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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sugar Level High After Angioplasty. Glucobay Not Controlling. Solution To Control Sugar Levels?

I am diabetic for the last 10 years and under drugs.it was under good control HBA1C between 7.2 to 7.8. Last few months the fasting sugar ranges from 100 -140 and PP 160-280. I take Obimet 1Gm Sr 1-0-1, after meal,Diamicron 30 MR before Breakfast. 1-0-0. My lipid profile is under good control -below normal levels with ecosprin AV 75. On 19th of Feb.I had an angioplasty and when asked about the the rise in sugar levels I was told that this is bound to happen after the procedure and that if it persists then I need to visit the diabetologist. In between my doctor asked me to take Glycobay 50mg before breakast,which has not impoved the sugar contriol,which I have stopped after three weeks.I am on drugs for the post Angioplasty. I normally have a 50 minute walk every day for the last 15 years but now post the Angioplasty I had stopped walk for a few days and have started walks in gradual steps.Can any one suggest a alternative solution/remedy to control the sugar levels.Thanks
Tue, 12 Mar 2013
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Internal Medicine Specialist,  's  Response
hello, welcome to HCM,
as per the details u have been submitted , you just underwent angioplasty procedure, ..so during any kind of surgical procedure, which is a stress situation, in which increase in stress hormones in the body increases the glucose levels of the blood, which is a common phenomenon. thats why you are experiencing the fluctuations in the sugar levels .but as per the guidelines, you should maintain the sugar levels BELOW 180 mg/dl (either ranadom or post prandial)..so if the blood sugar levels are high ..it is well controlled by starting on the INSULIN THERAPY ..until your blood sugar levels are properly controlled..ok

once , u are controlled well, u can shift back to the oral therapy by adjusting the dose either by gradually increasing the oral drugs..
to do so ..i advise you to consult a endocrinologist and have check your fasting and post prandial glucose levels and he will take care of that...
hope this will help u..
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Sugar Level High After Angioplasty. Glucobay Not Controlling. Solution To Control Sugar Levels?

hello, welcome to HCM, as per the details u have been submitted , you just underwent angioplasty procedure, ..so during any kind of surgical procedure, which is a stress situation, in which increase in stress hormones in the body increases the glucose levels of the blood, which is a common phenomenon. thats why you are experiencing the fluctuations in the sugar levels .but as per the guidelines, you should maintain the sugar levels BELOW 180 mg/dl (either ranadom or post prandial)..so if the blood sugar levels are high ..it is well controlled by starting on the INSULIN THERAPY ..until your blood sugar levels are properly controlled..ok once , u are controlled well, u can shift back to the oral therapy by adjusting the dose either by gradually increasing the oral drugs.. to do so ..i advise you to consult a endocrinologist and have check your fasting and post prandial glucose levels and he will take care of that... hope this will help u..