Hello, Welcome to icliniq.com. You have provided good, necessary information to start. As a diabetes specialist, I like to do a very detailed analysis to make a customized approach for each patient. Based on the information you provided, you should be on medication, from my experience, like low-dose Metformin 500 mg twice daily with meals, or Metformin 500 mg. Extended-release once daily.
Hi, Welcome to icliniq.com. Reviewing the laboratory results (attachment removed to protect patient identity), the patient has already developed significant damage, creatinine is too high and has already secondary hyperparathyroidism. Type 2 diabetes with renal complication. Dialysis is unavoidable, at this stage. To control diabetes and further renal damage, must avoid Metformin and must avoid a high dose of DD-4 or extended release Sulfonylurea.
Hi, Welcome to icliniq.com. You are very young and have full symptoms, which is typical of type 1 diabetes where the body is insulin dependent and pills do not work. Your doctor should check for particular laboratory tests for that including C-peptide and insulin levels in your system. If your condition gets worse, and not treated in time, you will have significant kidney damage and loss of vision in eyes in no time. I highly suggest to go to local endocrinologist as soon as you get an appointment.
Hi, Welcome to icliniq.com. I went through your husband's reports, plus from the information you provided. This is my advice. He will need a detailed examination and a few more tests to determine if he is type 1 or type 2 because he is very young. His glucose levels are critically high from my assessment and he needs to start immediate treatment with diet control, a medicine which will include a pill and a short-term insulin once daily until his sugar is under control.
Hi, Welcome to icliniq.com. To answer briefly, yes you should take added medicine. Sitagliptin is a good choice, added to Metformin. Please send me your HbA1c as well. But as I tell all my patients, treating diabetes properly does not limit to taking medicine only.
Hi, Welcome to icliniq.com. I thoroughly read your query and understand your concern. Please provide me with the following information to make proper suggestions for adjustments. Is your diabetes type 1 or type 2? Share the blood sugar log for at least five to seven days. I do ask my patient to check blood sugar at least three times daily, in the morning fasting, before lunch, and before breakfast.
Hi, Welcome to icliniq.com. You can be either type 1 diabetic or LADA (latent autoimmune diabetes of the adult) which behaves exactly like type 1. That is why pills worked for you first and then you ended up on Insulin. Either way, you will surely need Insulin to survive. I can recommend some tests to confirm your type and I can help plan your treatment according to your weight and some nutrition counseling that will help control your blood sugar nicely.
Hello, Welcome to icliniq.com. I reviewed your results in detail (attachment removed to protect patient identity). My assessment are as follows: Vitamin D level is very very low for your age. This has a huge impact on diabetes control. Advise: Start over the counter Vitamin D supplement at least 5000 units daily and take it for eight weeks and have your level retested.
Hi, Welcome to icliniq.com. Please verify the dose of Sitaglu Met. It is a combination medication. It has two medicines Sitagliptin and Metformin. Please mention whether you take 50 mg/500 mg or 50 mg/1000 mg dose.
Hi, Welcome to icliniq.com. Women who have polycystic ovary syndrome (PCOS) have a higher risk of developing type 2 diabetes. They are diagnosed at an earlier age with this condition. It is a state of insulin resistance. In post-pregnancy, she can have high blood sugar values, especially in post-meal up to six weeks and even up to 12 weeks.
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.