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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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DM2, Fasting Sugar Level Not Decreasing 200. On Trivolib, Triglimisave, Ecosprin, Nurokind G, Softron Z, Calcirol. Advise?

i'm 65 year old, having DM2 since last 6 year. Presently Taking 2 nos. Trivolib 2mg in morning just before breakfast and after dinner 2 nos. triglimisave 2mg, 1 no.ecosprin av 75, 1 no. nurokind g, and 1 nos. softron z in alternate day. Calcirol sachet in milk in every 15 days. However my sugar level fasting is not going less than 200.

Kindly advice
YYYY@YYYY
Mon, 20 May 2013
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General & Family Physician,  's  Response
Hello,
Although you are taking four anti diabetic drugs but all of them are not n proper doses.
TRIVOLIB can be incresed from .2 to .3 twice a day.
Stop taking TRIGILMISAVE and take
GLIMMIPRIDE 3 mg twice a day.
METFORMIN 1 gm twice a day.
PIOZONE 30 mg once in morning.
See the response with this.
I have increased dose of your anti diabetic drugs a little.
See if here is any change.
If your sugarblevels don't change,then best would be to start insulin injections.
You must talk to your treating doctor regarding this.
Alternatively a long acting basal insulin like inj. LANTUS can be added in your current regime.
Do regular aerobic exercises and observe dietary restrictions.
You must control your sugar levels,whatever method you adopt.
Along with blood sugar levels,control your BP and cholesterol levels also.
Thanks
I find this answer helpful
General & Family Physician,  Dr. Veera Raghava Rao Buddha.'s  Response
Hi welcome to health care magic forum.
Thanks for calling H.C.M.Forum.
You are 65 years old, having DM2, since six years, in spite of treatment your sugar level is not coming less than 200.
The controle of diabetis depends upon diet, exercise, anxiety, etc.
I advise you to be in touch with the endocrinologist regularly, so that the changes in the body are monitered regularly.
Avoid taking calories, fruits, sweets, etc.
If there is any anxiety try to controle , by yoga, meditation etc.
Wishing for a quick and complete recovery.
best regards.
I find this answer helpful
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DM2, Fasting Sugar Level Not Decreasing 200. On Trivolib, Triglimisave, Ecosprin, Nurokind G, Softron Z, Calcirol. Advise?

Hello, Although you are taking four anti diabetic drugs but all of them are not n proper doses. TRIVOLIB can be incresed from .2 to .3 twice a day. Stop taking TRIGILMISAVE and take GLIMMIPRIDE 3 mg twice a day. METFORMIN 1 gm twice a day. PIOZONE 30 mg once in morning. See the response with this. I have increased dose of your anti diabetic drugs a little. See if here is any change. If your sugarblevels don t change,then best would be to start insulin injections. You must talk to your treating doctor regarding this. Alternatively a long acting basal insulin like inj. LANTUS can be added in your current regime. Do regular aerobic exercises and observe dietary restrictions. You must control your sugar levels,whatever method you adopt. Along with blood sugar levels,control your BP and cholesterol levels also. Thanks