Q. Please help me lower my blood sugar levels.
Hello doctor,
I have diabetes since the last 11 to 12 years, and I started taking medicines given by my family doctor. Presently, I am taking Glimisave M2 (one tablet in the morning and evening), Dynaglipt 20 (one tablet in the morning), and Absolut 3G (one in the evening). My health is fine, and I do not have any other diseases. Recently, my blood sugar level showed up high, so my family doctor advised me to consult a diabetologist to control blood sugar level. Please help me. I have attached my test reports.
Hello,
Welcome to icliniq.com.
I just read your query about your high blood sugar levels and from the lab results (attachment removed to protect patient identity), it appears that you have uncontrolled diabetes and dyslipidemia, that is, high cholesterol.
- According to your HbA1C, it is recommended that you start Insulin glargine pen, once daily at bedtime. 6 units initially, and then monitor your fasting blood sugar, your 2-hour post meals blood sugar, and before bedtime blood sugar levels for three days after starting Insulin. According to the results, we can slowly increase or decrease the dose.
- Although there is an option of starting tablet Metformin, since your creatinine is a bit on the upper normal, it is not recommended. You will need to learn the technique to use Insulin from a local doctor.
- Repeat your HbA1C after three months, and then we can see what more is needed. In the meantime, try to take a low-carbohydrate and low-fat diet. Drink 8 to 10 glasses of water daily. Try to walk 30 minutes daily.
- Since you have high cholesterol levels, I suggest that you try tablet Simvastatin 20 mg at bedtime daily for six months. We will repeat your lipid profile after three months again.
Do let me know if you need assistance or if you do not understand anything. Hope you find my advice of some benefit. Good luck.
For further queries consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist
Thank you doctor,
My father, when he was 72 years old, his fasting blood sugar level was 474 and PP was above 700. But still, the doctor suggested him a tablet and not Insulin. And he was not even admitted to any hospital. Now, he is 76 years old, and he is fine and his blood sugar level is below 150. In view of this, I request you to suggest a tablet instead of Insulin. I will try to control the same in future by exercise as suggested by you.
Hi,
Welcome back to icliniq.com.
You can try this for three months only. Recheck your HbA1C and creatinine, and then get back. If high, then discontinue this and start Insulin as mentioned.
- Tablet Metformin 500 mg in addition to your other diabetes medications.
- Tablet Simvastatin 20 mg at bedtime daily.
Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent.
For further queries consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist
Ask a Query
Consult by Phone
Video ChatRelated Questions & Answers
Diabetes Mellitus and Oral Health
Article Overview: This article emphasizes the impact of diabetes mellitus on oral health problems and its management. Read Article
Diabetologist
Diabetes mellitus is a metabolic disorder which affects the uptake and use of glucose by the human body. As a result, the glucose level in the blood rises beyond normal which has an overall impact on the general health and oral cavity. Types Of Diabetes Insulin-dependent diabetes mellitus: It oc... Read Article
Article Overview: Diabetes is one of the leading cause for permanent blindness. It is very essential for us to know to avoid the complications of diabetes. Micro-vascular complications will involve eyes, kidneys and nerves in common. But early detection and prevention will avoid permanent disability. Read Article
Diabetologist
"EYES are the most beautiful organs created by nature which enables us to have vision. It is very important factor for individuals to be independent in their life" Diabetes is a metabolic syndrome entity which is characterized by hyperglycemia, high blood pressure and dyslipedemia. It causes variou... Read Article
What is the recommended dose of Metformin for my sugar levels?
Query: Hi doctor, My age is 33 and weight is 80 kg. My glycosylated fasting sugar 106 and postprandial is 115. Will Metformin help me to lose weight? Which medicine is better, either Metformin or Metformin extended release? How much dosage should I take? Read Full >>
Diabetologist
Answer: Hi, Welcome to icliniq.com. As per your sugar reports, it is confirmed that you are not diabetic. But, you are prone to get diabetes as fasting sugar is impaired and normally it should be less than 100. So, I would recommend you lifestyle modification like exercise for at least 30 minutes per day fo... Read Full
Popular
Ask your health query to a doctor online?
Ask a Diabetologist Now* guaranteed answer within 4 hours.