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Does A Fasting Blood Sugar Of 128 Require A Medical Consultation?
Question: I am a diabetic since 15 years. I ave gone through angioplasty 4 yrs. back. Now I am taking metformin 500 in moning and glimisave m1 in evening. My blood sugar now comes to fasting 128 and pp 212.What should i do?
Brief Answer:
Increasing the dose of medicines may be suggested
Detailed Answer:
Hi,
Thanks for your question.
Noted your concern.
Considering your Fasting and PP levels and history of angioplasty there is a need for better blood sugar control.
In such a case I may suggest-
- Detailed history taking including diet assessment, other medicines.
- Investigations
HbA1c
Lipid Profile
Kidney function test including urea, creatinine, electrolytes.
2Decho report.
Depending upon above appropriate changes in medicines can be suggested.
If Ejection fraction on 2DEcho and Kidney function is ok increase in the dose of metformin (upto 1500 to 2000mg) and Glimepiride (upto 1.5 to 2mg) may be suggested.
(Glimisave M1 contains Metformin 500mg + Glimepiride 1 mg)
Along with this following diabetic diet and regular exercise depending upon effort tolerance may me re-enforced.
Hope this helps you.
Regards,
Dr Abhay Mali.
Dibetologist.
Increasing the dose of medicines may be suggested
Detailed Answer:
Hi,
Thanks for your question.
Noted your concern.
Considering your Fasting and PP levels and history of angioplasty there is a need for better blood sugar control.
In such a case I may suggest-
- Detailed history taking including diet assessment, other medicines.
- Investigations
HbA1c
Lipid Profile
Kidney function test including urea, creatinine, electrolytes.
2Decho report.
Depending upon above appropriate changes in medicines can be suggested.
If Ejection fraction on 2DEcho and Kidney function is ok increase in the dose of metformin (upto 1500 to 2000mg) and Glimepiride (upto 1.5 to 2mg) may be suggested.
(Glimisave M1 contains Metformin 500mg + Glimepiride 1 mg)
Along with this following diabetic diet and regular exercise depending upon effort tolerance may me re-enforced.
Hope this helps you.
Regards,
Dr Abhay Mali.
Dibetologist.
Above answer was peer-reviewed by :
Dr. Yogesh D
My hb1ac is 8.2% ,creatinine 1, lipid profile normal .please tell specific tablet to be taken.I am also on Rozavel75/10 caps.
Brief Answer:
Increasing the dose of medicines may be suggested
Detailed Answer:
In such a case I may suggest
1) Tab Containing Glimepiride 1mg + Metformin 500mg (like Tab Glimisave M1)
1 tab Before Breakfast.
2) Tab Containing Glimepiride 0.5mg + Metformin 500mg (like Tab Glimisave M 0.5)
1 tab Before Dinner.
3) Tab Containing Metformin 500mg 1 Tab after Dinner.
Continue Tab Rozavel.
Hope this helps you.
Increasing the dose of medicines may be suggested
Detailed Answer:
In such a case I may suggest
1) Tab Containing Glimepiride 1mg + Metformin 500mg (like Tab Glimisave M1)
1 tab Before Breakfast.
2) Tab Containing Glimepiride 0.5mg + Metformin 500mg (like Tab Glimisave M 0.5)
1 tab Before Dinner.
3) Tab Containing Metformin 500mg 1 Tab after Dinner.
Continue Tab Rozavel.
Hope this helps you.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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