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How to effectively manage high blood sugar levels with medicines?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My sugar level is 600 mg/dL, and my HbA1c level is 14 %. Please tell me some effective medicines to control my blood sugar level. Thank you.

Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern. First of all, I need to know if you have been diagnosed with diabetes for the first time or if you are already on any medication. If yes, please mention the name of the medicines. Also, mention your body weight and blood pressure readings. Hope this helps. Thanks and take care.

Patient's Query

Hello doctor,

I have been diagnosed with diabetes for the first time. My body weight is 211 pounds, and my blood pressure readings are 110/70 mm of Hg. Kindly help. Thank you.

Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. In such a scenario, I prefer to start my patient on a single drug for the next ten days. After that, based on the response obtained, we modify the dosage or advice insulin. I suppose in your case, oral medicines would be sufficient. I suggest you start with the tablet Istamet 50mg/500mg (Sitagliptin + Metformin) twice daily before breakfast and dinner. However, please consult a physician, discuss with them, and start taking the medications with their consent. You should follow a diabetic diet and do regular exercises. Check your blood sugar daily at home using a glucometer- fasting blood sugar, then two hours after taking medicine and breakfast. Write back to me after ten days with a blood sugar chart. Hope this helps. Thanks and take care.

Patient's Query

Hello doctor,

The doctor advised me to take Metformin 500 mg twice daily in the morning and at night after breakfast and dinner. Moreover, I have been advised to consume Gliclazide 60 mg once daily in the afternoon before lunch. Further, the doctor has also advised me to take insulin 20 units once before dinner. Sir, I want to know whether the dosage of the medicines referred by the doctor is good enough to contain the effect of diabetes on my body. Thank you.

Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

The treatment style varies for every doctor. They have given the right medicines. If you are comfortable with insulin, you can go ahead. Slowly and gradually your blood sugars would improve. I hope it helps. If you have any further questions please revert. Thank you.

Medically reviewed by Dr. K. Shobana
Published At February 28, 2023
Reviewed At December 14, 2023

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

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