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Suggest Treatment For Diabetes, Peripheral Neuropathy And Proteinuria
Question: From the list of problems listed and based on examination and lab findings, the following major problems have been identifies:
1) Type 2 Diabetes Mellitus ( uncontrolled)
2) Peipherel neuropathy
3) Dyslipidemia
4) Proteinuria
5) Renal impairement
6) Uncontrolled hypertension
Can you suggest some possible medications and doses might be prescribed in each case?
You should focus on the Diabetes. OTC medications can be tried as the first line of defense
1) Type 2 Diabetes Mellitus ( uncontrolled)
2) Peipherel neuropathy
3) Dyslipidemia
4) Proteinuria
5) Renal impairement
6) Uncontrolled hypertension
Can you suggest some possible medications and doses might be prescribed in each case?
You should focus on the Diabetes. OTC medications can be tried as the first line of defense
Brief Answer:
Diabetes
Detailed Answer:
I have noted your list of medical conditions, and your comment asking me to focus on the diabetes part only.
Recently diagnosed Type 2 Diabetes (T2D) can be completely reversed to normal in some cases. Studies have shown a 20% chance of going back to normal (ie non-diabetic) in the first 5 years after diagnosis of T2D.
This requires lifestyle changes such as
about 7% body weight loss if you are overweight/obese
healthy eating
increased physical activity
This is a good way to start provided the glucoses are not very high. For example if the diabetes is out of control, as is the case when morning fasting glucoses run above 250 then it is advisable to take insulin for a couple weeks along with pills, and then gradually withdraw the insulin.
But if the glucoses are moderately elevated then a trial of above mentioned lifestyle changes is worth trying. If that fails to bring the A1c (3 month average glucose test) under 7% then oral medication should be considered.
There are no OTC medications that are recommended to treat diabetes. This guidance is based upon scientific evidence and published literature.
When I see a person with T2D, I order the following tests in addition to a thorough physical examination:
CBC
CMP
A1c
Urine Albumin to Creatinine Ratio
Fasting Lipid profile
TSH
Depending on the outcome of the test results, I offer medications such as
Metformin
Sulfonylurea
DPP4 inhibitors
There are other types of diabetes medications too but you will have to meet with your endocrinologist in person to decide the best options for you.
Diabetes
Detailed Answer:
I have noted your list of medical conditions, and your comment asking me to focus on the diabetes part only.
Recently diagnosed Type 2 Diabetes (T2D) can be completely reversed to normal in some cases. Studies have shown a 20% chance of going back to normal (ie non-diabetic) in the first 5 years after diagnosis of T2D.
This requires lifestyle changes such as
about 7% body weight loss if you are overweight/obese
healthy eating
increased physical activity
This is a good way to start provided the glucoses are not very high. For example if the diabetes is out of control, as is the case when morning fasting glucoses run above 250 then it is advisable to take insulin for a couple weeks along with pills, and then gradually withdraw the insulin.
But if the glucoses are moderately elevated then a trial of above mentioned lifestyle changes is worth trying. If that fails to bring the A1c (3 month average glucose test) under 7% then oral medication should be considered.
There are no OTC medications that are recommended to treat diabetes. This guidance is based upon scientific evidence and published literature.
When I see a person with T2D, I order the following tests in addition to a thorough physical examination:
CBC
CMP
A1c
Urine Albumin to Creatinine Ratio
Fasting Lipid profile
TSH
Depending on the outcome of the test results, I offer medications such as
Metformin
Sulfonylurea
DPP4 inhibitors
There are other types of diabetes medications too but you will have to meet with your endocrinologist in person to decide the best options for you.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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