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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prescribe Proper Dosage Of Medicines For Diabetes

I am a type 2 diabetic A1C was 12. I was currently on glipizide er 2 tabs once day and onglyza 5mg once day. Now my doctor has added metformin 500 twice a day. I have cut my carbs to almost none my blood was just 103... I scheduled to take 1 glipizide and 1 metformin tonight is it safe?
Sat, 3 May 2014
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Diabetologist,  's  Response
Dear sir i can understand your concern.
i guess your are having difficulty in controlling blood sugar.Hba1c above 10 will make you prone for all metabolic complications.
I am not able to understand your question,sorry.
If your plan is to reduce the dose as your sugar is 103,Then its a bad idea.
Dose reduction should be done only if you are getting frequent hypoglycemias.
Most of my patients who have Hba1c more than 12 i advise them to go for short term insulin therapy and then shift to tablets for recovery of pancreas.
I suppose I have given the desired response if you have any other query please write back.
Otherwise please accept & rate my answer. I will appreciate your review about my answer.
Best Regards.
Dr Vamsi Krishna
Consultant Diabetologist
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Prescribe Proper Dosage Of Medicines For Diabetes

Dear sir i can understand your concern. i guess your are having difficulty in controlling blood sugar.Hba1c above 10 will make you prone for all metabolic complications. I am not able to understand your question,sorry. If your plan is to reduce the dose as your sugar is 103,Then its a bad idea. Dose reduction should be done only if you are getting frequent hypoglycemias. Most of my patients who have Hba1c more than 12 i advise them to go for short term insulin therapy and then shift to tablets for recovery of pancreas. I suppose I have given the desired response if you have any other query please write back. Otherwise please accept & rate my answer. I will appreciate your review about my answer. Best Regards. Dr Vamsi Krishna Consultant Diabetologist