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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Glycomet be replaced with Triglynase 1 as per the attached reports?

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Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 805 Questions

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Posted on Tue, 22 May 2018 in Diabetes
Question: My Father has been gone through the medical health check-up.I need your input over the attached reports.My father is taking medicine triglynase1 before lunch for the last one month.Before that for the last one year my father was taking medicine glycomet before lunch.Please advice.
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Answered by Dr. Abhay A Mali 2 hours later
Brief Answer:
Deranged Lipid Profile & Glycemic control.

Detailed Answer:
Hi,

Thanks for your question.
Noted your concern.

I've gone through your father's test results.

There is--
1) Deranged Lipid Profile.
With such a test results I may suggest fat restricted diet along with statin (cholesterol lowering drug) like Atorvastatin 40mg per day.

2) Deranged Blood sugar levels.
Fasting, Post-prandial blood sugar levels & HbA1c need better control.
For which Strict Compliance with diabetic diet & tolerable exercise is important.
Better to consult his diabetologist for clinical assessment & if required changes in medicine.

3) ECG & 2Decho is acceptable.

4) Thyroid function suggests lower T3 & T4 with normal TSH which may be considered within acceptable range & there may not be a requirement of medicine but physical examination and history taking are important.

5) Kidney Function
eGFR of 71 denotes Stage 2 Chronic Kidney Disease. For which better blood sugar, blood pressure control and avoidance of nephrotoxic drugs may be suggested.
Use of kidney protecting medicines like ACE inhibitors or ARBs may be suggested.

6) All other reports are within normal limits.

Hope this helps. Feel free to ask further.

Regards,
Dr Abhay Mali.
Diabetologist.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Abhay A Mali 13 minutes later
Thanks Doctor for the detailed answers.
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Answered by Dr. Abhay A Mali 18 hours later
Brief Answer:
Thanks

Detailed Answer:
Thanks.
I will be happy to answer your further queries, if any.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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