Infant is having dry cough and cold. Given t-minic but no relief. Suggest? - Online Doctor Chats
Its regarding my 7 month old baby
now for last 2 days it seems that she is getting teeth in lower side so motion also increased
Is she running fever?
Have you consulted a doctor?
no i thought t-minic will work...my doc is outside station
actually very cold wind is there in hyderabad
I understand what you describe.
In the absence of fever, the condition is not related to infection.
In this case, other conditions that cause cough and cold needs to be ruled out. Those condition can include allergies, bronchospasm, wheezing, etc.
so what we can do in this moment as she is getting teeth also
The treatment of this condition will depend on the cause. Hence a clinical examination is of ut most important.
anything temporary i can do today?
Teething is a normal process and usually doesn't cause any serious problem. The cough, cold and stool is definitely not related to teething.
i heard that during teething stool frequency will increase
I wish to advise you temporary fix, however symptoms of more than 2 week worries me.
please do that
Such conditions will need additional bronchodilators along with the current antihistamines to take care of that problem.
i will try for 3-4 days...if didnot work then take consultation
I would not recommend you to wait for more time now, since it is already 2 weeks past.
I hope you agree with me.
then its fine doc....
Do you have any other questions?
Sure. Proceed with your questions.
last 2 month back i diagnosed sugar with past lunch 600
Oh. Your sugars are pretty much uncontrolled.
May I know your age?
another doc recommend me to take glicephage 500mg 3 times and glusegen 30/70 insulin
Have you considered using insulin?
29year old only
Sugars of above 300 is extremely high. Persistently very high sugar can cause unwanted problems and insulin is the better option of treatment.
Are you taking insulin now?
then i have taken another opinion on healthcare with Doc XXXXXXX and she told me to take glyciphage500 mg 3 times and insulin not rqd
i am not taking insulin now....but i am taking glyciphage 500 mg 3 times for last 4 days but it seems that post lunch sugar increased to 450
i am totally confused what to do
Let me help you XXXXXXX
You must be aware that there are two types of diabetes. Type 1 and Type 2. The difference is that the first type there is no insulin production. Insulin resistance is the problem in the second type.
Type 1 is much common in young individuals and the treatment of choice is insulin.
However we can try oral medications if diabetes is type 2.
how i know that it is type1 or type2
in our family now body have diabetes
But many a times we notice that people who are on medications gradually over a period of time lead to depleted insulin secretions and thus end up with insulin injections.
can we come back to oral from insulin if diabetes comes under control?
In your case, since you are still young, I cannot by default put you as type 1 or type 2. We require further tests such as serum insulin levels, c-peptide levels and so on to determine the type of diabetes.
With this back ground, I shall explain your situation.
Since insulin produces better sugar control then oral drugs, and as your sugars are extremely high, I think it would be appropriate to start insulins.
Presuming you have type 2 diabetes, there is a chances that your doctor will put you back on oral drugs once the sugar level is controlled with insulin.
You will also need to know that blood sugar levels can go high in times of stress and infections.
You will need to monitor your sugars frequently during such stressful situations and adjust the treatment according to the needs.
In short, with sugars going above 300, I think it is better to start on insulin.
ok doc thanks for your advice
You can try short acting insulin (actrapid) than long acting ones such as the ones you are on now.
u mean instead of insugen i can ask actrapid
Once the sugar levels come under control, a plan to switch you on oral drugs or long acting insulin can be done.
Yes, I feel actrapid may be better suited in this case.
thank you sir
You are welcome.
Do you have any other query?
Thanks for consulting me.
Bye for now.
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