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

Query: Hi doctor, I am a 26-year-old female. I have been diagnosed with diabetes for the past four years. I take the following medicines every day: 1. Diamicron 60 mg before breakfast. 2. Gluconorm 500 mg after lunch. 3. Gluconorm 500 mg after dinner. Due to the current COVID situation, I am unable to ...  Read Full »


Dr. Zulfiqar Ahmed

Endocrinologist, Diabetologist

Answer: Hi, Welcome to icliniq.com. Thanks for your query. You have very uncontrolled diabetes. Your lipids are also very high. That means you are not controlling your sugar. Treating diabetes is not just bring sugar numbers down but avoiding complications that are associated with diabetes. It can a...  Read Full »

Can I take medicine for a few days to normalize the sugar level with exercise?

Query: Hi doctor, I have a fasting blood sugar of 133 mg/dL and postprandial blood sugar of 175 mg/dL. Can I take medicine for a few days to normalize the sugar level with exercise? When I take food in small amounts, my sugar level does not increase and if I take sugar candy or a high carb food, then my s...  Read Full »


Dr. Zulfiqar Ahmed

Endocrinologist, Diabetologist

Answer: Hi, Welcome to icliniq.com. You have diabetes and so you have a fasting blood sugar level of more than 126 mg/dL. Just taking medicines for a few days will not solve the issue. Diabetes is defined as the condition presenting with high blood sugar levels in the blood. The fasting blood sugar less t...  Read Full »

Should I take Insulin?

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, Family Physician, General Practitioner

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 »

Please give your opinion regarding my diabetes treatment.

Query: Hi doctor, I am 45 years old. I have been suffering from diabetes for the last 10 years. Initially, I was on Metformin 500 mg plus Glimepiride 1 mg twice daily. For the last two years, I am taking Metformin 500 plus Glimepiride 2 mg plus Voglison 0.2 twice a day. But, currently, my sugar level is h...  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. To actually advise a change in your medications, I would require you to follow up with me with your blood sugar levels again. I hope your doctor has informed you about the side effects of Pioglitazone. I am not comfortable with using it, so I would like to suggest a diffe...  Read Full »

Please give your opinion on my sugar levels.

Query: Hi doctor,My fasting blood sugar is 130 and postprandial is 121. After breakfast, I took a sugar tablet. What is your opinion about my values?  Read Full »


Dr. Suneetha B S

Diabetologist, Family Physician, Microbiologist, Nutritionist

Answer: Hello, Welcome to icliniq.com. Your postprandial blood sugar value is within normal limits that is 1.5 to 2 hours after food. Your morning dose of medicine for diabetes seems to be working perfectly for your body condition. But, your fasting blood sugar level of 130 is slightly high. You might need...  Read Full »

What are the risks of uncontrolled gestational diabetes?

Query: Hi doctor, I am a 32-year-old female. I have type 2 diabetes, and I am seven months pregnant. Before the third trimester, my sugar level was well controlled, and as per the doctor's consent, he has put me on Insulin, so I took four units of dose before the meal. But now (during the third trimester)...  Read Full »


Dr. Sravanthi Nuthalapati

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. I am very sorry to say that the present blood glucose values you have mentioned indicate your glycemic control is not good. In pregnancy, there is a requirement of strict blood sugars control as it can affect the baby's growth and well-being. The ideal fasting should...  Read Full »

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 »

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