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Medication for diabetes - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2009
Answered : 667 Questions
User :   Hello Doctor Good morning
Doctor :   Hi
Doctor :   How can I help you]
User :   i m diabetic patient - 47 yrs
Doctor :   Ok]
User :   i was detected 6 months back and i take dianorm - m (half in morning ad half evening)
User :   Also i take polytorva - 2.5 everyday in night
User :   earlier it was half and one in night dianorm
User :   now my blood sugar is 91 before and 127 after. last month it was 83 and 103 and 2 months back it was 81 and 147
Doctor :   OK
User :   is there any necessary for me to change my dianorm. my diabetologist said will change when i took appointment but again continued the same. He says due to my weight - 75 kgs it is required to continue same
Doctor :   Dianorm is one the tablet given to diabetics who are overweight
User :   o i see
Doctor :   and it reducess the insulin resistance in these people
User :   yes aware sir
User :   my lipid profile done during nov end was normal, where as in oct when diabetic detected it was 247
User :   i m on strict diet like chapati, ragi etc with 1 small cup rice per day. i eat lots of vegetables
User :   how about plane dianorm instead of m in this
User :   hello sir
Doctor :   Dianorm M has metform useful for overweight person
Doctor :   plane one has only Gliclazide
Doctor :   Gliclazide stimulates insulin secretion from pancreatic b-cells, reduces hepatic gluconeogenesis, and lowers blood glucose concentrations.
User :   ok
Doctor :   Metformin appears to reduce glucose absorption from the digestive tract, reduce gluconeogenesis and enhance insulin sensitivity by increasing peripheral glucose uptake and utilisation.
Doctor :   SO in overweight ppl the peripheral utilisation and uptake is not good
Doctor :   and hence M is used
Doctor :   I am sending you a feedback form now. Please take a moment to give your valuable opinion so that we can continuously improve our service.Please inform me after you have filled it. I will be waiting for you
User :   what do u suggest regd my cholestrol - i mean it was normal in nov , but my doc says to do again
Doctor :   The diabetic have to get the Lipid profile check every 6 months even though it is normal previously
Doctor :   That's how management goes
User :   ok sir
Doctor :   you can get it done in any lab
Doctor :   which is reputed
Doctor :   OK
Doctor :   Please refer your friends with a click of the button and importing the contacts. You can import from Gmail, Yahoo by click of a button. You can do that once I close the button.
User :   ok thanks have a great day bye
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