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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Control Blood Sugar

i am taking glycomate sr igram at night before meal. my fasting sugar was 150-160 range before medication and PP was 170-180. i have strict diet control. after taking medicine for one & 1/2 months now i am feeling sleepy which i do not had earlier. presently my Fastinf sugar is 129-141 anf PP is 140-150. si do Yoga for i/2 hrs, walking for 20 minutes and Gym foe 15 minutes daily. Should i stop medicine.

D .mitra age 55 ,male,kolkata india
Tue, 24 Mar 2015
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Diabetologist 's  Response
Hi Mr. Mitra,

As you have not mentioned the duration of your Diabetes specifically,let by your narration my interpretation is you have recently detected Diabetes iabetes approximately one and half month back.
You have started on Glycomet Sr 1 gm before dinner, along with you are doing yoga, gym, walk regularly diet control.

With all this efforts your blood sugar levels are fairly controlled.
I would like to advise_
1. Strictly follow Diabetic diet regularly.
2. Continue yoga, gym, walk regularly.
3. Continue Tab Glycomet Sr 1gm after dinner.
In fact you can increase the dose upto 1.5 gm and over another 15 days to 2 gm total per day in divided doses preferred to take after meals. (effective dose is approximately 1.75 gm per day)
As this medicine rarely decreases blood sugar levels below normal level (rarely causes hypoglycemia)
This medicine act on basic pathology of diabetes called insulin resistance.
As Diabetes is life long disease, as duration of diabetes increases there may need of additional medicines.
4. You have not mentioned your height and weight so that you should target weight loss according to your height.
5. Certain blood test are important like lipid profile, serum creatinine, HbA1C which denote blood sugar level over period of approximately 120days.
Urinary protein creatinine ratio, Fundoscopy to rule out diabetic retinopathy.
6. You should also start medicine for lowering lipids despite your lipid level, if it is in normal range start in basic dose and if in higher doses according to lipid level.
7. Also regular BP checking
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Suggest Treatment To Control Blood Sugar

Hi Mr. Mitra, As you have not mentioned the duration of your Diabetes specifically,let by your narration my interpretation is you have recently detected Diabetes iabetes approximately one and half month back. You have started on Glycomet Sr 1 gm before dinner, along with you are doing yoga, gym, walk regularly diet control. With all this efforts your blood sugar levels are fairly controlled. I would like to advise_ 1. Strictly follow Diabetic diet regularly. 2. Continue yoga, gym, walk regularly. 3. Continue Tab Glycomet Sr 1gm after dinner. In fact you can increase the dose upto 1.5 gm and over another 15 days to 2 gm total per day in divided doses preferred to take after meals. (effective dose is approximately 1.75 gm per day) As this medicine rarely decreases blood sugar levels below normal level (rarely causes hypoglycemia) This medicine act on basic pathology of diabetes called insulin resistance. As Diabetes is life long disease, as duration of diabetes increases there may need of additional medicines. 4. You have not mentioned your height and weight so that you should target weight loss according to your height. 5. Certain blood test are important like lipid profile, serum creatinine, HbA1C which denote blood sugar level over period of approximately 120days. Urinary protein creatinine ratio, Fundoscopy to rule out diabetic retinopathy. 6. You should also start medicine for lowering lipids despite your lipid level, if it is in normal range start in basic dose and if in higher doses according to lipid level. 7. Also regular BP checking