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Dr. Andrew Rynne

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How can HbA1c level be reduced in a diabetic?

Answered by
Dr.
Dr. Minal Mohit

Endocrinologist

Practicing since :1998

Answered : 827 Questions

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Posted on Fri, 8 Feb 2019 in Diabetes
Question: I am Type 2 diabetic person for last 30 years With diabetic diet,exercises, my HBA1C is 8.6.I am 61 years old and take 2 Glimmy 2 tablete after breakfast, lunch and dinner .I also take 1 Zomalis 50 tablet after breakfast,lunch and dinner.
I have NO other health issues and I weigh 50 Kgs.
Please advise medicine to reduce BSL. My next target HBA1C should be below 8.
doctor
Answered by Dr. Minal Mohit 4 hours later
Brief Answer:
Need your kidney function and thyroid as well.

Detailed Answer:

Hi,

As per the treatment, I will suggest the following change:
1. Tab Glimy M2 twice , once before breakfast and once before dinner
2. Tab Zomelis Met again twice only, before breakfast and before dinner
3. Tab Pioz once a day before breakfast
4. Tab Gibtulio once a day before breakfast
5. Need to know your lipid profile, KFT, TSH and FT4.

Check with your diabetologist or treating doctor if it is right for you.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Minal Mohit
Endocrinologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Minal Mohit 39 hours later
Good day
1) Pl check attached pathological reports.
2) T Gibtulio 25 developes fungus on the urinary tip. Can not use.
3)Also basis above pathological reports " Medical Prescription" given by Dr XXXXXXX
4) Kindly advise any further report /information you may need to help reduce my BSL levels.

Regards
XXXX
doctor
Answered by Dr. Minal Mohit 8 hours later
Brief Answer:
Do not take Gibtulio, start the remaining plan

Detailed Answer:

Hello,

Do not take Gibtulio if you have experienced fungal infection of the urinary tract. However, please change the remaining plan as advised. You may continue Nefrosave and Thyronorm.

Hope I have answered your query.

Regards,
Dr. Minal Mohit
Endocrinologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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