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

Answered by
Dr. Nadeem Abootty
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Apr 21, 2020 and last reviewed on: May 02, 2020

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.


Investigations to be done:

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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