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Suggest Ways To Regulate Blood Sugar Levels
Question: Hello doc
I am diabetic since 10 years my sugar is not under control from 3months the medicine dosage is
glyciphase 850mg 3 times a day
diapride 3mg in the afternoon
when I asked my doctor regarding splitting the diapride in the night he said no diapride is not suppose to be taken in the night
my problem is only with the fasting sugars as my random sugars are in control
I would like to know can I increase the dosage to 4mg and take 2mg diapride in the afternoon and 2mg in the night
and can diapride be taken in the night
thank you
I am diabetic since 10 years my sugar is not under control from 3months the medicine dosage is
glyciphase 850mg 3 times a day
diapride 3mg in the afternoon
when I asked my doctor regarding splitting the diapride in the night he said no diapride is not suppose to be taken in the night
my problem is only with the fasting sugars as my random sugars are in control
I would like to know can I increase the dosage to 4mg and take 2mg diapride in the afternoon and 2mg in the night
and can diapride be taken in the night
thank you
Brief Answer:
Concern of low sugars at night.
Detailed Answer:
Good day Ms. XXXX,
Welcome to health care magic.
You are currently on maximum dose of Metformin. Diapride ( glimeperide) is usually a single time ( morning time) pill. However, occasionally I split the dose and gie a small dose in the morning. Your doctor is concered about the possibility of low sugars at night if Diapride is given at night. May i kow your recent FBS, PPBS and HbA1c values? I can advice the dose accordingly.
Regards
Binu
Concern of low sugars at night.
Detailed Answer:
Good day Ms. XXXX,
Welcome to health care magic.
You are currently on maximum dose of Metformin. Diapride ( glimeperide) is usually a single time ( morning time) pill. However, occasionally I split the dose and gie a small dose in the morning. Your doctor is concered about the possibility of low sugars at night if Diapride is given at night. May i kow your recent FBS, PPBS and HbA1c values? I can advice the dose accordingly.
Regards
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Doctor
Fasting sugars are in and around 180-150 from 1 week today the fasting was 150 and yesterday the ppbs was 190
Hba1c value is 8.25
And I have irregular periods too.
I am 45 years old
Fasting sugars are in and around 180-150 from 1 week today the fasting was 150 and yesterday the ppbs was 190
Hba1c value is 8.25
And I have irregular periods too.
I am 45 years old
Brief Answer:
Suggestion
Detailed Answer:
Thank you for the reply.
If cost is not a concern, i can advice you following combination.
Diamicron-MR 30 mg once in the morning before breakfast.( instead of Diapride)
JanuMet 50/1000 one tablet twice a day. ( instead of Glyciphage).
However, if cost is a concern, you may take Diapride 3 mg morning and 1 mg at night ( 10 minutes before food) and continue Glyciphage ( metformin) 850 mg three times a day.
I hope you had a kidney function test and cholesterol profile done recently and they are normal. What about blood pressure ?
Your Hba1c is certainly high and need to bring it down to less than 7 and close to 6.6%.
Suggestion
Detailed Answer:
Thank you for the reply.
If cost is not a concern, i can advice you following combination.
Diamicron-MR 30 mg once in the morning before breakfast.( instead of Diapride)
JanuMet 50/1000 one tablet twice a day. ( instead of Glyciphage).
However, if cost is a concern, you may take Diapride 3 mg morning and 1 mg at night ( 10 minutes before food) and continue Glyciphage ( metformin) 850 mg three times a day.
I hope you had a kidney function test and cholesterol profile done recently and they are normal. What about blood pressure ?
Your Hba1c is certainly high and need to bring it down to less than 7 and close to 6.6%.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Doctor I am taking diapride in the afternoon should I take diamicron in the morning or afternoon and janumet will be in the morning and night cost is not the concern doctor are these drugs safe and will not harm my organs in future please have a look at my reports if my overall sugars will come under control and drugs are safe I am ready to start from today please send the dosage priscription doctor
Brief Answer:
Medicines
Detailed Answer:
Sorry for the delay. Saw the reports.
It is a wrong concept that diabetes medicines can harm the kidneys. It is the uncontrolled diabetes which harm kidneys, not the medicines. However, we always advice people with diabetes to avoid pain killers which can harm kidneys.
If cost is not a concern, you can take the medicines as advised. You can stop Diapride and Glyciphage .
Diamicron is only in the morning and JanuMet 50/1000 one tablet in the morning and one at night.
In fact, it is not nice to prescribe medicines like this with out seeing you. Ideally, you should visit an endocrinologist. May I know from which place you are so that I can advice you about the endocrinologist available near by.
Medicines
Detailed Answer:
Sorry for the delay. Saw the reports.
It is a wrong concept that diabetes medicines can harm the kidneys. It is the uncontrolled diabetes which harm kidneys, not the medicines. However, we always advice people with diabetes to avoid pain killers which can harm kidneys.
If cost is not a concern, you can take the medicines as advised. You can stop Diapride and Glyciphage .
Diamicron is only in the morning and JanuMet 50/1000 one tablet in the morning and one at night.
In fact, it is not nice to prescribe medicines like this with out seeing you. Ideally, you should visit an endocrinologist. May I know from which place you are so that I can advice you about the endocrinologist available near by.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Doctor we are from XXXXXXX if u suggest the doctor to be visited we will visit them we had been to XXXXXXX jsnaki XXXXXXX at columbiaasia but not satisfied with her.. u suggest doc we shall go n visit
thank you
thank you
Brief Answer: XXXXXXX endocrinologist
Detailed Answer:
Hi. I can see that the report is from Hospet. there is no endocrinologist in XXXXXXX or Hospet area. If you live in XXXXXXX I can suggest Dr. XXXXXXX of St.Johns medical college . her number is +0000. she has private consultation as well. There are many other endocrinologist in XXXXXXX Dr.Arpan XXXXXXX of Manipal hospital, Dr.Mala Dharmalingam of Ramiah hospital etc
regards
Binu
Detailed Answer:
Hi. I can see that the report is from Hospet. there is no endocrinologist in XXXXXXX or Hospet area. If you live in XXXXXXX I can suggest Dr. XXXXXXX of St.Johns medical college . her number is +0000. she has private consultation as well. There are many other endocrinologist in XXXXXXX Dr.Arpan XXXXXXX of Manipal hospital, Dr.Mala Dharmalingam of Ramiah hospital etc
regards
Binu
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
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