Diabetes Medicine

All type 1 diabetes and some type 2 diabetes patients manage diabetes with Insulin injections. The blood sugar levels can be controlled by taking oral antidiabetic medicines like sulfonylureas, meglitinides, biguanides, thiazolidinediones, alpha-glucosidase inhibitors, etc.

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How can we manage diabetes with proper drug and diet?

Query: Hi doctor, I am diabetic for past four years. I am taking Tablet Glynase MF for diabetes. My FBS is 200 mg/dL, PPBS is 300 mg/dL and Hba1c is 8 %. Kindly provide proper drug and diet for managing blood sugar.  Read Full »


Dr. Surbhi Agrawal

Diabetologist, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. Follow the diabetic diet and exercise daily for at least 30 minutes. Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugarless), Breakfast: Nonfried preparations or whole wheat bread or vegetable poha, upma, idli sambhar. Mid-Mo...  Read Full »

Can diabetes medication be stopped as HbA1c has reached 5.6?

Query: Hi doctor,This is with respect to the health condition of my wife. She was diagnosed with type-2 diabetes with HbA1c of 10 three months back and was prescribed with Jalra (50/500), Invokana (100). We consulted a dietitian as well and went on exercise with full diet control. Took the HbA1c results ye...  Read Full »


Dr. Suneetha B S

Diabetologist, Family Physician, Microbiologist, Nutritionist

Answer: Hello, Welcome to icliniq.com. I understand your concern. Since there was a sudden fall in HbA1c level, your doctor might have been surprised by the change. He might want to follow up for a couple of weeks or a month to ascertain that everything is going well. That is probably why your wife is no...  Read Full »

Why is my sugar level still abnormal after taking medicines?

Query: Hello doctor, My fasting sugar is 180 and postprandial is 165. I am diabetic and take one tablet Janumet before breakfast and another after dinner. Why is this abnormal? Kindly suggest.  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. The blood sugar levels are still raised as your dosage must be insufficient. I would like to advise you to tell me the dosage of tablet Janumet that you are taking along with tablet Gluconorm. According to your fasting and postprandial blood sugar, I would then be ab...  Read Full »

Vobit M3 is not controlling diabetes. What can be done?

Query: Hello doctor, I am suffering from diabetes for five years and taking Metformin M2 Glimepiride 1 mg three times a day. Diabetes was under control for one month. Fasting was 180/200 and PP is 360/400. After taking Vobit M3 daily one tablet before lunch, there is no control of diabetes. Please advise....  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Firstly, I would like to ask you if these readings are after stopping the medications or while you were on them. Also, are you following a strict diabetic diet and doing regular exercise? I would like to stress on the fact that even if you are taking medications, you...  Read Full »

Is it fine to take Sitagliptin phosphate to reduce blood sugar level?

Query: Hello doctor, I am 36 years old and am having diabetes for five years. Fasting ranges from 180 to 220 without medicine. Now I have decided to take Sitagliptin phosphate 100 mg per day to lower diabetes. Is it fine?  Read Full »


Dr. Shazli Naseer

Diabetologist

Answer: Hi, Welcome to icliniq.com. To answer briefly, yes you should take added medicine. Sitagliptin is a good choice, added to Metformin. Please send me your HbA1c as well. But as I tell all my patients, treating diabetes properly does not limit to taking medicine only. It involves a lot more. 1 or 2...  Read Full »

I am thinking to change my medicine for diabetes. What can I take instead of Sitaglu Met?

Query: Hi doctor, I am 40 years old, and my weight is 97 kilograms. I am a diabetic patient, and my A1C test showed a result of 9 %. I am taking Sitaglu Met 500 mg. It has not helped me. When I take it, within five minutes, my sugar level gets increased to 250 mg/dL and comes down again to 180 mg/dL or 19...  Read Full »


Dr. Shazli Naseer

Diabetologist

Answer: Hi, Welcome to icliniq.com. Please verify the dose of Sitaglu Met. It is a combination medication. It has two medicines Sitagliptin and Metformin. Please mention whether you take 50 mg/500 mg or 50 mg/1000 mg dose. Please send a picture of it. Medication alone cannot control diabetes. Determining ...  Read Full »

How to reduce belly fat in a diabetic?

Query: Hello doctor, My father is a diabetic since 25 years. He had bypass surgery last year and has gained some belly fat. He is taking medication for lipids. He has grade 2 fatty liver with no symptoms. Please examine my father's recent ultrasound which was done to check his enlarged prostate. Also, pl...  Read Full »


Dr. Rajesh Kumar Padhan

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. His ultrasound (attachment removed to protect patient identity) of abdomen suggests fatty liver. Liver function test (LFT) is normal. This indicates there is fat in liver, but it is not damaging liver. There is no specific treatment for fatty liver. Main treatment to ...  Read Full »

What are the possible measures to control diabetes?

Query: Hi doctor, I am taking the following medicines for my diabetes, Amaryl 2 mg 1-0-1, Onglyza 5 mg 0-1-0, Losar A 1-0-0 and Hosit-L 0-0-1 I would like to know if these medicines can control and regulate my diabetes? If not, please advise me some tablet to bring my sugar level down and get better con...  Read Full »


Dr. Hariharan V

Diabetologist, Family Physician, General Medicine Physician, Internal Medicine Physician, Nutritionist

Answer: Hi, Welcome to icliniq.com. I saw your blood reports (attachment removed to protect patient identity) and medications as well. We diabetologists usually give Amaryl (Glimepiride) to young people and Amaryl Plus (combination of Glimepiride and Metformin) for people with long-standing diabetes. I do n...  Read Full »

My sugar levels are high. What to do next?

Query: Hello doctor, I am a 41 year old female. I had GDM 9 years back with twin pregnancy. Post-delivery for few months my blood sugars were normal. Later l was started on tablet Metformin 500 mg SR bd along with diet control. Last year l was started on tablet Atenolol 5 mg od. l feel fatigue even after...  Read Full »


Dr. Divakara P

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

Answer: Hi, Welcome to icliniq.com. Your blood sugars are quite high and the dose of medication (Metformin 500 mg twice a day) is becoming inadequate for you.  You need to be started on stronger medicine. I would recommend you to take tablet Glycomet GP1 (Glimepiride and Metformin combination) in the morni...  Read Full »

I have been prescribed Farxiga. Should I stop this drug?

Query: Hello Doctor, My doctor set me up with an FNP (Family nurse practitioner) who advised me to start taking Farxiga. I am not sure if I should take this medication.I am curious about other professional opinions on this newly FDA approved drug. Should I stop this drug?  Read Full »


Dr. Divakara P

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

Answer: Hi,  Welcome to icliniq.com.Farxiga is a novel diabetic medicine which decreases blood sugar by reducing the absorption of sugar from kidney. Since more sugar is getting excreted in the urine, blood sugar starts reducing and thus blood glucose levels start coming down.  Though it still needs to co...  Read Full »

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