Common "Diabetes" queries answered by top doctors | iCliniq


Diabetes is a metabolic disorder where there is increased blood sugar levels. It may be of type 1 or type 2. The early signs of diabetes include increased thirst, increased hunger and increased frequency of urination.

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What diet can be given to prevent dialysis and control creatinine level in a diabetic?

Query: Hello doctor, I am a 68 year old male having diabetes with chronic kidney disease, and I have a creatinine level 5.96 mg/dL. What diet should be given to prevent dialysis and control creatinine level?  Read Full »

Dr. Shazli Naseer

Answer: Hi, Welcome to Reviewing the laboratory results (attachment removed to protect patient identity), the patient has already developed significant damage, creatinine is too high and has already secondary hyperparathyroidism. Type 2 diabetes with renal complication. Dialysis is unavoidabl...  Read Full »

I am taking insulin for diabetes since 22 years of age. What is the type of diabetes?

Query: Hello doctor, I was diagnosed with diabetes at age 22. When I was first diagnosed, I was taking pills which never worked. So, after a while, I started taking Insulin and have been since. I am taking five shots a day including rapid and long-acting Insulin. I was wondering if I would be type 1 or ty...  Read Full »

Dr. Shazli Naseer

Answer: Hi, Welcome to You can be either type 1 diabetic or LADA (latent autoimmune diabetes of the adult) which behaves exactly like type 1. That is why pills worked for you first and then you ended up on Insulin. Either way, you will surely need Insulin to survive. I can recommend some test...  Read Full »

Which medicine is recommended for diabetes instead of Sitaglu Met?

Query: Hi doctor, I am 40 years old, and my weight is 213 pounds. I am a diabetic patient, and my A1C test showed a result of 9 %. I am taking Sitaglu Met 500 mg. It has not helped me. When I take it, within five minutes, my sugar level gets increased to 250 mg/dL and comes down again to 180 mg/dL or 190 m...  Read Full »

Dr. Shazli Naseer

Answer: Hi, Welcome to Please verify the dose of Sitaglu Met. It is a combination medication. It has two medicines Sitagliptin and Metformin. Please mention whether you take 50 mg/500 mg or 50 mg/1000 mg dose. Please send a picture of it. Medication alone cannot control diabetes. Determining ...  Read Full »

Is it fine to take Sitagliptin phosphate to reduce blood sugar level?

Query: Hello doctor, I am 36 years old and am having diabetes for five years. Fasting ranges from 180 to 220 mg/dL without medicine. Now I have decided to take Sitagliptin phosphate 100 mg per day to lower diabetes. Is it fine?  Read Full »

Dr. Shazli Naseer

Answer: Hi, Welcome to To answer briefly, yes you should take added medicine. Sitagliptin is a good choice, added to Metformin. Please send me your HbA1c as well. But as I tell all my patients, treating diabetes properly does not limit to taking medicine only. It involves a lot more. 1 or 2 r...  Read Full »

Is it possible to have raised blood sugar levels because of painkillers for chikungunya?

Query: Hello doctor, I want to ask for my mother. Her age is 52 years and weight is 119 pounds approx. She suffered from chikungunya in and as chikungunya causes severe pain in joints. So the doctor prescribed painkillers always and when the pain was severe, the doctor also gave injections to decrease pain...  Read Full »

Dr. Shazli Naseer

Answer: Hi, Welcome to Temporarily any illness can cause elevated blood sugar levels. It is difficult to say what was the cause in her case. If the painkillers included steroids then yes, that added to the cause. But illness itself could be the reason, since it disturbs the immune system and ...  Read Full »

What dosage of Novolog is recommended for TID?

Query: Hi doctor, I was diagnosed with TID 14 years back. I will run out of Lantus before the next shipment arrives, but I have plenty of Novolog on hand. My daily dose is 32.5 units Lantus at 10 AM and 12.5 units at 8 PM, with a sliding scale for Novolog (typically 0 to 6 units). What dosage or schedule w...  Read Full »

Dr. Shazli Naseer

Answer: Hi, Welcome to I can tell you right away that your type 1 DM (diabetes mellitus) is not being managed correctly. Those who have type 1 DM cannot make it without basal insulin so insulin it has to be provided 24/7. You should be on balanced Lantus and scheduled Novolog(and not sliding ...  Read Full »

I am diabetic from last six years and under medications. Please suggest medicine for better control.

Query: Hello doctor,I am diabetic from last six years and taking Pioplus 2, K-vog once in a day. My Hba1C rest is on 8.9 %, and random sugar is 236 mg/dL. Please suggest me medicine for better control.  Read Full »

Dr. Shazli Naseer

Answer: Hello, Welcome to I need some more information such as your age, weight, kidney function, fasting blood sugar, and post-meal blood sugar or bedtime blood sugar to answer your question. At least done three days per week. And I need a two-week log. That will help me choose the best medi...  Read Full »

How to manage varying blood sugar levels?

Query: Hi doctor, I am a 67-year-old male and having diabetes for the last 15 years. Currently taking Ryzodec (14, 16 units morning and evening respectively), Galvus Met, PPG 0.3 (1 BD). Generally, I do not take any sweet eatables. Still, my blood sugar is erratic. Hb1Ac is 8.2. Please suggest a suitable r...  Read Full »

Dr. Shazli Naseer

Answer: Hi, Welcome to I thoroughly read your query and understand your concern. Please provide me with the following information to make proper suggestions for adjustments. Is your diabetes type 1 or type 2? Share the blood sugar log for at least five to seven days. I do ask my patient to ch...  Read Full »

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