Type 2 Diabetes Mellitus

High blood sugar levels that result from the body's resistance to insulin is called type 2 diabetes. The symptoms include increased thirst, frequent urination, increased hunger, fatigue, blurred vision, and recurrent infections. The risk factors for developing this type of diabetes are obesity, sedentary lifestyle, family history, and PCOS.

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Is Insulin injection necessary for high postprandial blood sugar levels?

Query: Hello doctor, I have developed type-2 diabetes in the past three years. However, in the last year, I did not require insulin as my sugar levels were normal. I live abroad, and I am on Metformin. Due to COVID-19 and various lockdowns in the country, my sugar levels were out of control. I am now back...  Read Full »


Dr. Zulfiqar Ahmed

Endocrinologist, Diabetologist

Answer: Hi, Welcome to icliniq.com. Diabetes has many complications, so it is not just to bring down the numbers but to monitor and treat complications associated with diabetes. Check your eyes for retinopathy, kidneys with urine albumin creatinine ratio, and check your feet. Lifestyle modifications are ...  Read Full »

What are the risks of uncontrolled gestational diabetes?

Query: Hi doctor, I am a 32-year-old female. I have type 2 diabetes, and I am seven months pregnant. Before the third trimester, my sugar level was well controlled, and as per the doctor's consent, he has put me on Insulin, so I took four units of dose before the meal. But now (during the third trimester)...  Read Full »


Dr. Sravanthi Nuthalapati

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. I am very sorry to say that the present blood glucose values you have mentioned indicate your glycemic control is not good. In pregnancy, there is a requirement of strict blood sugars control as it can affect the baby's growth and well-being. The ideal fasting should...  Read Full »

What could be the cause of lightheadedness?

Query: Hi doctor, I have type 2 diabetes mellitus, and I take my daily medications. I have begun to experience lightheadedness and have to hold onto a wall. My doctor told me that my exercise and medications are controlling my diabetes. I take Metformin 500 mg daily. I have also been under medication for ...  Read Full »


Dr. Sugandh Garg

Diabetologist, General Medicine Physician, Internal Medicine Physician, Toxicologist

Answer: Hello, Welcome to icliniq.com. Not exercising or walking could be one reason. Another reason could be cervical spondylosis. Use a soft cotton pillow and lie straight on the bed. Do not keep arm under the head while sleeping. Do mild neck exercises for strengthening. Get an x-ray of the cervical ...  Read Full »

I am type 2 diabetic and keep losing weight. Please help.

Query: Hello doctor,I am a type 2 diabetic for four years. I was diagnosed at a very high level (520) and have been on a low carbohydrate diet ever since and managing it. I have lost all my body fat and at 6 % body fat right now. I take 1000 mg Metformin once a day and Farxiga once a day. My goal is to ga...  Read Full »


Dr. Syed Abdul Kader

Endocrinologist

Answer: Hello, Welcome to icliniq.com. Metformin is weight neutral or may cause mild weight loss. Fargixa, which is Dapagliflozin, causes weight loss and some dehydration. So you can omit Fargixa, and take Sitagliptin, Metformin combination, e.g. Janumet XR 50/1000 once a day. Try the suggested regimen an...  Read Full »

I have type 2 diabetes. How often and when should I check my blood sugar?

Query: Hello doctor, I was recently diagnosed with type 2 diabetes. My fasting glucose was 108, and my A1C was 6.6 %. I was not put on medication yet but instead will work on my weight, exercise, and diet over the next three months before my next visit to see if I can prevent getting worse. I am 6'1," and ...  Read Full »


Dr. Shazli Naseer

Diabetologist

Answer: Hello, Welcome to icliniq.com. You have provided good necessary information to start. My strategy as a diabetes specialist, I like to do very detail analysis to make a customized approach for each patient. 1. Based on the information, you provided, you should be on medication from my experience, ...  Read Full »

Will type 2 diabetes in mother cause any problem during pregnancy?

Query: Hello doctor, My fiance is having diabetes type 2. And I want to know what will be the impact in the following scenario. Can she postpone her period by eight days as we have some rituals to perform during our wedding? What will be the impact if she uses contraceptive pills in case of birth control?...  Read Full »


Dr. Dattaprasad Balasaheb Inamdar

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I read through your query and understood your concern. She can take Progesterone tablets (Medroxyprogesterone 10 mg twice daily) to postpone her period. These tablets may increase the requirement of antidiabetic medicines (tablets/insulin). So, she needs to monitor her...  Read Full »

Can I take Vaglibose instead of Jardiance to help penile infection and balanitis?

Query: Hello doctor, I am 30 years old and I am a type 2 diabetic. Right now I take Lantus 30 unit at night. In the morning, I take Gemer DS 2 and after breakfast, I take 12 mg Jardiance. Now my sugar is under control, but because of Jardiance I usually have penile infection and balantitis. I have googled...  Read Full »


Dr. Rinku Biswas

Pharmacologist, Family Physician, Diabetologist

Answer: Hi, Welcome to icliniq.com. Urinary infection is the most common side effects of the Empagliflozin (Jardiance). Maintaining thorough hygiene and plenty of water. I can advice you for a change in medication but you need to be very vigilant initially for any fluctuations. Your exact blood sugar val...  Read Full »

How to help my diabetic father get his appetite back?

Query: hello my father who is 62yrs old has diabetes type 2.. Recently, he started not feeling well. He has stopped eating, basically doesn't want to eat or drink anything. He's been like this refusing food for about 4 days now. His blood sugar is anywhere around 250-380 even though he isn't eating anythin...  Read Full »


Dr. Rinku Biswas

Pharmacologist, Family Physician, Diabetologist

Answer: Hi, The mentioned sugar levels are too high. The medication dosage is not mentioned. Only Metformin doesn't work for such high levels. He might need insulin too initially to control the levels and then eventually can be on pills depending upon the condition and thorough follow up. Please don't ign...  Read Full »

Why do symptoms like vertigo, constipation and itching occurs in a diabetic patient?

Query: Hello doctor, Taking CTD-L 6.25/25 for hypertension and Amaryl MV-1 for diabetes for more than five years. My fasting sugar level is always above 200 on average. Besides this, I have vertigo syndrome, RBBB, severe constipation, and for the last three years itching in lower legs (right leg in winter...  Read Full »


Dr. Vitrag Shah

Diabetologist

Answer: Hello, Welcome to icliniq.com. After going through short the medical history I want to address some points for you. First important aspect of management of diabetes is diet. That will remain the primary objective for the management of type 2 diabetes across the globe. Please elaborate a little ab...  Read Full »

Could insulin injection cause fever in diabetics?

Query: Hello doctor, Last month, my mother went to the hospital for diabetics, and her reading is 200 mg before having food, and after meal reading is 300. Doctor gave her 35 points of insulin. Again she took her sugar test yesterday, and her result is 180 (within normal levels). My mother suffering from...  Read Full »


Dr. Nadeem Abootty

Diabetologist

Answer: Hi, Welcome to icliniq.com. From your history, I have noted that your mother was diagnosed with uncontrolled type 2 diabetes and was on insulin since one month. Now on review, yesterday it was found that it is under control with the present dose of insulin. Coming to your concern, insulin will no...  Read Full »

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