Recently Answered Questions
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Why is my fasting sugar level increased even after taking medications for it?
Query: Hi doctor, I am a 42-year-old female. My fasting sugar level is 135 mg/dL, and postmeal, it is 130 mg/dl. My BMI is 18. I am taking tablets Metformin 500 mg, and Glimepiride 0.5 mg twice daily. I want to know if this increase in fasting blood sugar is due to Somogyi effects, the dawn phenomenon, or ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. The higher blood sugar level in the morning can be due to low insulin in the body, eating less, or skipping meals at night, which may lead to rebound high blood sugar. So, as blood sugar is not very high, insulin is not required. But, with bet... Read Full »
How to manage leg injury in a diabetic?
Query: Hi doctor, I was recently diagnosed to be diabetic. I am on Glycine-SR 500. One week back, I got a small injury in my right leg. Now, some pus is coming from that injury. Last week, my fasting and postprandial blood sugar were 139 and 228 mg/dL respectively. Please let me know the treatment that I n... Read Full »
Answer: Hello, Welcome to icliniq.com. Pus from a wound means infection. So, you need to visit your nearby hospital immediately and get it dressed. Also, start the antibiotics prescribed by them. Healing is hampered in diabetes so it needs immediate attention. Your blood sugar levels are high. I suggest c... Read Full »
Is diabetes medicine needed if HbA1c is 7.5?
Query: Hello doctor, I am a 52 year old female. One year before I went to a diabetologist and took glucose tolerance test. Here is the result, fasting - 128 mg/dL, 1 hour - 340 mg/dL, 2 hour - 196 mg/dL. Doctor prescribed medicine for a month but after that I did not take any medication. Now I would lik... Read Full »
Answer: Hi, Welcome to icliniq.com. As you have mentioned that took medicine for a month, still your HbA1c - glycated hemoglobin is 7.5 (attachment removed to protect patient identity). This is little high. The target of HbA1c should be less than 7. So, I would suggest you to continue with tablet Glyciphag... Read Full »
Can diabetes be the cause behind my lethargy and heart palpitations?
Query: Hello doctor, I am a 70 year old lady. Over 10 years, I am diabetic. My fasting sugar is 160 mg/dL and PP 200 mg/dL. I do not have any other complications. I am feeling tired due to insufficient blood. I am having heart palpitations on and off due to insufficient blood. Currently, I am taking Voglin... Read Full »
Answer: Hello, Welcome to icliniq.com. I had a look at your test reports (attachment removed to protect patient identity). First of all congratulations for maintaining your body weight and keeping the blood sugar under control. As I always say if you can control your weight and diet, then you can control ... Read Full »
Why is my fasting sugar more than postprandial?
Query: Hi doctor, My fasting sugar has been more than postprandial sugar levels consistently in the last few reports. The last four months values are 130 and 120 mg/dL, 125 and 113 mg/dL, 121 and 127 mg/dL, 118 and 99 mg/dL respectively. With these data, I have not been given any medicines for diabetes. ... Read Full »
Answer: Hi, Welcome to icliniq.com. The decrease in postprandial blood sugar can be explained by stimulation of insulin release after food which will decrease the blood sugar. Increase in blood sugar in empty stomach is due to glucagon secretion which will increase the blood sugar level. You have not menti... Read Full »