Common "Diabetes" queries answered by top doctors | iCliniq

Diabetes

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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Humalog, my sugar level is not under control. Why?

Query: Hi doctor, I have type 2 diabetes. I am taking Humalog Insulin 1 unit, three times a day. Before a week, I checked my blood sugar level. It is found to be high in the morning and it was 189 mg/dL to 252 mg/dL. Before lunch, it was 216 mg/dL, I went to work and did my job. My blood sugar had no chang...  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hello, Welcome to icliniq.com. Thanks for the query. I have gone through your problem. You are only on Insulin Humalog (Insulin Lispro Injection), is that true? Do you take any oral antidiabetic medications? The Insulin units that you have mentioned "1 unit 3 times a day" Is it correct? Because 1 ...  Read Full »

What are the complications of high blood glucose levels?

Query: Hi doctor, I am a 62-year-old male. I am diabetic and taking oral hypoglycemics for more than 15 years. My fasting blood sugar level is 134 mg/dL and PPBS is 470 mg/dL (today's reading). The earlier reading was 240 mg/dL. I am taking Glycinorm-M 80 mg, Gluxit 10 mg, Voglitab MD 0.3 mg, Rozemake 10 ...  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hi, Welcome to icliniq.com. The postprandial glucose level is too high. But it is unlikely to cause diabetic ketoacidosis. That condition is more likely to occur in type 1 diabetes mellitus and very rarely in type 2 diabetes mellitus. However, such high glucose is dangerous. You are already on thr...  Read Full »

Is it normal to have fluctuations in blood sugar levels even after taking medicines?

Query: Hi doctor, My dad is having diabetes for 27 years. Now he is 67 years old. His condition was properly managed with the help of the doctor. He is taking Metformin 500 two times a day with food management. After retirement, this treatment has not helped him. He is taking Insulin 70/30 10 units two ti...  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hi, Welcome to icliniq.com. I have gone through the details given. It is necessary to upgrade his current treatment. There is a need to increase his insulin dosage. Initially, you can increase the dosage of Lantus insulin to 20 units at night and check his fasting glucose level. If the level is more...  Read Full »

Do I have vomiting and weakness because of my new diabetic medicine?

Query: Hi doctor, Will my new diabetic medications cause vomiting and fatigue? I have been taking only Metformin for ten years, but my sugar levels have recently increased to 360 mmol/L. So now my medications have been changed to Voglibose and Glimepiride. I have been taking them for a week. I am now exper...  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hi, Welcome to icliniq.com. I understand your concern. Usually, most oral anti-diabetes drugs are very well tolerated. But occasionally, some patients may have side effects like gastrointestinal disturbances, which include nausea, vomiting, loose motions, acidity, etc. Glimepiride invariably does ...  Read Full »

How can hemoglobin and sugar level be managed in a diabetic patient?

Query: Hello doctor, I am opening up a new subscription under you, so that I can chat more easily. I request you to follow our discussions from previous records. To remind again, this query is for my mother. Her age is 47. She is on her regular medicines for above mentioned conditions. However, recently he...  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hello, Welcome to icliniq.com. I have seen the medicine list being taken by her (attachment removed to protect patient identity). Of those drugs ROXCEF is an antibiotic to be given for a very limited period may be 5 days or so. BIO D 3 strong is also not needed on continuous basis, unless she has ...  Read Full »

My blood sugar has been high for 15 days. Kindly help.

Query: Hello doctor, My fasting blood sugar has been at 145 to 155 mg/dL, and postprandial blood sugar has been at 200 to 205 mg/dL for the last 15 days; when measured from a glucometer. Please guide me.  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hello, Welcome to icliniq.com. Thanks for the query. Both fasting and postprandial glucose levels show that you have diabetes. Please check HbA1c (hemoglobin A1c); that will give a better idea. If you are not on treatment, then it is high time that appropriate treatment is started right away. Idea...  Read Full »

My dad is on antidiabetic drugs. Is diet and exercise enough?

Query: Hi doctor,My dad is 55-year-old and has been diabetic for the last ten years. In the beginning, he had a very high blood glucose level and was asked to take insulin in the form of injections for almost two years. And then, over a period of time, he was asked to stop taking injections and shifted to ...  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hello, Welcome to icliniq.com. As I understand, your dad was on Insulin for two years and then switched on to oral antidiabetes drugs. Usually, when blood glucose is very high (on detection), Insulin is given for a short period, and then after achieving good control, the patient is shifted to oral...  Read Full »

How can ketone level be decreased in a diabetic patient?

Query: Hello doctor, I am a diabetes patient. My sugar level in fasting is above 350 mg/dL and I checked ketone in urine, it was found to be 4+. My height is 5' 5" approximately and weight is 136 pounds. What can I do for ketone?  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hello, Welcome to icliniq.com. Ketones usually develop more often in T1 diabetes. Especially when there is no adequate insulin and glucose levels are higher than 300 to 350 mg. It is necessary to take adequate water to eliminate those through urine. Avoid exercise when ketones are present. Try and...  Read Full »

Should we repeat the blood tests taken last month for diet planning for my diabetic husband?

Query: Hello doctor, I contacted you about a month ago regarding my husband, who is diabetic. You recommended that he do specific tests. He did the recommended tests (the file is attached). Please let me know your views on his blood test report. Last month we visited a local diabetologist who changed the c...  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hello, Welcome to icliniq.com. I have seen the reports (attachment removed to protect the patient's identity) and doctor's prescriptions. May I know what earlier drugs were taken before this prescription was given? Because his diabetes was reasonably well controlled, as seen from the report from t...  Read Full »

I have diabetes. Can I consume glucose powder when I become tired and thirsty?

Query: Hi doctor,If I have diabetes, can I consume glucose powder? I have had diabetes for three years, and I am on medications. However, I frequently become tired and thirsty in the middle of the day for no apparent cause. Can I take glucose at that time?  Read Full »


Dr. Prabhakar Laxman Jathar

Answer: Hello, Welcome to icliniq.com. I understand your concern. If your blood glucose is not effectively regulated, you may experience fatigue regularly. It is impossible to determine how excellent or terrible the control is because you have not indicated anything regarding fasting, postprandial (PP) bl...  Read Full »

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