Dr. Divakara. P
Internal Medicine
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Patient's 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 slight exertion. So, l checked my sugar levels. There were fasting 190 and PP 227. Kindly advice what shall I do next.
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 morning and Metformin 1000 mg in the night. In addition to diet, I hope you are doing daily exercise; if not kindly do. Also, do get the following tests done and revert back. CBC (complete blood count), serum creatinine, HbA1c (glycated hemoglobin), serum sodium and potassium.
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Internal Medicine
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