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Diabetes. Feeling Weak While On Medication. No Weakness After Stopping Glycomet But Raised Sugar Level

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Posted on Fri, 26 Apr 2013
Question: Dear Dr.
My father is having diabetics for last 10 years.
Two months ago, my father was taking following tablets,
Glycomet GP1 1-0-0 (30min before breakfast)
Glycomet SR 500mg 0-0-1 (after dinner)
Cardace 2.5mg 1-0-0 (after breakfast)
MetildaER 0-0-1 (one tab after dinner)
TripleACal (0-0-1) (one tab after dinner)
But the complaint was he was feeling weakness and got admitted two times in hospital. As per doctor, it was because of low sugar.

So the doctor advised to stop Glycomet GP1 . Now there is no complain for weakness. But the problem is the sugar level has increased in last test.
Currently he is taking medicines as follows:
Glycomet SR500mg 1-0-1 (after breakfast and after dinner)
Cardace 2.5mg 1-0-0 (after breakfast)
MetildaER 0-0-1 (one tab after dinner)
TripleACal (0-0-1) (one tab after dinner)

Recent sugar test report:

Plasma glucose -Fasting : 168
Plasma glucose -PP : 331

Sugar report 2 months ago was:
Plasma glucose -Fasting: 129
Plasma glucose -PP: 162

Could you please advise or recommend what will be the best option and let me know
if you need any more report. we had done full health checkup 2 months ago.

Thanks a lot for your time and advice!

Regards,
XXXXXX
doctor
Answered by Dr. Madhuri Patil (33 hours later)
Dear XXXXXX,

If you could let me know the values of tests done in the attached reports it will be great as the attached reports are not getting downloaded. I do not know whether you have attached any reports of his discharge summary while he was admitted due to low sugars.
Currently this kind of high sugar needs a small dose of another tablet. It is called Gliclazide. You will need to see a good Diabetologist for the dose and frequency of the same. Else, a drug from a new category which does not tend to make a person hypoglycemic is also available in the market. The drug is called Sitagliptin or Linagliptin. For this also you will have to see the doctor personally.
In short, you do have medications available for him which will take care of high sugars at the same time will avoid low sugars in him. But he needs to be shown to a good Diabetologist for the same. I hope you understand.
I shall wait for the attachment clarification. Take care.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Madhuri Patil

Diabetologist

Practicing since :1999

Answered : 362 Questions

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Diabetes. Feeling Weak While On Medication. No Weakness After Stopping Glycomet But Raised Sugar Level

Dear XXXXXX,

If you could let me know the values of tests done in the attached reports it will be great as the attached reports are not getting downloaded. I do not know whether you have attached any reports of his discharge summary while he was admitted due to low sugars.
Currently this kind of high sugar needs a small dose of another tablet. It is called Gliclazide. You will need to see a good Diabetologist for the dose and frequency of the same. Else, a drug from a new category which does not tend to make a person hypoglycemic is also available in the market. The drug is called Sitagliptin or Linagliptin. For this also you will have to see the doctor personally.
In short, you do have medications available for him which will take care of high sugars at the same time will avoid low sugars in him. But he needs to be shown to a good Diabetologist for the same. I hope you understand.
I shall wait for the attachment clarification. Take care.