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How to manage diabetes?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My father is suffering from diabetes. His blood sugar values are around 350 to 470 mg/dL in the report. Earlier, he never had such a problem. Please provide some solution and help us to get it cured.
Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

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Hi,

Welcome to icliniq.com.

From the report (attachment removed to protect patient identity) it is found that your father has overt diabetes and should be managed efficiently to prevent the complications. There are two ways of diabetes management: Lifestyle changes - It includes diabetic diet, daily exercise and cholesterol and weight management. Drug therapy - If blood sugars are so high that they cannot be well controlled on dietary measures, the medicines are required. Medicines are again decided based on the blood sugar levels. You should not play with these drugs. As this can be harmful, get them prescribed by a doctor only. They would start with an assumed dosage and will modify the medicine based on his blood sugar values. With his blood sugar level, I would prefer to start him with Metformin, Glimepiride and Sitagliptin. In case, not controlled with the highest possible doses of these drugs, he would require insulin. I would advise you to get the following investigations done for him. HbA1C (glycated hemoglobin), fasting lipid profile, serum creatinine, urine for microalbumin and ECG (electrocardiogram). Based on the reports, he would be started on the treatment.

Medically reviewed by Dr. K. Shobana
Published At August 14, 2018
Reviewed At February 16, 2024

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Dr. Anshul Varshney

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Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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