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How to control diabetes? - Online Doctor Chats

Date : 04-Jan-2014
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How can I help you?
User:Hi , I am XXXXXXX
User:my query is for my mothr
User:she is a diabetes patient since las 2o yrs
Doctor:Go ahead.
User:last 0 years
User:but her diabetes is nt controlled
User:with the medicine we are giving her
User:her creatinine evel is 2.5
User:she dont want to go with insulin injections
User:what could be best done now
Doctor:May I know her current blood sugar levels?
Doctor:What medication is she on?
User:yes ff 230
User:after breakfast 300
Doctor:What medicine is she on?
User:just chnaged her medicine
User:januvia 25mg glador before breakfast
User:pioglare 15mg afte inner
Doctor:How long ago are these medicines changed?
User:we are also giving fenugreek powder
User:5 days
User:before she was given janvia 100 mg
User:galdor 5
User:galdor 4
User:gluconorm 100o after breakfast and after dinner
Doctor:May I know if she has any symptoms now?
User:what type of symptoms
User:here feet were swollen but now it's ok
User:weight loss in last 3-4 years
Doctor:Has her creatinine level high since long time
Doctor:or is it detected to be high now?
User:i am not sure in the begining of this month we tested for kidney and it was high i think this is for the first time we reported it
Doctor:Let me brief you.
Doctor:It seems her renal functions are affected due to long term uncontrolled diabetes.
Doctor:It is best to encourage her to take insulin; but if she doesn't wish to be on insulin, she can continue her current medication.
Doctor:The current medication are a bit expensive one but has good sugar reducing properties.
User:so can we use medicines instead of insulin injections to control the sugar level
Doctor:You can continue the medicines while getting sugars checked frequently.
User:but i think she need some more dose because current medicine is not controlling it
User:ok what do u suggest we can do best for controlling sugar level and creatinine
Doctor:Medicine take some time to control sugar; I would suggest you to wait for a week and repeat sugar levels
Doctor:You can follow up with the treating doctor and take his suggestions.
Doctor:Now besides medication,
Doctor:she will need a strict diet change.
Doctor:A low calorie and low protein diet with salt restriction is very essential.
User:what food items she should not take ??
User:like nuts milk beans etc
User:can we give her turmeric milk
Doctor:Since diet change is most important now, I would suggest you to discuss her current dietary pattern with a dietician.
User:ok thanks doctor
Doctor:you can place a request for diet plan from your XXXXXXX home page
Doctor:if you have this feature with you.
User:ok i will do thanks
Doctor:you could discuss in detail about it with them.
Doctor:If you do not have diet plan service with you
Doctor:you can leave a question to them and they would get back to you.
Doctor:Do you have any other questions?
User:no thanks doctor
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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