Uncontrolled diabetes is when the blood sugar levels are very high, despite treatment. People with uncontrolled diabetes are at risk of developing infections (urinary tract infections, skin infections, and respiratory tract infections), heart diseases, stroke, and kidney problems. Diabetic ketoacidosis is a severe complication seen in uncontrolled diabetes.
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My sugar levels are high. What to do next?
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... Read Full »
Answer: 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 morni... Read Full »
Please suggest ways to improve the sugar level.
Query: Hi doctor, My diabetes started as gestational diabetes around seven years back. I am taking NovoRapid 24 units three times a day and Lantus 30 units at night daily. But, my blood sugar levels are not at all coming down. Previously, I took tablet Zoryl MV 1 and 2. I am using these Insulin for the pas... Read Full »
Answer: Hi, Welcome to icliniq.com. Uncontrolled sugar can be due to inadequate dose of Insulin, not following proper diet and less physical activity or exercise. I need to know whether you take NovoRapid 24 units three times a day which is equal to 72 units per day or it is 24 units per day. Also, let me ... Read Full »
I have uncontrolled diabetes, and the Candida infection has spread into my breast skin despite my taking medicines. Why?
Query: Hi doctor, I have been told that I have Candida glabrata and it is not responding to any azole medicines. I think I may need something stronger to take. The yeast has also moved to the skin specifically in my breasts. I have uncontrolled diabetes. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. First of all, what you need to do is to control your diabetes. Visit or consult a physician for the same. If your sugar levels are not controlled, you will have recurrent or resistant fungal infections and it will be very difficult to treat. Along with this modify... Read Full »
Can masturbation be a reason for my premature ejaculation?
Query: Hi doctor, I am a 32 year old unmarried male. I am suffering from premature ejaculation. I am masturbation from 13 years od age using sex toys. I am not lasting more than two minutes. I am taking antidepressants and doing squeeze technique. But, it does not help me. Kindly suggest medicine for prema... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. First of all, I would like to tell you that masturbation is not the reason for the problem of premature ejaculation you are having. Masturbation is a safe habit, and most of the men masturbate. Diabetes increases the risk of premat... Read Full »
I have blurred vision due to blood clot in my right eye. Is it something serious?
Query: Hi doctor, When I woke up suddenly yesterday, I saw a spiral black cloud in my right eye. I can see through the cloud hazily and there is no pain. When I consulted my doctor, he said that I have a blood clot. Is it something serious? Read Full »
Answer: Hi, Welcome to icliniq.com. Your condition is vitreous hemorrhage. It is seen commonly in uncontrolled diabetes and diabetic retinopathy. If it is small, it will resolve on its own. You can wait and watch. If it is large and not resolving, it needs to be surgically removed. Other options are las... Read Full »
How does diabetes affect the baby during pregnancy?
Query: Hi doctor, My sister is 21 years old with type 1 diabetes. When she was 35 weeks pregnant, she had a cesarean section delivery. The baby's heartbeat stopped and they could not get it started. The doctors are blaming it to be due to diabetes. They said that the baby's blood acid was 25, which is five... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Diabetes is a big problem and so, the pregnancy during diabetes is labeled as high risk pregnancy. It is very uncertain to know what side effect might occur. However, the side effects can vary from person to person. It is very d... Read Full »
I have diabetes in spite of taking Amaryl and Janumet. Please suggest.
Query: Hello doctor, I am a 51 year old male. I have diabetes. My fasting is 150 to 160 and PP is 250 to 300. I am taking Amaryl 2 mg morning and Janumet 50/1000 after lunch and dinner. Please suggest. Read Full »
Dr. M. A. Toyeb, Nazma Parveen
Answer: Hello, Welcome to icliniq.com. You are already taking Amaryl (Glimepiride) 2 mg and Janumet 50/1000 (Sitagliptin and Metformin) twice but still, your blood sugar is not under control. Are you following dietary restrictions properly? Your weight is on the higher side. I suggest the dose of Metformin ... Read Full »
I developed uncontrolled diabetes, blood pressure, and diarrhea after five years of treatment with immunosuppressants. Why?
Query: Hi doctor, After five years of treatment with Prednisone for an auto-immune disease and immune suppressor treatment with Actemra in 2017, I developed uncontrolled diabetes, blood pressure, and uncontrolled diarrhea. With the help of an online cardiologist, my BP is controlled with a very low dose of... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Please answer the following questions for better understanding: 1. Are you still on Prednisone? 2. Did you get any side effects from Trulicity? 3. Did Trulicity make diarrhea worse? 4. Have you considered insulin? Your CGMS (continuous g... Read Full »
For uncontrolled diabetes, is Glycomet-GP2 better than Glycomet-GP3?
Query: Hi doctor, I am a medical student doing my internship. My father has been suffering from fever since seven days up to 101 F. I have given him Ofloxacin 200 mg 2 times a day. But, the cause of the fever is unknown. All the blood reports are negative. He is a known diabetic since 20 years and his bloo... Read Full »
Answer: Hello, Welcome to icliniq.com. If your father is having continuous fever for seven days with negative blood reports then probably a detailed evaluation is required. Tablet Ofloxacin is a broad spectrum antibiotic against most bacterial infections and if his fever is not improving and bl... Read Full »
Is diabetes medicine needed if HbA1c is 7.5?
Query: Hello doctor, I am a 52 year old female. One year before I went to a diabetologist and took glucose tolerance test. Here is the result, fasting - 128 mg/dL, 1 hour - 340 mg/dL, 2 hour - 196 mg/dL. Doctor prescribed medicine for a month but after that I did not take any medication. Now I would... Read Full »
Answer: Hi, Welcome to icliniq.com. As you have mentioned that took medicine for a month, still your HbA1c - glycated hemoglobin is 7.5 (attachment removed to protect patient identity). This is little high. The target of HbA1c should be less than 7. So, I would suggest you to continue with tablet Gly... Read Full »