Q. Diabetes is not under control even after taking medications. Kindly advise.

Answered by Dr. Kaushal Bhavsar and medically reviewed by iCliniq medical review team.

 

New
Do you have a question on Control Diabetes or Blood Sugar Levels? We have medical experts to help you right away. Ask a Doctor Now »
 

Hello doctor,

I take GP3 before lunch and dinner, Obimate SR 1 gm after lunch and dinner, Tryglynase 2 before breakfast but diabetes is not coming under control. I have attached my report.


Related Questions:
Diabetes is not under control even after taking medications. Kindly advise.
I take insulin, but my sugar levels are high. What should I do?
Can a diabetic patient have brown rice?
 

Dr. Kaushal Bhavsar
MBBS., MD
General Medicine, Internal Medicine, Pulmonology (Asthma Doctors

Hi,

Welcome to icliniq.com.

I can understand your concern. There are three ways to control diabetes. Diet, exercise, medicines (oral or Insulin). No matter how good your blood sugar reports are, you should definitely follow a strict anti-diabetic diet and do regular daily aerobic exercises like walking, running, cycling or swimming.

So, start anti-diabetic diet and exercise if you are not following. In treatment, you should start long-acting Lantus Insulin 10 units in the night at 10 AM. Take Tryglynase two tablets before breakfast, two before lunch and one before dinner. Also, take Voglibose 0.3 mg tablet one before breakfast, one before lunch and one before dinner. Stop GP3 and Obimate SR 1 gm. Get done repeat FBS, PPBS after seven days and let me know the results.


The Probable causes:

Lack of diet and exercise.

Investigations to be done:

FBS and PPBS after seven days.

Differential diagnosis:

Obesity.

Probable diagnosis:

Uncontrolled diabetes.

Treatment plan:

Lantus Insulin.

Preventive measures:

Diet and exercise.

 
 
Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.

Related Questions & Answers


High HbA1c in a pregnant woman. Please suggest what has to be done.
Query: Hello doctor, I am a 25-year-old lady about 6 to 7 weeks pregnant. My HbA1c is 12. What should I do?  Read Full »
Dr. Uzma Arqam
Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. According to diabetes guidelines, the patient should have strict diabetic control pre-pregnancy. It is better to have a strict diabetic diet and sugar levels within the normal range and have HbA1c less than 6. Frankly speaking, I feel that during conception, less than 6...  Read Full »
 
Can I take Insulin to control blood sugar?
Query: Hi doctor,I am having high blood glucose. My fasting blood sugar is 153, postprandial is 175 and before dinner 152. My doctor advised Janumet 50/500 before breakfast and dinner and Sulisent in the morning. Shall I take it? Presently, I am having Invokana 50/500 before breakfast and dinner and Reclid...  Read Full »
Dr. Krutika Ingle Karandikar
Diabetologist

Answer: Hi, Welcome to icliniq.com. Firstly, I like to tell you that you are doing a great job by managing strict diet restrictions and regular exercises. Please do continue exercising for at least 45 minutes daily. Now, coming to your concern regarding the medications, Insulin is definitely the most natur...  Read Full »
 
Kindly guide me with the medicine to control diabetes.
Query: Hi doctor, I am 56 years old. My height is 167 cm and weight 100 kg. 11 years ago, I was diagnosed to have diabetes. The maximum score of my sugar was around 280 occasionally due to uncontrolled eating even with pills (DPP 4 and Metformin). Sometimes, I have overeating problem. My HbA1c is 6.5. My...  Read Full »
Dr. Krutika Ingle Karandikar
Diabetologist

Answer: Hi, Welcome to icliniq.com. Firstly, is this your BSL (blood sugar level) in fasting or 2 hours after food? I would firstly like to ask you whether you exercise and follow a strict diet or not. That is the most important aspect when you have diabetes. So, please exercise for at least 30 to 45 minut...  Read Full »
 
 

Ask your health query to a doctor online?
 
Ask a Doctor Online »
* guaranteed answer within 4 hours.
 

Ask a Doctor Online

* guaranteed answer within 4 hours
 

Most Viewed


What is the best treatment for oily scalp and hair?
Hello doctor,I completed my acne treatment one year ago and my skin is clear after some period of time. My scalp and fac ...Read more »
How Is H.Pylori Infection Diagnosed and Treated?
Helicobacter pylori (H.pylori) is a bacteria that infects your stomach. Approximately 50% of the world's population has ...Read more »
Is it normal to have foamy urine?
Hello doctor, My urine is foamy. I am confused whether everyone will get bubble and foamy urine while urinating. Please ...Read more »