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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.
This is a premium question & answer published on Mar 04, 2019

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.

Dr. Kaushal Bhavsar

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.


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