Recently Answered Questions
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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 »
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 »
Do I have vomiting and weakness because of my new diabetic medicine?
Query: Hi doctor, Will my new diabetic medications cause vomiting and fatigue? I have been taking only Metformin for ten years, but my sugar levels have recently increased to 360 mmol/L. So now my medications have been changed to Voglibose and Glimepiride. I have been taking them for a week. I am now exper... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Usually, most oral anti-diabetes drugs are very well tolerated. But occasionally, some patients may have side effects like gastrointestinal disturbances, which include nausea, vomiting, loose motions, acidity, etc. Glimepiride invariably does... Read Full »
Query: Hello doctor, I am a 55-year-old female. I am taking Galvus 50 mg two tablets per day. My sugar level after food ranges from 200 to 210 mg/dL. Please advise me whether I should continue the medicine or use another suitable medication. I have been taking diabetic medicine for about seven years. Th... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. After meals, the target blood sugar level should be below 180 mg/dL. Hemoglobin A1c (HbA1c) level is a good monitoring test to see how well-controlled is your blood sugar level. Galvus (Vildagliptin) is a good ... Read Full »
What are the generic equivalents for Glycomet-GP 2 and Istavel tablets?
Query: Hello doctor, What is the generic equivalent for Glycomet GP2 (with 500mg Metformin)? What is the generic equivalent for Istavel 50 mg (Sitagliptin Phosphate) Tablets? Read Full »
Answer: Hello, Welcome to icliniq.com. Alternative generic equivalent for Glycomet GP2 includes: Glucophage Glucophage XR Fortamet Glumetza Alternative generic equivalents for Istavel 50 mg include: Gliptin Januvia Siglita Ristaben Available in Governments Jan Aushadhi include the follo... Read Full »
I have a high blood sugar level which is 240 mg/dL. Please help.
Query: Hi doctor, My weight is 62 kilograms and my height is 5 feet 6 inches. My blood sugar is high (240 mg/dL). Please help me. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. There are multiple suggestions that I can make as a doctor. I would test your blood sugars four times daily, before every meal and at bedtime. The issue with high blood sugar is not short-term but long-term effects, such as eye, kidney, and nerve disease. I am assuming... Read Full »
My father is diabetic and has acquired COVID infection. What should I do?
Query: Hello doctor,My father has been suffering from diabetes and high blood pressure for four years. He has got infected with COVID -19. His blood sugar level has been above 300 mg/dL for the last three days, even after taking medicines on time. I am sharing his current medications with you.1.Tablet Glyc... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your concern in detail and will surely help you out. Increased blood sugars are a known complication of COVID, especially in diabetes. Mostly it is due to steroid use, but there are other factors as well. However, there is no need to worry, we need to add a... Read Full »
Does my relative take the correct dosage for his diabetes medication?
Query: Hi doctor, I am sending a few doubts of my relative, who is suffering from diabetes and HTN. They have a strong case history of CKD in the family. For diabetes, the patient was taking the following medicines. A combination of Metformin 850 mg and Glimperide 1 mg in the morning and a combination of M... Read Full »
Answer: Hi, Welcome to icliniq.com. I went throgh your query and understood your concern. However, I have a few questions. 1. Is he still taking Glimepiride (anti-diabetic medication) and Metformin (antihyperglycemic drug)? 2. Tiban is Teneligliptin, which I do not prescribe much. But it is safe to tak... Read Full »
Can I substitute Amaryl tablet with Kombiglyze tablet?
Query: Hello doctor, I am currently on Amaryl 2 mg. As I will be traveling shortly, to a country where I am told Amaryl is not available, but Kombiglyze is available there. Is it okay to take this substitute? Read Full »
Answer: Hi, Welcome to icliniq.com. Amaryl has Metformin 500 mg and Glimepiride 2 mg and Kombiglyze contains Metformin and Saxagliptin. Both combinations are different, so the level of sugar control will be different. Glimepiride is a sulfonylurea and Saxagliptin is a DPP4 (Dipeptidyl peptidase 4) in... Read Full »
My FBS is 220 and RBS is 320. Can I increase my dose of Glimepiride?
Query: Hello doctor, I have diabetes from the last two years. I take medicine Glimepiride 2 mg before breakfast and Metformin 500 mg after meal twice daily. But my routine blood sugar is fasting 220 and random 320 or above. Can I increase my dose of Glimepiride? Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Looking at your blood sugar levels, it looks like you definitely need to increase the dosage of your medication. There are three options: Increase dosage of Metformin. Increase dosage of Glimepiride. Add a new drug to the current regimen. A ... Read Full »
Kindly review my reports and suggest whether I am diabetic.
Query: Hello doctor, I started taking medicine for diabetes from last year. Then after two months, I had to stop because my sugar went down very much. And sometimes, I had to eat glucose to maintain the sugar level. I used to continuously check my blood sugar levels after every 2 to 3 months. As the tests... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). Your blood sugar is not under control. Everyone whose HbA1c is more than 6.4, have diabetes. Always keep HbA1c less than 7, for better control of DM (diabetes mellitus) type 2. Your other b... Read Full »