Recently Answered Questions
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My sugar levels are high. What to do next?
Query: Hello doctor, I am a 41 year old female. I had GDM 9 years back with twin pregnancy. Post-delivery for few months my blood sugars were normal. Later l was started on tablet Metformin 500 mg SR bd along with diet control. Last year l was started on tablet Atenolol 5 mg od. l feel fatigue even after... Read Full »
Answer: Hi, Welcome to icliniq.com. Your blood sugars are quite high and the dose of medication (Metformin 500 mg twice a day) is becoming inadequate for you. You need to be started on stronger medicine. I would recommend you to take tablet Glycomet GP1 (Glimepiride and Metformin combination) in the morni... Read Full »
I am pregnant and have type 2 diabetes. How to keep it under control during pregnancy?
Query: Hello doctor, I am a 30-year-old female who is two months pregnant. My doctor diagnosed me with type 2 diabetes now. So, how to maintain my blood sugar level under control during pregnancy? Can diabetes pass to my baby if I am not under control? Will diabetes affect my baby in the future? Will diabe... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I suggest you do an HbA1c (hemoglobin A1c) test. If it is normal, then no need to worry about diabetes. I also suggest you do regular yoga and walking to prevent diabetes. Avoid junk food. If your sugar levels are ... Read Full »
Is it fine to take Betnesol during 36 weeks of pregnancy with BP, thyroid and diabetes?
Query: Hello doctor, I am 36 weeks pregnant with LMP. My doctor is prescribing me Betnesol. I have thyroid, BP and GD. They are under control. Sugar levels are also under control. I am little worried about Betnesol. My previous baby was a C-section. I had planned normal delivery (for my first) but had to ... Read Full »
Answer: Hello, Welcome to icliniq.com. In cases of gestational diabetes mellitus with gestational hypertension at 36 weeks of gestation, there are chances that there occurs delayed maturation of fetal lungs which can prevent the baby from baby breathing after birth due to immature lungs. So considering yo... Read Full »
Query: Hello doctor, I am a 31-year-old woman pregnant with my first baby. I was diagnosed with type 2 diabetes during screening at ten weeks of pregnancy. I am on insulin, and my sugar levels have been fairly well controlled till now. I have completed 30 weeks now and taking the tablet of Novomix 30 in... Read Full »
Answer: Hello, Welcome to icliniq.com. You need to have strict monitoring (fetal as well as maternal) sugar level charting recurrently to adjust the dose recurrently. Gestational diabetes is diagnosed during pregnancy. It can be hazardous to the fetus as well as the mother. You need to have a diabetic die... Read Full »
Query: Hi doctor, I am 29 weeks pregnant. I have found that my sugar level is higher than normal. The doctor recommended 16 units of insulin per day and daily glucose monitoring and a healthy diet. I am following this for two weeks. My doctor prescribed me Pro PL Lite powder, but my dietitian said to consu... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Please send me detailed history regarding diabetes, its values, and your oral and injectable medications. Diabetes in pregnancy has many risks and needs too much monitoring of maternal and fetal health and a proper delivery plan with strict s... Read Full »
To avoid diabetes during pregnancy, what diet should have to follow?
Query: Hello doctor, I am 26 weeks pregnant. This weekend I had my glucose tolerance test (3 hours) and on which I failed badly. My fasting numbers were 172, 325 and 318. I know they are bad, but my doctor never told me to follow a strict diet of three to five days prior to the test. In my pregnancy, I ... Read Full »
Answer: Hello, Welcome to icliniq.com. You are suffering from gestational diabetes mellitus without any doubt. As per IADPSG criteria (International Association of Diabetes and Pregnancy Study Group) and DIPSI criteria (The Diabetes and Pregnancy Study Group India) both makes you overt diabetic. These le... Read Full »
Can constipation be related to high sugar levels?
Query: Hello doctor, I am a 53-year-old female. I had gestational diabetes and 11 years later my sugar levels were high so started taking Glycomet. However, the fasting sugar level in the morning is always high and PP is less than fasting. Recent HbA1c is 6.9. Do I have to continue medicine? I walk daily ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to iclinq.com. Diabetes is not curable but controllable. The first line in the management of type 2 diabetes is lifestyle modifications. Fasting should not be higher than 110, postprandial should not be higher than 140, and HbA1c should not be higher than 7.5. My advice: Healthy diet: ... Read Full »
Diagnosed with gestation diabetes. Was the test done right?
Query: Hi doctor, I am 9 weeks 3 days pregnant. My doctor has diagnosed me with gestational diabetes. At my 1 hour test, my levels were at 170, which was high, but they told me it was low. I was scheduled for 3 hours test and was told to eat sugar treats and sugar drinks three days before my test and then ... Read Full »
Answer: Hi, Welcome to icliniq.com. Let me make a few corrections in the methods done. I have not heard of the methods done. Gestational diabetes is caused by the hormones of the pregnancy, which appears in pregnancy only after 26 to 28 weeks, the time when pregnancy hormones are at the highest level. So... Read Full »
Do I have prediabetes if my lab results show high glucose and cholesterol levels?
Query: Hi doctor,I have a lot of stress in my life. I have lab test reports that are not normal such as high glucose, cholesterol, low urea nitrogen, etc. I have attached documentation to you to see what I am trying to say. I am currently pregnant, and my due is in the next seven months. May you recommend ... Read Full »
Answer: Hello, Welcome to icliniq.com. According to your labs, your fasting sugar is high, but the hemoglobin A1c (HbA1c) test, the predictor of the average sugar over the last three months, is normal. I suggest you start a diabetic diet that limits your sugar intake and have food with a low glycemic index,... Read Full »
Is there anything to be worried in pregnancy test reports?
Query: Hi doctor, I am 24 weeks pregnant. I have done the following tests: CBC with PS, ESR (Westergren's method) and routine urine examination. Also, I have tested for a GCT single sample after taking 75 g of glucose and TSH. Recently, I have got Mcdonald stitch. My current medication is Folvite, Pixit, E... Read Full »
Answer: Hello, Welcome to icliniq.com. You have normocytic and normochromic anemia (attachment removed to protect patient identity), so you need to take Iron tablets regularly.The ESR (erythrocyte sedimentation rate) can be high due to an allergic skin reaction or even presence of helminths, which may be ... Read Full »