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HomeAnswersInternal MedicinediabetesMy diabetes is not under control despite taking medications. Why?

Diabetes is not under control even after taking medications. Kindly advise.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 20, 2019
Reviewed AtFebruary 22, 2024

Patient's Query

Hello doctor,

I take GP3 before lunch and dinner, Obimate SR 1 gm after lunch and dinner, and Tryglynase 2 before breakfast but my diabetes is not coming under control. I have attached my report.

Hi,

Welcome to icliniq.com.

I can understand your concern. There are three ways to control diabetes. Diet, exercise, medicines (oral or Insulin). No matter how good your blood sugar reports are, you should definitely follow a strict anti-diabetic diet and do regular daily aerobic exercises like walking, running, cycling or swimming.

So, start an anti-diabetic diet and exercise if you are not following. In treatment, you should start long-acting Lantus Insulin 10 units in the night at 10 AM. Take Tryglynase two tablets before breakfast, two before lunch, and one before dinner. Also, take Voglibose 0.3 mg tablet one before breakfast, one before lunch, and one before dinner. Stop GP3 and Obimate SR 1 gm. Get repeat FBS, and PPBS after seven days and let me know the results.

The Probable causes

Lack of diet and exercise.

Investigations to be done

FBS and PPBS after seven days.

Differential diagnosis

Obesity.

Probable diagnosis

Uncontrolled diabetes.

Treatment plan

Lantus Insulin.

Preventive measures

Diet and exercise.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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