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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taken Istamet, Glycomet, Volivo For High Blood Sugar Level. How Long To Take Medicine?

One month back my fasting blood sugar was 300 and PP was 406. My doctor gave me Istamet 50 +1000 mg, glycomet trio and Volivo 0.3/m 500. After one month medication, my blood sugar has come down to 118 PPand 97 fasting. Please advise on my course of medication, should I continue the same medicines
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Sat, 29 Jun 2013
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General & Family Physician 's  Response
Hello,
The main principal of treating diabetes is keeping your blood sugar levels in normal range by adopting all means which includes anti diabetic drugs,proper intake of food with adequate dietary control and regular aerobic exercises.
If your blood sugar levels are normal,as it is now,you should keep continuing these drugs.The moment you try to reduce any medicine of your own,your blood sugar may get uncontrolled.
However you must remember one thing,that gradually and gradually these oral anti diabetic drugs loose their efficacy and one has to switch to injectable insulin sooner or later because there is gradual destruction of beta cells of pancreas with passage of time.These beta cells are responsible for production of insulin under the effect of oral anti diabetic drugs like insulin secretagogues.
Make sure that along with your blood sugar levels,your blood pressure and serum lipids are also under proper control.
Thanks
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Diabetologist Dr. Pratap VGM's  Response
DEAR SIR/MADAM

INCREASE IN THE DOSAGE OF TABLETS WILL ONLY CONTROL BLOOD SUGARS FOR A LIMITED PERIOD OF TIME, AFTER THAT YOU NEED TO TAKE INSULINS

WHAT IS SUGGEST IS GIVE SOME REST TO BETA CELLS, TRY TAKING METFORMIN AND GLIPTINS WITH VOGLIBOSE, THESE WILL SPARE BETA CELLS

NOW PIOGLITAZONE BANNED IN INDIA, STOP GLYCOMET TRIO

IF YOU WONT GET CONTROL WITH THESE DRUGS THEN ADD A SINGLE DOSAGE OF BASAL INSULIN

THANKS
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Taken Istamet, Glycomet, Volivo For High Blood Sugar Level. How Long To Take Medicine?

Hello, The main principal of treating diabetes is keeping your blood sugar levels in normal range by adopting all means which includes anti diabetic drugs,proper intake of food with adequate dietary control and regular aerobic exercises. If your blood sugar levels are normal,as it is now,you should keep continuing these drugs.The moment you try to reduce any medicine of your own,your blood sugar may get uncontrolled. However you must remember one thing,that gradually and gradually these oral anti diabetic drugs loose their efficacy and one has to switch to injectable insulin sooner or later because there is gradual destruction of beta cells of pancreas with passage of time.These beta cells are responsible for production of insulin under the effect of oral anti diabetic drugs like insulin secretagogues. Make sure that along with your blood sugar levels,your blood pressure and serum lipids are also under proper control. Thanks