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Treatment of Hyperglycemia - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3558 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   I am having high blood sugar and TGL level high since 15 years
Doctor :   Ok

Doctor :  
May I know your age?
User :   45+
Doctor :  
Ok
Doctor :  
What are the levels?
User :   FBS is 200+ and TGL is more than 450
Doctor :   Ok

Doctor :  
That is too high
User :   presently I am dependent on insuline
Doctor :  
Has it been the same since 15 years on a constant basis?
User :   I used to push 32 in the morning and 26 in the eveining
Doctor :   Ok

Doctor :  
Has it been the same since 15 years on a constant basis?
User :   No it is increasing from 4 - 5 Years
Doctor :   Ok

Doctor :  
That is fine
Doctor :  
But why is not controlled adequately from the past 5 years?
User :   may be due to stress and improper and inadequate excercise
Doctor :   Ok

Doctor :  
How about the medications?
User :   what do you want to know
Doctor :   The medications you have been taking

User :   Lupisulin 30 in the Morning and evening, Januvia100 in the Lunch and with Dilzem SR 90 once in a day Modlif t once daily ecosprin once daily
Doctor :   Ok

Doctor :   Have the medications been changed in the recent past?
User :   Yes
Doctor :   Ok

Doctor :  
Have you spelt that Modlif t correctly?
User :   May not be just I am watching
Doctor :   Sure

User :   It is Modlif P
Doctor :   Can you read the medical name on it if you are having the medicine beside you?

User :   It is Atorvastatin and Fenofibrate Tablets
Doctor :   Fine

Doctor :  
that is for cholesterol
Doctor :  
Now moving quickly
Doctor :  
the medicine names are the right ones being given
User :   How well it will function
Doctor :   Both conditions treatment is same
Doctor :  
first line comes diet
Doctor :  
next is exercise
Doctor :  
and the last is medicines
Doctor :  
So you will need to concentrate upon all three
User :   I am in a company where I used to perform my duty in shifts only so I am unable to excercise regularly
Doctor :   Ok
Doctor :  
About diet ofcourse, you can regulate it with effort
Doctor :   when has the insulin been started?
User :   Yes it is done as per doctors advice
User :   I am using Insuline 3 Years Back
Doctor :   Fine

Doctor :  
Firstly sugars needs to be controlled
Doctor :  
and then how is your LDL levels?
User :   Initially I was given Lilly's 30 then I had given Novomix30 and now 4 months I had given Lupisulin
User :   it is 30 to 34 only
Doctor :   Ok

Doctor :  
Fine
Doctor :  
Insulin is the same
Doctor :  
it would be like long acting and short acting
User :   I am not getting u
Doctor :  
those are the pharmacologic types
Doctor :  
No issues
Doctor :   the jist is insulin is the key
Doctor :  
and the names wont matter as such
Doctor :  
that would be done as per the patients' needs
Doctor :  
But talk to your doctor about bringing the PPBS levels to around 100
Doctor :   sorry 200
Doctor :  
irrespective of the FBS levels
Doctor :  
If FBS is only 200, then I am afraid
Doctor :  
as the PPBS would be still higher
User :   I had been advised insuline after Breakfast and dinner is it ok
Doctor :   Ok

Doctor :  
That is fine enough
User :   What about PPbs levels
Doctor :   what is that right now?
User :   I have not checked it since 3 Years
Doctor :  
Ok
Doctor :  
Why is that?
User :   Actually my physicians are advising only FBS
Doctor :   Ok


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