jogging etc.
Hope this may help you. Let me know if anything not clear.
Thanks.
I find this answer helpful

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Ways To Control High Blood Sugar Levels

Hi Thank you for asking HCM I have gone through your query. Metformin (metsmall) is the first line therapy in diabetes and is very safe also. But serum urea and creatinine should be measured to find out about your kidney function. Your sugar level for fasting and PP is high. If this reading is after taking medication then you should approach your doctor for adding another drug. In such case i would recommend adding DPP4 inhibitors like sitagliptin. But if you cant afford it and want cheaper one then i would recommend thiazolidinediones like pioglitazone. Better avoid sulfonylureas as the long term outcome of it is not satisfactory. Also consider diet modification and exercises like brisk walking , jogging etc. Hope this may help you. Let me know if anything not clear. Thanks.