Hi,I am Dr. Shanthi.E (General & Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
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
General & Family Physician, Dr. Nishad BN'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.
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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.