HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Diabetes

default
Posted on Mon, 24 Nov 2014
Question: My wife having diabetic last 8 years, when she is pragnant of 2nd child doctor XXXXXXX given cetapin 1000mg. Now my child is one year baby, what can she do next?
doctor
Answered by Dr. Dr. Soumen Patra (1 hour later)
Hi, thanks for the query.
More often, when you are a diabetic patient, you live on drugs for the rest of your life. I would suggest she continues with the drug and also go for regular check ups to see if she is responding positively to treatment and to screen for complications of diabetes.

I hope that answers your query. Wish her well
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Soumen Patra (2 hours later)
Its ok but problem is same tablet continued or u will be suggest some other tablet. She is tested in self accuchek meter it will shows everytime pbs is 140mg and fpbs is 190 above. My doctor XXXXXXX says she stops feeding then he may be change the tablet. Thats why i clarify the same
doctor
Answered by Dr. Dr. Soumen Patra (27 minutes later)
Brief Answer:
Medicine can be changed after stoping feeding.

Detailed Answer:
Hello,

Thanks for writing to us. Followings are my comments:

1) Yes, your doctor says absolutely RIGHT thing. Medicine can ONLY be changed after stopping breast feeding to baby.

2) CETAPIN contains Metformin as active ingredient.

Previously, NO oral hypoglycemic drug was approved as SAFE during pregnancy and lactation period due to ADVERSE effects to fetus or baby.

Recently, METFORMIN (Only Drug) is approved as SAFE drug in pregnancy and women with Gestational Diabetes. Babies born to women treated with metformin have been found to develop less visceral fat and less prone to insulin resistance in later life. It is secreted in milk and can lead to hypoglycemia and lactic acidosis if the intake of drug and breast feeding occur simultaneously.

NO other drug is approved during this period. Kindly, consult with your treating doctor and make follow-up visit after stopping breast feeding.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish her good health and take care yourself.

Regards,
Dr S Patra

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Dr. Soumen Patra (27 minutes later)
Yes doctor! Now she is stop breast feeding last one week back. Will u suggest any medicine?
And she starts walking and regular exises and reduce she's weight.
doctor
Answered by Dr. Dr. Soumen Patra (1 hour later)
Brief Answer:
Details are given below.

Detailed Answer:
Hello,

Thanks for follow up query.

Low-glycemic diet, moderate exercise, weight control and oral hypoglycemic drugs are the MAINSTAY of treatment for type-2 diabetes mellitus.

I prefer combined drug (with Metformin) to control blood sugar (both fasting and postprandial). Sulfonylurea group of drug like Glimepiride etc is commonly used, depending on patient profile.

I suggest you to consult with your treating doctor or Diabetologist for complete assessment (including liver function, cardiac status and kidney function) before taking prescribed medication. Periodic eye examination is also mandatory. These are worthwhile to prevent future risk and complication.

Hope, I have answered your query. Kindly, close the discussion.

All the best and good luck.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4058 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Diabetes

Hi, thanks for the query. More often, when you are a diabetic patient, you live on drugs for the rest of your life. I would suggest she continues with the drug and also go for regular check ups to see if she is responding positively to treatment and to screen for complications of diabetes. I hope that answers your query. Wish her well