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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Continue To Take Medications For Diabetes With Chest Pain?

Sir,



I am 46 years first time I have been diagonised with Bp 130/100 and Sugar FBS -137 and PPBS -221 and HBA!C- 7.6 they hav eprescribed mediciations for diabetics - glycomet 500 mg morning and night and for BP TAb Telma 40 mg in the morning and Tab Amlong 5 mg in the night. My ECG is normal Echo is normal and TMT is pending. From past 15 days I had giddiness and chest pain. Should go ahead with medications or what other test should I do to find out if I have caridiac problems
Mon, 27 Jan 2014
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Diabetologist,  's  Response
Dear your diabetes and hypertension is both at initial stage so you can help yourself by not developing complications. i would advise you need to add DPP4 inhibitors like sitagliptin or vildagliptin in your regime to save your pancreas and make your sugar levels appropriate. since ischemic heart disease is the one of the common complication of diabetes i would advise you should get your cholesterol levels and uric acid levels checked and for other co morbids and aspirin/clopidogrel should be added in your treatment regime to keep your blood thin. however you need to see cardiologist to get the status of your heart checked. you can go for exercise tolerance test or echocardiogram or thallium scan or if your cardiologist advise you can go for angiography.
thanks
regards
Dr.Muddasar Ahmed
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Should I Continue To Take Medications For Diabetes With Chest Pain?

Dear your diabetes and hypertension is both at initial stage so you can help yourself by not developing complications. i would advise you need to add DPP4 inhibitors like sitagliptin or vildagliptin in your regime to save your pancreas and make your sugar levels appropriate. since ischemic heart disease is the one of the common complication of diabetes i would advise you should get your cholesterol levels and uric acid levels checked and for other co morbids and aspirin/clopidogrel should be added in your treatment regime to keep your blood thin. however you need to see cardiologist to get the status of your heart checked. you can go for exercise tolerance test or echocardiogram or thallium scan or if your cardiologist advise you can go for angiography. thanks regards Dr.Muddasar Ahmed