Control Diabetes

You can control your blood sugar levels by a combination of medicines, healthy eating, and exercise. Make sure you take Insulin or anti-diabetic medicines prescribed by your doctor on time, follow your meal plan, keep monitoring your blood sugar levels, and exercise regularly.

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How to treat my mother's swollen feet?

Query: Hi doctor, I have a question about my mom's peripheral blood smear test. She is 62 years old and is diabetic. The report says she has normocytic normochromic anemia with neutrophilic leukocytosis. Her neutrophils are 85 %, lymphocytes are 14 %, eosinophils are 1 %, and neutrophils show coarse toxic ...  Read Full »

Dr. Arvind Guru

Answer: Hi, Welcome to I have seen her reports (attachment removed to protect patient identity). In your mom's case, considering that she is a diabetic patient with swelling in both her feet (also known as edema), a few things come to my mind. She could be having some skin infection in the s...  Read Full »

What dosage of Novolog is recommended for TID?

Query: Hi doctor,I was diagnosed with TID 14 years back. I will run out of Lantus before the next shipment arrives, but I have plenty of Novolog on hand. My daily dose is 32.5 units Lantus at 10 AM and 12.5 units at 8 PM, with a sliding scale for Novolog (typically 0 to 6 units). What dosage or schedule wo...  Read Full »

Dr. Shazli Naseer

Answer: Hi, Welcome to I can tell you right away that your type 1 DM (diabetes mellitus) is not being managed correctly. Those who have type 1 DM cannot make it without basal insulin so insulin it has to be provided 24/7. You should be on balanced Lantus and scheduled Novolog (and not sliding...  Read Full »

Can I substitute Amaryl tablet with Kombiglyze tablet?

Query: Hello doctor, I am currently on Amaryl 2 mg. As I will be traveling shortly, to a country where I am told Amaryl is not available, but Kombiglyze is available there. Is it okay to take this substitute?  Read Full »

Dr. Sreejith. M. G

Answer: Hi, Welcome to Amaryl has Metformin 500 mg and Glimepiride 2 mg and Kombiglyze contains Metformin and Saxagliptin. Both combinations are different, so the level of sugar control will be different. Glimepiride is a sulfonylurea and Saxagliptin is a DPP4 (Dipeptidyl peptidase 4) in...  Read Full »

Kindly suggest the prognosis of CKD.

Query: Hi doctor, My girlfriend is 35 years old. She is obese, exercises regularly and tries to watch her diet. In spite of these, she is prediabetic. Her fasting blood glucose is typically around 105 mg/dL. Her A1C is normally in the range of 5.7% to 6%. She takes Metformin to manage the prediabetes. Her...  Read Full »

Dr. Anshul Varshney

Answer: Hi. Welcome to We are here to help you. Considering her prediabetes a cause of her proteinuria, yes, she would be categorized in stage 1 CKD (chronic kidney disease). However, that is very unlikely that such a prediabetes at this age is going to cause proteinuria. Yes, this is not g...  Read Full »

Kindly review my reports and suggest whether I am diabetic.

Query: Hello doctor, I started taking medicine for diabetes from last year. Then after two months, I had to stop because my sugar went down very much. And sometimes, I had to eat glucose to maintain the sugar level. I used to continuously check my blood sugar levels after every 2 to 3 months. As the tests...  Read Full »

Dr. Sreejith. M. G

Answer: Hi, Welcome to I have seen your reports (attachment removed to protect patient identity). Your blood sugar is not under control. Everyone whose HbA1c is more than 6.4, have diabetes. Always keep HbA1c less than 7, for better control of DM (diabetes mellitus) type 2. Your other b...  Read Full »

Which medications should I take to control my diabetes?

Query: Hello doctor, I have been diabetic for the past 12 years. For the initial nine years, I did not take any medicines for it and managed with regular exercise, diet, and walks. In the past three years, In the past three years, I have been taking half a tablet of Glibenclamide in the morning and at nigh...  Read Full »

Dr. Krutika Shrikant Ingle

Answer: Hello, Welcome to Thank you for your query. I understand your concern. I suggest you to follow a few instructions mentioned below. Do not change medications without your doctor's consent. Continue the exercise and diabetic diet. It will help the pancreas function better. Recheck...  Read Full »

How effective is Metformin 1000 mg a day in controlling sugar levels?

Query: Hello doctor, I had my glucose over 600 mg/dL for about a month. I went to the ER and was diagnosed with type 2 diabetes. They put me on Metformin 500 mg twice daily. I have been taking it for almost two weeks, and my fasting glucose levels are not going under 300 mg/dL. I do not have the doctor's a...  Read Full »

Dr. Suneetha B S

Answer: Hello, Welcome back to I understand your concern. Going by your reports (attachment removed to protect patient identity), it looks like you need an increase in the dose of medication. Your doctor may either choose to increase the dose of Metformin or to add another new drug to the exi...  Read Full »

What do the presence of pus cells and RBCs in urine indicate?

Query: Hi doctor, Patient is suffering from fever, headache, pain while passing urine, and foul smell in urine. He had a complete urine test. Pus cells, leukocytes, and RBCs are present in urine. He has been taking Augmentin 625 mg and Dolo 650 for the past three days.  Read Full »

Dr. Shahil Khant

Answer: Hi, Welcome to I have seen the reports sent by you (attachment removed to protect patient identity). The patient is suffering from a severe urinary tract infection. Also, the urine examination shows glucose in urine. So, diabetes is not under control, or the patient does not know tha...  Read Full »

My glucose levels are elevated despite being under medications, following a low carbohydrate diet, and doing mild exercise. What to do?

Query: Hello doctor, I have been under diabetic medications for the last ten years. My normal fasting sugar level using a personal glucometer is 110 mg/dL, and post lunch is 180 mg/dL. I have had these readings constant for the last three years. I take Glimepiride 2 mg with Metformin 500 mg before lunch an...  Read Full »

Dr. Mehak Agarwal

Answer: Hello, Welcome to I read your query and can understand your concern. Your HbA1c and blood sugar levels are slightly high. So I suggest you increase your Metformin dosage to 1 gm after lunch and 1 gm after dinner for ten days and monitor your sugar levels again. However, please consul...  Read Full »

What are the side effects of Glycomet SR 500 mg?

Query: Hi doctor, I am in the initial stage of diabetes. I have been diagnosed before a year only. I walk 7 km a day and five days a week. Still, my present medication does not maintain my glucose levels. My average fasting blood sugar level is 140. I am currently on Glycomet 250 and I am wondering if I sh...  Read Full »

Dr. Suneetha B S

Answer: Hello, Welcome to I understand your concern. From your blood glucose levels, it is clear that the medication you are taking is not sufficient to control your blood glucose. You have not mentioned if you are taking Glycomet 250 once or twice a day. If you are taking Glycomet 25...  Read Full »

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