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My blood sugar level increased with quitting alcohol. Shall I increase Trajenta dose?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a diabetic. One month back I used to drink alcohol about 350 ml every night and in the morning I take one tablet of Trajenta. Since I have stopped drinking, I feel to eat some sweet and I do eat some ice cream once a day or a Bournvita milk. When I check my sugar randomly now on On- touch Ultra it is between 200 to 265 mg/dL. So to maintain my sugar level can I have two tablets of Trajenta in the morning and evening?

Hi,

Welcome to icliniq.com.

From your history, I could understand that you are suffering from uncontrolled type 2 diabetes for one month. Usually, uncontrolled blood sugars may not initially show symptoms, that does not mean it is safe to have high blood sugars for a long time. We are controlling sugars to prevent complications which are usually manifested five to ten years later. In your case, the blood sugars might have slightly lowered after stopping drinks that might be causing relative hypoglycemia symptoms, which usually will be over within a couple of weeks. Anyway, still your blood sugars are uncontrolled. I will advise you to follow a better diet pattern with limited calories according to your activities and a low glycemic index food intake. Also, try to spend 30 minutes daily for regular aerobic exercises. Coming to your medication, do not increase Trajenta 5 (Linagliptin). Continue the same dosage. You can add a new tablet for better sugar control. Avoid drinks completely for avoiding sugar fluctuations.

Investigations to be done

Do HBA1c (glycated hemoglobin), serum creatinine, and urine albumin creatinine ratio.

Treatment plan

Continue Trajenta 5 mg 0-0-1. Add tablet Amaryl M1 1-0-0 (before food).

Preventive measures

Doing fundus examination by an ophthalmologist helps to rule out diabetic retinopathy.

Regarding follow up

Have a review after three weeks.

Medically reviewed byDr. Vinodhini J.

Published At April 21, 2020
Reviewed AtDecember 14, 2023

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