Diabetes Management

Diabetes can be managed by making healthy food choices like restricting the intake of high carbohydrate foods, avoiding sugary beverages, and eating a balanced diet. Other methods that can help lower the blood sugar levels are regular physical activity, taking antidiabetic medicines on time, and by managing stress.

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Can Insulin dosage be increased to control blood sugar levels?

Query: Hi doctor, My wife is a 46-year-old female of 5.4 feet and weight of 80 kg. She has diabetes for around four to five years and hypertension (after medicine 130/80), hyperthyroid (after 150 Eltroxin well controlled) for a similar period. She had a hysterectomy done around four years back. She is on...  Read Full »


Dr. (col) Rakesh Karanwal

Cardiologist, Diabetologist, Endocrinologist, Family Physician, General Medicine Physician, Internal Medicine Physician, Neurologist, Pulmonologist, Rheumatologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Thanks for your query. I would initially like to know her TSH (thyroid-stimulating hormone) levels since my target is to maintain TSH to around 1.0. Further, your wife's Insulin is resistant, whereby her dose of Insulin is likely to go up with time. Insulin dose and ag...  Read Full »

Please suggest medicines and a diet plan for diabetes.

Query: My mother, age 48, has Hypertension. She's taking maintenance medicine: Amlodipine Besilate 10mg. At around 8 PM of 09/03/2020, she got her BP results from the clinic and it was 150/100. Yesterday she went to get her Fasting Blood Sugar test results and it was 403 mg/dL. Reference Range is from 74.0...  Read Full »


Dr. Zulfiqar Ahmed

Endocrinologist, Diabetologist

Answer: Hi Good day Thanks for your query What’s the HBA1c which will show ur average sugar over 2-3 months previously Her sugar over 400 is very high How much she’s using metformin. U didn’t mention. She can increase it 2 gm in 24 hours if she’s taking less than that and if she&r...  Read Full »

Please suggest the Metformin dosage.

Query: Hi doctor, My age is 33 and weight is 80 kg. My glycosylated fasting sugar 106 and postprandial is 115. Will Metformin help me to lose weight? Which medicine is better, either Metformin or Metformin extended release? How much dosage should I take?  Read Full »


Dr. Kusumakar Srivastava

Diabetologist, General Medicine Physician, Internal Medicine Physician, Rheumatologist

Answer: Hi, Welcome to icliniq.com. As per your sugar reports, it is confirmed that you are not diabetic. But, you are prone to get diabetes as fasting sugar is impaired and normally it should be less than 100. So, I would recommend you lifestyle modification like exercise for at least 30 minutes per day fo...  Read Full »

Can glucose monitor value and HbA1c differ?

Query: Hi doctor, My father has been suffering from diabetes for the past 20 years. He is using Apidra (20 units in the morning and 14 units in the evening), Lantus (20 units in the morning) Insulin injections and Cyblex MV 40.2 mg twice a day. He regularly checks his blood sugar level using glucose monito...  Read Full »


Dr. Kusumakar Srivastava

Diabetologist, General Medicine Physician, Internal Medicine Physician, Rheumatologist

Answer: Hi, Welcome to icliniq.com. The diabetic medications followed by your father have controlled his blood sugar level in the range of 90 to 130 mg/dL. The reading shown by the glucose monitor is the current value during the time of check, but HbA1c always denotes the control of sugar level over two ...  Read Full »

For 7.5 HbA1c level, should Gemer 1 tablet be continued?

Query: Hi doctor, Last month, my HbA1C was 7.5. I was advised to take Gemer 1 tablet before breakfast for 30 days. My LDL cholesterol is 119 mg/dL, HDL is 40mg/dL and triglycerides 161 mg/dL. My age is 49. Should I continue Gemer 1 along with other medicines? Kindly suggest.  Read Full »


Dr. Talal Hussain

Family Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. The HbA1C level of above 7 is a confirmatory diagnosis of diabetes mellitus. So, now you are a diabetic and should receive full diabetic management ranging from diet modification, exercise and medication. As far as tablet Gemer 1 mg (Glimepiride) is concerned, I suggest ...  Read Full »

Please suggest a plan to help bring my sugar levels to the normal range.

Query: Dear Doctor I am female 26yrs old. I have been diagnosed with diabetes from past 4 years. I take the following medicines every day: 1. Diamicron 60mg before breakfast 2. Gluconorm 500mg after lunch 3. Gluconorm 500mg after dinner Due to current covid situation, I am unable to visit any medical cen...  Read Full »


Dr. Zulfiqar Ahmed

Endocrinologist, Diabetologist

Answer: Hi. Good day. Thanks for your query. I have very uncontrolled diabetes. Ur lipids are also very high. That means ur not controlling ur sugar. Treating diabetes is not just bring sugar numbers down but avoiding complications which are associated with diabetes. It can affect heart kidneys eyes nerves ...  Read Full »

What are the health benefits of okra?

Query: Hello doctor, How does the consumption of okra promote a healthy pregnancy? How does vitamin C content in okra help to reduce respiratory illnesses like asthma? What is the relationship between okra and kidney disease? How can eating okra daily help reduce kidney damage? How can okra help reduce t...  Read Full »


Dr. Revathi Sundaramurthy

Ayurveda Specialist, Yoga Specialist, Nutritionist, Dietician

Answer: Hello, Welcome to icliniq.com. Okra is a vegetable with amazing health benefits. It aids bowel movements in constipation, lowers cholesterol and reduces the risk of colorectal cancer. Research shows that this vegetable has natural anti-diabetic properties. Remember that the benefits of okra are du...  Read Full »

Please suggest ways to improve the sugar level.

Query: Hi doctor, My diabetes started as gestational diabetes around seven years back. I am taking NovoRapid 24 units three times a day and Lantus 30 units at night daily. But, my blood sugar levels are not at all coming down. Previously, I took tablet Zoryl MV 1 and 2. I am using these Insulin for the pas...  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. Uncontrolled sugar can be due to inadequate dose of Insulin, not following proper diet and less physical activity or exercise. I need to know whether you take NovoRapid 24 units three times a day which is equal to 72 units per day or it is 24 units per day. ...  Read Full »

Can drinking alcohol increase blood sugar levels?

Query: Hello doctor, I am 50 years old. I have done my sugar test last week which showed high blood sugar value and high cholesterol. My doctor advised me to test because I had irritation while urinating. My doctor prescribed me to take Cumet-SR tablets. My weight is 85 kg and height 5.8 feet. I have few ...  Read Full »


Dr. Sumit Srivastava

General Medicine Physician, General Practitioner, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have gone through your complaint and seen your reports (attachment removed to protect patient identity). It suggests that you have diabetes and dyslipidemia. Your irritation in urine is due to infection in urinary tract which is common in diabetes patient. You need...  Read Full »

Is diabetes medicine needed if HbA1c is 7.5?

Query: Hello doctor, I am a 52 year old female. One year before I went to a diabetologist and took glucose tolerance test. Here is the result, fasting - 128 mg/dL, 1 hour - 340 mg/dL, 2 hour - 196 mg/dL. Doctor prescribed medicine for a month but after that I did not take any medication. Now I would...  Read Full »


Dr. Ankush Gupta

Criticalcare Physician, Family Physician, General Practitioner, Diabetologist

Answer: Hi, Welcome to icliniq.com. As you have mentioned that took medicine for a month, still your HbA1c - glycated hemoglobin is 7.5 (attachment removed to protect patient identity). This is little high. The target of HbA1c should be less than 7. So, I would suggest you to continue with tablet Glycipha...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care 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.