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 a diabetic. What could be the reason for my occasional fever at night?
Query: Hi doctor, I am suffering from diabetes, So can I share my blood test report? Could you please advise on medication? Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for your query, I have gone through your report (attachment removed to protect for patient's identity). You will need medications. Unfortunately, medicines cannot be prescribed over this mode of consultation. As per governmental regulations, you might have a ... Read Full »
My HbA1c levels have reduced. Does it mean my diabetes is gone?
Query: Hello doctor, I am a 57 year male. Four months ago, the doctor declared that I am diabetic as my HbA1c was 10.7 %. I started with Glimisave M2 (two tablets per day) and Atorec 10 (one tablet at night), later on, I shifted to Glimisave M1 (two tablets per day) and Atorec 10 as usual. I take other su... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query. From what you have mentioned, it appears that you have controlled your diabetes quite well. I would suggest that you take tablet Glimisave (Glimepiride) M2 once in the morning and tablet Glimisave M1 once at night. Your diabetes is not gone, but... Read Full »
Please suggest steps to control blood sugar with medicines.
Query: Hi doctor,I am diabetic since 9 years. I am taking Glisen-PM1 and Vogo 0.2 before and after meal respectively. My fasting remains below 100 and PP is more than 200. Please advise. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. In such case, I would like to know whether you take Glisen-PM 1 (Combination of Glimepiride, Metformin and Pioglitazone) before you got your postprandial value done. If no, then get your repeat fasting and postprandial test done in which you would also consume y... Read Full »
My mother is type 2 diabetic and her level is not dropping even after using medications. What to do?
Query: Hello doctor, My mother has diabetics type 2. Currently, she is using Metformin 500 mg two times a day with Glibenclamide. The problem is it is not dropping as before. Can you please help with other medications or tablets? Read Full »
Answer: Hello, Welcome to icliniq.com. Your mother needs some different medications, Glimepiride 3 mg before breakfast, Sitagliptin Metformin combination of 50/850 twice daily after meals. Decrease fats in her diet, avoid fast food. Increase physical activity if possible. Sugary things should be avoided alt... Read Full »
Can I substitute Amaryl tablet with Kombiglyze tablet?
Query: Hello doctor, I am currently on Amaryl 2 mg. As I will be traveling shortly, to a country where I am told Amaryl is not available, but Kombiglyze is available there. Is it okay to take this substitute? Read Full »
Answer: Hi, Welcome to icliniq.com. Amaryl has Metformin 500 mg and Glimepiride 2 mg and Kombiglyze contains Metformin and Saxagliptin. Both combinations are different, so the level of sugar control will be different. Glimepiride is a sulfonylurea and Saxagliptin is a DPP4 (Dipeptidyl peptidase 4) in... Read Full »
I have diabetes in spite of taking Amaryl and Janumet. Please suggest.
Query: Hello doctor, I am a 51 year old male. I have diabetes. My fasting is 150 to 160 and PP is 250 to 300. I am taking Amaryl 2 mg morning and Janumet 50/1000 after lunch and dinner. Please suggest. Read Full »
Dr. M. A. Toyeb, Nazma Parveen
Answer: Hello, Welcome to icliniq.com. You are already taking Amaryl (Glimepiride) 2 mg and Janumet 50/1000 (Sitagliptin and Metformin) twice but still, your blood sugar is not under control. Are you following dietary restrictions properly? Your weight is on the higher side. I suggest the dose of Metformin ... Read Full »
My FBS is 220 and RBS is 320. Can I increase my dose of Glimepiride?
Query: Hello doctor, I have diabetes from the last two years. I take medicine Glimepiride 2 mg before breakfast and Metformin 500 mg after meal twice daily. But my routine blood sugar is fasting 220 and random 320 or above. Can I increase my dose of Glimepiride? Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Looking at your blood sugar levels, it looks like you definitely need to increase the dosage of your medication. There are three options: Increase dosage of Metformin. Increase dosage of Glimepiride. Add a new drug to the current regimen. A ... Read Full »
Doctor advised taking Insulin injections instead of tablet. What do you suggest?
Query: Hello doctor, I am 33 years old. One year back, my HbA1c result was 8.2. Then, I started to take medicine Dailyglim M1 for three months and started some workout and took light food. Then, my sugar level came down. Fasting and PP result were in 105 and 160 range respectively. But, after some time it ... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand you are hesitant to use Insulin. But what she has said is right. Finally, Insulin is what controls your blood sugars. Since people are hesitant to use it, we usually do not prescribe it as a first-line treatment. Oral medications help the pancreas to p... Read Full »
For uncontrolled diabetes, is Glycomet-GP2 better than Glycomet-GP3?
Query: Hi doctor, I am a medical student doing my internship. My father has been suffering from fever since seven days up to 101 F. I have given him Ofloxacin 200 mg 2 times a day. But, the cause of the fever is unknown. All the blood reports are negative. He is a known diabetic since 20 years and his bloo... Read Full »
Answer: Hello, Welcome to icliniq.com. If your father is having continuous fever for seven days with negative blood reports then probably a detailed evaluation is required. Tablet Ofloxacin is a broad spectrum antibiotic against most bacterial infections and if his fever is not improving and bl... Read Full »