Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
147 Doctors are Online

Query about latest drugs used in Anti diabetic ranges - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   Hi Doctor good day
Doctor :   Good day to you too
Doctor :   please go ahead with your query
User :   Doctor i would like to know the latest drugs used in the Anti diabetic ranges
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   since my mother is diabetic she was earlier on insulin injection but now she is on oral hypo glymci agents
Doctor :   ok
User :   age she is 60, female, house wife, she is 5 ft 3 inches in height and weight i think she is 75 kgs
Doctor :   ok
Doctor :   does she have any other health problems?
User :   now the thing is that she has being on 3 different combiantion drugs but again her glucosle level is not under control
User :   no
Doctor :   ok
Doctor :   did she get her Lipid Profile done?
User :   she takes appr 10 Tablets per day
Doctor :   ok
User :   i don't remeber exact figures she has little more of LDL
Doctor :   ok
User :   it was done month back
Doctor :   the best management in such cases is strict diet control and exercise
Doctor :   if that is not done she may have to be shifted to insulin
User :   even diet control does not gives any better results
Doctor :   as she is also overweight i would recommend that she exercises regularly
Doctor :   1/2 hr of walking regularly
User :   ok one thing i rember she has become now arthertic now her joints have added more troubles to her
User :   she cant walk now
Doctor :   ok
User :   for a long distance
Doctor :   then diet control is the only way
User :   climbing steps , she is feeeling difficutl
Doctor :   ok
Doctor :   she should then follow a strict diabetic diet
User :   now suggest what best can be done to her
Doctor :   what drugs is she taking now?
User :   she is taking rosigitazone, metformin, pioglitzone, glimipride and even gliclazide all moost all the anti diabetic drugs she has been prescribe
User :   i think the dosage regime has to optimised
Doctor :   ok
Doctor :   what are her blood sugars now?
User :   her fasting sugar level is 210 and PPBS is around 280-300
Doctor :   is she on storvas or any drug for her lipids?
User :   yes simvastatins 10 and fenofibrate 10 mg i think
Doctor :   ok
Doctor :   then she might need insulin therapy for some more time
User :   now wither i should take her for walking or i should keep her at rest because now she is complaining about the joint pains
Doctor :   ok
Doctor :   diet restriction needs to be done
User :   we stopped insluin because she has developed the insulin resistance, i,e her ppbs was more as compared to FBs
Doctor :   she should take only complex starches like wheat and ragi
Doctor :   she should try and avoid rice
Doctor :   she should take more soluble fibre like pulses, beans, sprouts
Doctor :   ok
User :   now how about fruits which one can she take and how much qty
Doctor :   try giving her ragi malt instead of regular diet
Doctor :   try to avoid fruits for now
Doctor :   till her sugars improved
Doctor :   she can take vegetable juice
User :   malt will increase the blood sugar raher than decreasing because it will be in semi solid form
Doctor :   ragi is still complex starch than rice
Doctor :   she needs to take it as a replacement for rice
User :   ok so you suggest ragi malt
User :   atr what qty she should take
Doctor :   it should be made of ragi powder
Doctor :   mixed with water and boiled
Doctor :   with a little bit of saly
Doctor :   salt
Doctor :   she can take a glass of it instead of a meal
User :   one glass will it be sufficient
Doctor :   she needs to be monitored regularly
Doctor :   yes
Doctor :   it is calorie dense
Doctor :   also she needs to take frequent small meals
User :   Does it will cause constipation
Doctor :   may be 6-7 small meals per day
Doctor :   as she will also be taking other fibres like salads and sprouts
Doctor :   constipation may not be a problem
User :   these small meals should of around how qty
Doctor :   she should take a calorie requirement of 1500-1800 calories per day
Doctor :   not more than that
User :   ok
Doctor :   the sprouts and salads need not be restricted
Doctor :   in amount
User :   then now she require walking or not
Doctor :   she can take 2 phulkas for lunch and dinner
Doctor :   2-3
Doctor :   papayas are good options for diabetics
Doctor :   Green leafy vegetables, tomatoes, cucumber, soups, buttermilk should be taken more
Doctor :   she should be monitored regularly
User :   ok well how much qty of papayas
Doctor :   not more than a few slices per meal
Doctor :   say 5-6 medium sized slices
User :   ok
Doctor :   i suggest that for better info on the diet
Doctor :   you check out
Doctor :   or WWW.WWWW.WW
Doctor :   YYYY@YYYY Mobile : 91-0000
Doctor :   please confirm your details
User :   yes it is true
Doctor :   ask her to try walking for atleast 10-15 min
Doctor :   at a slow pace
Doctor :   as it would make a lot of difference
User :   ok but about her pain
Doctor :   she can use a topical gel like volini gel or spray
Doctor :   and apply hot fomentation
Doctor :   or cold compresses
User :   bbut it is not giving any relief even i tried for a haprain gel with that she just got some inflamation relived
Doctor :   did you get an xray done for her?
User :   shall i put her on glucosamine
User :   no
Doctor :   ok
Doctor :   are you a physician?
User :   at what dose shall i start
Doctor :   no
User :   no i am scientist
Doctor :   i suggest that you get an xray and an orthopedician consultation done for her
Doctor :   as i cannot prescribe the dosage to you online for her own safety
User :   ok
Doctor :   she needs to get examined by an orthopedician
User :   does she require any anti oxidants
Doctor :   you can give her evion tablets 400mg
User :   and calcium supplimnets
Doctor :   for 3 months
User :   ok
Doctor :   and calcium can also be given
Doctor :   but i suggest an xray first

Doctor :   Please fill the feedback form say done when done

Doctor :   YYYY@YYYY

Mobile : 91-0000
Doctor :   please confirm your details
User :   ok doctor i have already started on calcium and anti oxidants just ffor how many days i have to give
User :   yes
Doctor :   ok
Doctor :   evion shouldnt be given for more than 3 months
Doctor :   calcium i suggest to be given after ortho consultation
User :   since she is taking all these medcines she has now gastric problmes that is acidity
Doctor :   ok
User :   she is on omeprazole and domepridone
Doctor :   ok
User :   combination
Doctor :   ok
User :   now can you suggest me weither i can go ahead with this or antacid will be better , because above drugs act systemicly and this topical
Doctor :   please continue the combination
Doctor :   as antacids are not sufficient to supress acidity alone here
User :   ok she also started to develop resistance and domepridone can't be given for more days
Doctor :   then put her on omeprazole alone
User :   ok doctor
Doctor :   anything else?
User :   no doctor i will take all the suggestion which you have given ,
Doctor :   ok
User :   thank you very much for the suggestions i will get back to you shortly
User :   good day
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor