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

Type 2 Diabetic. Prescribed Glyclmet, Amaryl, Losacar. Missed Medicine Several Times. Sugar High. How To Control?

Hi, I have type 2 diabetic from 2006. have been visiting the local family doctor and have been taking the medicine prescribed by him 9 Glyclmet 850 mg , morning and evening after meals , amaryl 2mg (after dinner ??), losacar 50 mg for pressure and multi vitamin. . Last three months have been hetic at work and have not visited the doctor nor have taken all the medicine as prescribed .(glycomet and losacar have taken daily but have missed out amaryl and actova and the multi vitamin , fish oil ). After checking sugar levels via one touch ultra machine during the last few days show that the sugar levels are in 250- 160 . pls advice . my weight is 90 kg. height 5.6. age 44 male .
Sat, 30 Mar 2013
Report Abuse
Internal Medicine Specialist 's  Response
Hello!
Thanks for writing to us.
You need to to be restarted on amaryl 2mg along with glycomet 850mg ,losacar50mg and atorvastatin.
Prior to restarting on these get fasting and post lunch sugar level,hba1c,renal function test ,serum electrolytes and serum lipids.
Other measures like diet control and exercise are also needed.

Diabetes and hypertension if not controlled adequately in time leads to many micro and macro vascular complications such as:
1.retinopathy
2.nephropathy
3.coronary artery disease
4.peripheral vascular disease
5.cerebrovascular disease
6.peripheral neuropathy

These complications can lead to irriversible damage to vital organs .
Hence get earlier appointment of your physician for restarting on proper treatment and evaluation for other complications.
Hope you will understand the things.
Wish you good health.

I find this answer helpful
Internal Medicine Specialist Dr. Mayank Bhargava's  Response
Hi,
Thanks for posting your query.
With the available described symptoms, there appears to be possibility of uncontrolled blood sugar.
Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications.
Blood sugar both fasting and postprandial must be in controlled range.
Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas.
When diabetes has been diagnosed, less than 20% beta cells remains in pancreas and progressive destruction of beta cells is still continuing.
You should consult with internal medicine specialist/ endocrinologist and should go for thorough check up.
You should also go for blood sugar fasting and postprandial, glycosylated hemoglobin, lipid profile, renal function test, electrocardiography.
You should take proper treatment for control of sugar.
You should also reduce your body weight.
Take care,
Dr. Mayank Bhargava
I find this answer helpful
Cardiologist Dr. Hemant Kumar's  Response
Lose 20 kg-. according to your height , your wt should be around 70 kg .“More than 80% of people diagnosed with type 2 diabetes are obese, Just losing will have a huge impact on blood glucose levels.
Increase your activity- Set yourself a goal. Try to get to 10,000 steps a day
If you smoke, quit. “If you have diabetes and smoke, that’s slow suicide,” smoking accelerates the onset of every single diabetes complication
Relax-Stress relievers such as meditation, deep breathing, and relaxation exercises can help.
Monitor your blood glucose levels.
Follow your diabetes meal plan. If you do not have one, consult ditician and develop a meal plan.
Eat healthy foods such as fruits and vegetables, fish, lean meats, dry peas or beans, whole grains, and low-fat or skim milk and cheese.
Eat foods that have less fat and salt.
Eat foods with more fiber such as whole grain cereals, breads, crackers, rice, or pasta.
do not stop medicine , your goal should be fasting 100 and pp- 170
your Bp goal should be below 130/80 mmhg

I find this answer helpful
General & Family Physician Dr. Gopal Krishnam Raju's  Response
dont miss ur medicines :)
I find this answer helpful

1 Doctor agrees with this answer


Note: For further follow-up, discuss your blood glucose reports with our diabetologist. 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


Recent questions on Meditation


Loading Online Doctors....
Type 2 Diabetic. Prescribed Glyclmet, Amaryl, Losacar. Missed Medicine Several Times. Sugar High. How To Control?

Hello! Thanks for writing to us. You need to to be restarted on amaryl 2mg along with glycomet 850mg ,losacar50mg and atorvastatin. Prior to restarting on these get fasting and post lunch sugar level,hba1c,renal function test ,serum electrolytes and serum lipids. Other measures like diet control and exercise are also needed. Diabetes and hypertension if not controlled adequately in time leads to many micro and macro vascular complications such as: 1.retinopathy 2.nephropathy 3.coronary artery disease 4.peripheral vascular disease 5.cerebrovascular disease 6.peripheral neuropathy These complications can lead to irriversible damage to vital organs . Hence get earlier appointment of your physician for restarting on proper treatment and evaluation for other complications. Hope you will understand the things. Wish you good health.