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Is Blood Glucose Value Of 116 A Cause For Concern?

Posted on Mon, 12 Oct 2015

Question: I am diabetic and take Janumet 500mg once daily, my HBA1C is 5.7 , glucose fasting is 116, Trigliceride level is 259 , cholesterol 171, HDL 37, LDL - 92, Chol/ HDL - 4.6 , Very Low Density Lipoprotein is 51.8. I had a piles problem which was cured with homeopathy. Occasionally i drink alcohol but don't smoke. MEAN PLASMA GLUCOSE IS 116, Diabetes is hereditary.

Please suggest whether i need to take medicine or change in life style will do.

Answered by Dr. Dr. Abhay A Mali (36 minutes later)

Brief Answer:
You can reduce number of Medicine.

Detailed Answer:
Hi,

Thanks for your question.

After going through your question, I can understand your concern.

You have very well controlled blood glucose levels.

I would like to advise -

- You should not stop medicines for diabetes completely.

- You can reduce your number of Medicines:
You are currently taking Tab Janumet (Which contains Sitagliptin 50mg & Metformin 500 mg).
You can stop Sitagliptin and increase the dose of Metformin to 1500 mg per day in divided doses.

- Continue exercise.

- Follow diabetic diet : Better to consult near by dietitian who can plan diet for you depending upon your height, weight, BMI & food habits.

- Recheck your blood sugar levels (Fasting & Postprandial) after 4 to 6 weeks, accordingly further reduction in dose of Metformin can be considered.

- Though your Lipid Profile is within acceptable limits, I will recommend you to take statin (Lipid lowering medicine like Atorvastatin or Rosuvastatin) in minimal dose.

You should discuss all this with your treating doctor.

Hope I have answered your question.

Regards,
Dr Abhay Mali.
Diabetologist.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Dr. Abhay A Mali (1 hour later)

Dear Dr. XXXXXXX

Please let me know the name of medicines and dosage i need to take for diabetes considering I need to stop Sitagliptin and increase the dose of Metformin to 1500 mg per day in divided doses.

I have understood your recommendation to lower lipid in blood.

Regards
XXXX

Answered by Dr. Dr. Abhay A Mali (10 hours later)

Brief Answer:
Diabetes.

Detailed Answer:
You may take Tablets containing Metformin SR 500 mg & 1000 mg 1 tab each per day after discussing with your diabetologist and obtaining a prescription from him.

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. Sonia Raina