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 »
Should I consult a doctor for sudden fainting and tingling tongue?
Query: Hi doctor,My friend, who is a 38-year-old female, had sudden fainting and tingling in her tongue. She wants to know what is wrong with her. Is it necessary to visit the hospital? Read Full »
Answer: Hello, Welcome to icliniq.com. Sudden fainting attacks could be because of various reasons. The most common are as follows. Overactive nerves, may be caused by acts of sneezing, coughing, laughing excessively, sudden pain or fear. Closed and crowded spaces where there is too little oxygen. ... Read Full »
Query: Hello doctor, I was diagnosed with type 2 diabetes and high triglyceridemia three years ago. My current HbA1C is 6.5 mmol/mol and triglyceride is 212 mg/dL without any medicine. I work out daily, walk 5 km, and maintain my diet also. But sometimes my fasting glucose is 125 mg/dL and my PP is about 1... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your blood sugar level is not too high right now, and I have not seen your previous reports when you were diagnosed as having diabetes. Assuming your blood sugar levels were higher earlier, first of all, let me cong... Read Full »
Why do my AST and ALT levels remain raised this month?
Query: Hi doctor,Recently, I did blood work, and my ALT was 65 U/L, and my AST was 97 U/L. Both of these parameters were below 60 two months back. Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you have recently done your blood test. Both ALT (alanine transaminase) and AST (aspartate transaminase) are above normal. Your ALT is 65 U/L, and AST is 97 U/L, and both were below 60 ... Read Full »
Please suggest some effective medicines to manage my high blood sugar levels.
Query: Hello doctor, My sugar level is 600 mg/dL, and my HbA1c level is 14 %. Please tell me some effective medicines to control my blood sugar level. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and can understand your concern. First of all, I need to know if you have been diagnosed with diabetes for the first time or if you are already on any medication. If yes, please mention the name of the medicines. Also, mention your body weight and bloo... Read Full »
What are the symptoms and warning signs of pre-diabetes and diabetes?
Query: Hello doctor, How to spot symptoms of high blood sugar and warning signs for high blood sugar and pre-diabetes? I would like to know at least one symptom of hyperglycemia, and explanation of why that symptom occurs during a bout of high blood sugar? Read Full »
Answer: Hello,Welcome to icliniq.com.Usually high blood glucose (hyperglycemia) symptoms are not very obvious, hence people do not come to know about the problem easily.So called typical symptoms of diabetes or hyperglycemia are : excess thirst (polydypsia), excess hunger (polyphagia) and excess urination ... 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 »
What complications can occur if I continued to have high blood sugar levels?
Query: Hi doctor, I am male, 73 years old, height 179 cm, and weight 120 kg. Has diabetes type 2, high blood pressure, gout, slight renal failure, had a heart attack almost 10 years ago and underwent a procedure of having two stents in his heart. Cholesterol. Takes medication for his illnesses. His blood ... Read Full »
Answer: Hello, Welcome to icliniq.com. Such high sugars may cause acute complications like dehydration, diabetic hyperosmolar state or diabetic ketoacidosis, which may be life-threatening. He should drink plenty of water to reduce the risk of dehydration. Also, in long-term, it can lead to heart disease, ... Read Full »
My blood sugar temporarily rose after breakfast, which reduced after one hour. How to manage it?
Query: Hello doctor, Can temporary hyperglycemia affect our body? For example, after two hours of breakfast, I had a sugar level of 260 mg/dL, and after one hour, the reading was 120 mg/dL. Does it affect my body, and how can I manage this problem? Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. A single instance may not affect as it could be because of diet. However, such repeated episodes must be examined and investigated to rule out any medical condition and treat them accordingly. Also, watch your diet.... Read Full »
Query: Hi doctor, I am a 67-year-old male and having diabetes for the last 15 years. Currently taking Ryzodec (14, 16 units morning and evening respectively), Galvus Met, PPG 0.3 (1 BD). Generally, I do not take any sweet eatables. Still, my blood sugar is erratic. Hb1Ac is 8.2. Please suggest a suitable r... Read Full »
Answer: Hi, Welcome to icliniq.com. I thoroughly read your query and understand your concern. Please provide me with the following information to make proper suggestions for adjustments: 1. Is your diabetes type 1 or type 2? Share the blood sugar log for at least five to seven days. I do ask my patient... Read Full »