Kindly guide me with the medicine to control diabetes.

Question

Hi doctor,

I am 56 years old. My height is 167 cm and weight is 220 pounds. 11 years ago, I was diagnosed to have diabetes. The maximum score of my sugar was around 280 mg/dL occasionally due to uncontrolled eating even with pills (DPP 4 and Metformin). Sometimes, I have overeating problem. My HbA1c is 6.5 %. My cardiac MRI showed inflammatory cardiomyopathy borderline with associated VPC. It is under control by Metoprolol 50 mg twice daily. Now, I would like to change my medicines. But, sulfonylurea medicines can increase weight. Acarbose and Voglibose do not work properly. The new medicine offered by my doctor was sodium glucose transporter, but I afraid of kidney damage. Another offer was a slow release Insulin injection, but this can also increase weight. Kindly guide me.

Answer 1

Hi,

Welcome to icliniq.com.

Firstly, is this your BSL (blood sugar level) in fasting or 2 hours after food? I would firstly like to ask you whether you exercise and follow a strict diet or not. That is the most important aspect when you have diabetes. So, please exercise for at least 30 to 45 minutes daily and follow a good healthy diet. Coming to your diabetes issue, you need to consult another doctor or cardiologist, who can change your medication, tablet Metoprolol. I do not know if your present doctor informed you, that Metoprolol (beta blockers) can affect your insulin levels and hence, affect the sugar balance. You do not need a change in your diabetic medications, they are perfect. Take a look at your HbA1c; it is in perfect range for a diabetic. I am amazed. So, do not worry. Meet a good cardiologist or internal medicine and do not forget to tell him the medications you are on.