The hemoglobin that is bond to glucose is called glycated hemoglobin. Glycated hemoglobin is used to determine the control of blood glucose in diabetic patients. Higher amounts of glycated hemoglobin indicate poor control.
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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 »
Are medicines necessary for elevated LDL levels?
Query: Hello doctor, I am 43 years old. I do not smoke or drink, but my food habits are not very good. Recently, I got my blood checked for Apo B/Apo A and the ratio was really bad at 1.6. The triglyceride is around 474 and this rose from 270 around three months back. My HDL is 26, LDL 116 and TC 237. Let... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. You definitely need treatment for high cholesterol along with dietary modifications. You need to be started on a combination of Atorvastatin and Fenofibrate. Start regular exercise and avoid oil, rice and potatoes. For blood sugars, you can wa... Read Full »
Vegetarian diet plan for a type 2 diabetic patient.
Query: Hi doctor, I would like to know vegetarian diet plan for a type 2 diabetes patient. She is a 58 year old female and her blood sugar level is 150. Please suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. You can start by following some basic rules of eating healthy. Include raw foods like vegetable salads in the diet. Fruits can be taken in moderation once a day. Avoid fruits with a high glycemic index like grapes, mango and jackfruit. Eat three differe... Read Full »
Am I suffering from pneumonia?
Query: Hi doctor, I am having fever for about a month now. So, I have done a master health checkup and the report shows raised PLBS 184, SGPT 121, LDL 112 and fatty liver. My chest x-ray PA view shows right lower zone soft tissue opacity. Because of the soft tissue opacity fever pack, thyroid profile, bloo... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on these reports, you are suffering from pneumonia. As your PPBS (postprandial blood sugar) is high, you need further evaluation and treatment. I would advise you to get a CT chest done. Also, get a sputum fungal stain and culture done. Check H... 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 »
Please suggest a treatment plan based on my father's blood report.
Query: Hi doctor, I would like to get a consultation regarding my father. His blood report showed hemoglobin (optical/impedance) 12.4 g%, platelet count (optical/impedance) 93 10^3/cubic mm, WBC count (optical/impedance) 3.6 10^3/cubic mm, packed cell volume (calculated) 36%, serum vitamin B 12 472 ng/L. ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows. There are mild anemia, low white blood cell count, and low platelet count. All counts are considered adequate clinically, as they are near normal. It could be early features of megaloblastic anemia. As vitamin B12 levels ar... 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... 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 Gly... Read Full »
When I cough my chest pain gets worse. Is it something serious?
Query: Hi doctor, I am a 60 year old female. I weigh 70 kg and my height is 5 feet. I am a known diabetic and hypertensive and on regular medications. I have been suffering with dry cough, fever and chest pain. When I cough my chest pain gets worse. I am unable to take deep breath, because if I inhale deep... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read through your query in detail and gone through your reports (attachment removed to protect the patient's identity). Please find my observations below. The chest x-ray shows certain changes which are expected for your age. There are no significant shadows... 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 and PP 200. 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 Voglinorm 0.3, Jal... 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 y... Read Full »
How to lower high blood sugar levels in a hypertensive patient?
Query: Hello doctor,As of today, my mother's fasting blood sugar levels had come up 123 .2 mg/dl, and HbA1c is 6.5%. Average blood glucose is 140 mg/dl. In the blood test taken before three months, her fasting blood sugar was at 118 mg/dl, whereas HbA1c was 6.1%. She did not take any medicines but was unde... Read Full »
Answer: Hello, Welcome to icliniq.com. I had a look at the report (attachment removed to protect patient identity). Her blood sugar levels are on the higher side (fasting, average levels). And her HbA1c (glycated hemoglobin) is exactly at 6.5%, which is the cut-off point for diagnosing diabetes. I co... Read Full »