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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 5-10 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.
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:Fundus examination by an ophthalmologist to rule out diabetic retinopathy.
Regarding follow up:Review after three weeks.
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