Q. Is occasional fever at night normal in people with diabetes?

Hi,

Welcome to icliniq.com.

Thank you for your query,

I have gone through your report (attachment removed to protect for patient's identity). You will need medications. Unfortunately, medicines cannot be prescribed over this mode of consultation. As per governmental regulations, you might have a video consultation with me before receiving a prescription. You may schedule it for tomorrow.

Thank you.

Hi,

Welcome back to icliniq.com.

Thank you for your query,

Unfortunately, that is how the online format allows me to dispense medicine. Please stick to the guidelines below.

1. Take the tablet Glimepiride in the morning and at night, ten minute before food.

2. Take one Rosuvastatin tablet at night, after dinner.

3. Take the tablet Cholecalciferol once a week for ten weeks.

After three weeks, I suggest you take fasting blood sugar, post-prandial blood sugar, and lipid profile.

Please follow up for further assistance.

Thank you.

Hi,

Welcome back to icliniq.com.

Since when it is happening? Do you experience chills? Is your body sweating or shivering from a fever? Does it occur when diabetes medicine is started? Any other symptoms other than this? Kindly let me know.

Hi,

Welcome back to icliniq.com.

Thank you for your query.

I have gone through you report (attachment removed to protect for patient's identity). I expect the result will be less than 140 mg/dl while fasting and less than 180 mg/dl after breakfast. Your results are very satisfying, and everything is normally going. Please continue the same medicines. Diet and exercises to be continued. Do you have any symptoms? Are earlier symptoms better?

Hi,

Welcome back to icliniq.com.

Thank you for your query,

Blood sugar levels are slowly returning to normalcy. Your hemoglobin A1c was quite high. With the present results, it will come down significantly. You have to continue the same medications. I will guide you on medication adjustments one week before ramadan. Before I change the medicines, kindly get your fasting, postprandial blood sugar, hemoglobin A1c, and lipid profile tests. Take a follow-up one week before ramadan starts. Get those tests done without fail to adjust medicines. You may still have to continue taking medicines. Discontinuation can be considered but unlikely and too early to decide. However, there is scope for a reduction in the number of medicines and dosage.

Please follow up for further assistance.

Thank you.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Nagaraj

Experience: 16 + Yrs

Diabetology

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