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How to decrease the blood sugar levels that do not reduce with medications?

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

Patient's Query

Hello doctor,

I have suffered from prediabetes for the past three years, but cannot cure it despite taking regular medicine. I am taking two tablets twice daily, an ayurvedic BGR (blood glucose regulator) tablet and, for maintaining cholesterol levels, Telmisartan 20 mg.

My blood pressure is 90/130 mmHg. I take Metformin 500 mg twice daily, half an hour before a meal, Febuxostat 40 mg once for uric acid, and Atorvastatin 10 mg once at night. My sugar level is 123/198 mg/dL, triglycerides are 299 mg/dL, and uric acid is 9 mg/dL. Kindly suggest.

Thank you.

Answered by Dr. Thiyagarajan. T

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

You have metabolic syndrome. The treatment includes lifestyle changes, diet, exercise, and weight loss. What was your weight three years ago? Follow a very strict no sugar, carbohydrate-restricted diet. Exercise daily for 30 minutes, like walking, and three days a week of resistance exercise like weight lifting, push-ups, etc. Febostat (Febuxostat) and Atorvastatin are fine.

Increase the Febostat dose to 80 mg and Metformin to 1000 mg twice daily. Take Lipikind-F (Atorvastatin, Clopidogrel, and Aspirin). Consult your specialist doctor, discuss with them, and take medications with their consent. These drugs help until you lose at least seven percent of your body weight. Please schedule a video consultation for more personalized recommendations.

I hope this information will help you.

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thanks for the reply.

I am following your medicines and advice. I lost 17.6 lbs of weight from 84 to 76. Daily, I walk around 2.5 to 3 miles. I take Metformin twice, Febuxostat, and Lipikind F. I maintain my blood pressure below 120 mm Hg as I have reduced carbohydrate intake. Please suggest what to change.

Thank you.

Answered by Dr. Thiyagarajan. T

Hi,

Welcome back to icliniq.com.

I understand your concern.

You are doing very well. You can stop Febustat (Febuxostat). Change Lipikind- F (Atorvastatin and Fenofibrate) to plain Lipikind (Atorvastatin). Take Metformin 1000 mg once a day. Continue the great job you are doing on diet and exercise. Repeat blood tests after three months.

I hope this information will help you.

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thanks for the reply.

I am noticing eosinophils of 700 cells per microliter of blood and absolute eosinophil count (AEC) of 651 cells per microliter of blood always remained around this for the past one or two years. How can I reduce this? I am taking your prescribed medicines, such as Metformin, Telmisartan, and Lipikind. Please suggest.

Thank you.

Answered by Dr. Thiyagarajan. T

Hi,

Welcome back to icliniq.com.

I understand your concern.

The high eosinophils are most likely due to allergies. You probably have environmental allergies. You can figure out what you are allergic to and avoid those. If you have a skin rash, runny nose, or scratchy throat, take anti-allergic tablets like Cetirizine. Another possibility is that you may have worms in your intestine.

I suggest you take an Albendazole 400 mg tablet before food, two doses two weeks apart. Other possibilities, such as infection or cancer, are less likely. The creatinine is normal, so no worries.

I hope this information will help you.

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thanks for the reply.

I am still taking Metformin 1000 twice a day. As per your advice, I just remembered that I should reduce it to once a day. I feel pain in my shoulders and a few other bone joints.

I also take Telmisartan 20 mg once and Atorvastatin 10 mg at night. However, I could not understand why this shoulder and joint pain occurred. Suppose there is any vitamin D and calcium deficiency or any side effects. Please help.

Thank you.

Answered by Dr. Thiyagarajan. T

Hi,

Welcome back to icliniq.com.

I understand your concern.

Vitamin D deficiency is prevalent. You can quickly check it, and if it is low, you can replace it. In the meantime, change Lipikind (Atorvastatin) to alternate days only. Also, take calcium and vitamin D supplements like tablet CCM (Calcium citrate maleate) once daily.

I hope this information will help you.

Kindly revert in case of further queries.

Thank you.

Answered byDr. Thiyagarajan. T

Medically reviewed byiCliniq medical review team

Published At September 17, 2022
Reviewed AtOctober 8, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Thiyagarajan. T
Dr. Thiyagarajan. T

Diabetology

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