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.
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 that it should be taken lifelong with another medication by the name of Metformin 250 mg twice daily after meals. By this way you will have a good control of diabetes and completely avoid complications of the disease.
- Your LDL and HDL levels are in normal ranges (low-density lipoprotein and high-density lipoprotein), which is very good.
- But, your triglyceride level is slightly increased, which just needs exercise and diet modification.
- I would suggest using raw extra-virgin olive oil by just pouring it on ready meals like lentil or eggs right before serving.
Investigations to be done:
C-peptide, renal function test, liver function test, serum electrolyte and complete blood picture.
Probable diagnosis:Treatment plan:
Hypoglycemic drugs with euglycemic drugs (to maintain normal blood sugar).
Preventive measures:Diet and exercise.
Regarding follow up:Revert back for further information to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
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