question-icon

Hello Doctor, Hope You Are Doing Good. Looking For Your

default
Posted on Sun, 28 Jun 2020
Question: Hello Doctor,

Hope you are doing good. Looking for your consultation for my mother who is 62 years old.

She has been diabetic for 15 years and taking medicines . Last year her blood sugar levels was 145 (Fasting) , 190 (after food & Tablet) and Hba1C (5.4%) . She has been taking Galvus Met 50mg/500mg before meal in the morning. Her last week blood report shows blood sugar levels are 169 (fasting) and 276 (after food) in which test was taken without intake of tablet on that that particular day.

As she has severe shoulder pain , last time doctor prescribed Shelcal & Centum for the Calcium & Vitamin. Please note that everytime she takes medicine after meal on the day of blood test , this time it was taken without intake of tablet.

Can you please suggest the alteration in the dose because of her increased blood sugar level .
doctor
Answered by Dr. Mirjeta Guni (2 hours later)
Brief Answer:
About high blood sugar;

Detailed Answer:
Hello and thank you for asking! I have gone carefully through your concern.
She needs to increase the dose if levothyroxine (2x1000 mg after meals) if the renal and liver function is normal. Si she needs do take separate tablets of galvus and metformine.
Metformine works in people who have abdominal fat, i do not know if it is her case. A clinical examination eould be of help.
Hope the information will help.
Best wishes.
Dr.Mirjeta Guni
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2413 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Hello Doctor, Hope You Are Doing Good. Looking For Your

Brief Answer: About high blood sugar; Detailed Answer: Hello and thank you for asking! I have gone carefully through your concern. She needs to increase the dose if levothyroxine (2x1000 mg after meals) if the renal and liver function is normal. Si she needs do take separate tablets of galvus and metformine. Metformine works in people who have abdominal fat, i do not know if it is her case. A clinical examination eould be of help. Hope the information will help. Best wishes. Dr.Mirjeta Guni