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What causes persistent high FBS even after medication?

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Patient's Query

Hello doctor,

My FBS used to be around 100-115 while on Metformin 500 mg twice daily (diabetic and PCOS). Recently I have been tired, and feeling hot in the nights, getting night sweats. My FBS was between 150-165 and I visited my doctor and some tests confirmed and he diagnosed me with NASH and put me on Atorvastatin 10 mg. He increased my Metformin to 1000 mg twice daily and I took it for a week and a half and my FBS was still high. He then changed it back to Metformin 500 mg twice daily and Diamicron 30 mg once daily and my FBS is still high. Any suggestions? I am currently on Presaratan H, Amlodipine 10 mg, and Qlaria.
Answered by Dr. Penchilaprasad Kandikattu

Education:

MBBS

Professional Bio:

Dr. Penchilaprasad Kandikattu is a General Practitioner with 15 years of clinical experience. He pursued his MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, and MD in General Medicine from Rajiv Gandhi University of Health Sciences, Karnataka. He is specialized in treating acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working at Sri Sai Hospital, Mancherial, Telangana.

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Hello,

Welcome to icliniq.com.

You have to wait at least two weeks to know whether the drug is working or not. Do regular exercise and yoga. Avoid alcohol and smoking. Eat green leafy vegetables and fruits.

Avoid irregular meals, please check whether you are suffering from hypothyroidism or metabolic syndrome or other hormonal imbalance in which blood sugar may not come down. Weight reduction is very important. Millets like foxtail millet, oats, and other millets are useful to control blood sugar.Still, your blood sugar not under control you may need to change oral hypoglycemic drugs.

Investigations to be done

Ultrasound abdomen. Thyroid profile. Serum creatinine.

Differential diagnosis

Metabolic syndrome.

Treatment plan

Continue the same treatment.
Medically reviewed by Dr. Vinodhini J.
Published At August 3, 2020
Reviewed At July 1, 2024

Education:

MBBS

Professional Bio:

Dr. Penchilaprasad Kandikattu is a General Practitioner with 15 years of clinical experience. He pursued his MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, and MD in General Medicine from Rajiv Gandhi University of Health Sciences, Karnataka. He is specialized in treating acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working at Sri Sai Hospital, Mancherial, Telangana.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Penchilaprasad Kandikattu
Dr. Penchilaprasad Kandikattu

Internal Medicine

Education:

MBBS

Professional Bio:

Dr. Penchilaprasad Kandikattu is a General Practitioner with 15 years of clinical experience. He pursued his MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, and MD in General Medicine from Rajiv Gandhi University of Health Sciences, Karnataka. He is specialized in treating acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working at Sri Sai Hospital, Mancherial, Telangana.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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