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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ways To Bring Down High BS And A1C Readings

Hello and thanks for your help in advance. I am becoming very worried about my health. First off, I'm diabetic (type 2) and over the past year i've been getting BS readings in the high 200's and A1C readings around 10 & 11. I'm currently taking Metformin(1000 mg/twice a day) and an insulin called Levemir(17 units in the morning), yet i'm still reading high. Is there anything I can do to bring it down? Second, I was sexually active on February 27 and I haven't gotten my cycle since Jan 26. They have always been irregular, but not to this extent. I've taken about 10 at home pregnancy test that all read negative as well as a recent blood test that read the same. I've been having pregnancy symptoms and still no cycle. Could this be related in any way to diabetes or am i missing my cycle because it was my first sexual activity in over 11 years?
Tue, 30 Dec 2014
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Geriatrics Specialist,  's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Diabetes is a metabolic disorder affecting multiple systems. Obesity is one of the commonest cause of type II diabetes mellitus. Obesity can affect the endocrine system and hormones, which has at present resulted in loss of menstrual cycles. It is not related to sexual activity.
2. Control of blood sugar and HbA1C reading requires
a. Weight control within normal range
b. Controlled diet of carbohydrates, proteins and low fat with high fiber. Additional insulin needs to be added to control blood sugar. The medication at present is not titrated adequately to diet and insulin resistance.
c. Moderate exercises.
d. Metformin is already high. Other oral hypoglycemics to improve sensitivity and insulin production needs to be added.
3. Once diabetes is under control and weight reduction is initiated, the menstrual cycles will start. The poor control values at present are serious and can cause both acute and chronic complications, particularly neuropathies, nephropathy and retinopathy. Its serious issue. Meet your diabetician and dietitian to control blood sugar. Follow the medications and diet religiously.
Hope it helps.
Any further queries, happy to help again.
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Suggest Ways To Bring Down High BS And A1C Readings

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Diabetes is a metabolic disorder affecting multiple systems. Obesity is one of the commonest cause of type II diabetes mellitus. Obesity can affect the endocrine system and hormones, which has at present resulted in loss of menstrual cycles. It is not related to sexual activity. 2. Control of blood sugar and HbA1C reading requires a. Weight control within normal range b. Controlled diet of carbohydrates, proteins and low fat with high fiber. Additional insulin needs to be added to control blood sugar. The medication at present is not titrated adequately to diet and insulin resistance. c. Moderate exercises. d. Metformin is already high. Other oral hypoglycemics to improve sensitivity and insulin production needs to be added. 3. Once diabetes is under control and weight reduction is initiated, the menstrual cycles will start. The poor control values at present are serious and can cause both acute and chronic complications, particularly neuropathies, nephropathy and retinopathy. Its serious issue. Meet your diabetician and dietitian to control blood sugar. Follow the medications and diet religiously. Hope it helps. Any further queries, happy to help again.