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Query regarding diabetes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
Doctor :   Hi
User :   Hi
User :   I have a query regarding diabetes
User :   my father is the patient
Doctor :   Dr XXXXXXXX here
User :   hello Dr. xxxx
User :   my father has been a diabetes patient for over 37 years
User :   and is also a hypertension patient
User :   he has been on a tablet called Gemer for the past 1.5 years
User :   his sugar level was well within control
Doctor :   ok
Doctor :   Do u check his blood sugar regularly ?
User :   however, he always used to have the problem of heaviness in the stomach, excessive sleep, felling giddy, feeling hungry, lack of sleep during night etc
User :   yes we do, we have a machine at home, we do it every week and also check it once in 3 months at a lab
Doctor :   may i know the age of your father?
User :   he used to feel very uncomfortable with Gemer
User :   he is 67
User :   he used to lose confidence in going out of home for even a small walk
Doctor :   whats his HBA1C ?
User :   i do not have the latest report
Doctor :   OK
User :   I will get it
User :   later
User :   however my query is slightly different
Doctor :   OK, please proceed
User :   the doctor had reduced the dosage of gemer to just 1/2 a tablet in the night and 1 in the day about 1 yr back
User :   sorry about 6 m back
Doctor :   ok
User :   however, since gemer continues to make him uncomfortable, my dad switched to his earlier medicine for diabetes - Glycomet
Doctor :   ok
User :   in the place of Gemer
User :   about 25 days back
Doctor :   ok
User :   without consultation of the doctor
Doctor :   was this with advice of doctorr?
User :   he started feeling immediate relief from all the discomforts
Doctor :   Oh ok
User :   however, when we checked on his sugar levels after 3 weeks, the reading under PPBS has shot up exhorbitantly
Doctor :   what about the sugar levels, ?
User :   it was under control for the first 2 weeks
User :   now its reading 486
User :   which is very high
User :   on the digital machine
Doctor :   ok
User :   So i wanted to know if we have made a mistake of
User :   1. changing the medicine without consultantion
User :   2. Is our reading that the discomfort is due to the diabetes medicine right?
User :   please advise
User :   I do not have the reports right now
Doctor :   Gemer (glimipiride) has better advantages as it increase body insulin
User :   but can email the readings later in the week
Doctor :   so it has a longer period of action
Doctor :   changing the medicine - in the first place was wring
Doctor :   * wrong
Doctor :   as the dose needed depends on various aspectd
Doctor :   determined by blood levels, and examinaiton
Doctor :   the discomfort could be due to other reasons
Doctor :   but you should consult your treating doc, before changing the medicine
User :   but it is surprising that whenever he skips. stops gemer, he doesnt feel all this discomfort
Doctor :   gemer is a very good drug
Doctor :   but its eefects are percieved differently in diff patinets
Doctor :   or the dose needs to be reduced accordingly
User :   ok
User :   so doctor, what is your suggestion as of now?
Doctor :   consult your doc, and ask him, if he can titrate the glycomet instead of gemer
User :   ok
Doctor :   ask him to give you the right dosage, of glycomet which can correct the Blood glucose levels
Doctor :   tell him, about the issues u have with gemer, and clear your doubts
User :   Is glycomet also a good drug for diabetes as compared to gemer
Doctor :   yes , metformin is also a good drug, to start asa treatemnt for Diabetes
User :   Having these kind of side effects with Gemer is common is it??
Doctor :   the side effects of GEMER are Diarrhea, vomiting, metallic taste, rash, allergic skin reactions, photo sensitivity reactions, anemia and blurred vision.
Doctor :   But it varies with each patient
User :   yes, he does face a blurred vision
Doctor :   does he have a cataract ?
User :   no
User :   he has had laser treatment about 9 years back though
Doctor :   ask your doc, so that he can be changed to a correct dosage
Doctor :   and that will help him better
User :   he had instances of falling unconscious for about 2-5 seconds twice in early 2009
User :   so, he was diagnosed with TI
Doctor :   u mean TIA
User :   yes
User :   but I believe it is hardly treatable
Doctor :   That comes with age and lowered circulation
User :   so the doctors said that he has to be careful
Doctor :   and not due to medicines
User :   ok
Doctor :   but taking aspirin (ecosprin) can prevent strokes as it thins blood
User :   will getting rid of the drugs for diabetes and switching to insulin is better?
Doctor :   yes, insulin is better
User :   yes, the doctor has added an aspirin eversince and he has not had any such instances later
User :   he still feels that he will go unconscious, but realises it
Doctor :   but correct dosage has to be explained and your father educated how to take insulin shots
User :   especially, when he is climbing an uppish road, stairs, getting up from his seated position etc
Doctor :   ok
User :   so thank you doctor for your advice, I will speak to the regular doctor and revert back if I need any clarifications
Doctor :   sure
Doctor :   have a good day
Doctor :   please leave ur feedback as you log out
User :   sure
User :   will this conversation be archived for future reference?
Doctor :   yes
User :   ok thanks
Doctor :   bye for now
User :   bye
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