I am 41 yrs old and a diabetic (type-2) since
I was in Goa during all this while. But in mid-2017 I had to move to Sikkim (job transfer). Slowly my fasting readings started going up like 130-140. So I started with half dose of my previous medicine. Then back to same 1 tab Glynase MF twice a day. Initially was able to control but after a few months again I got fasting readings of 130-150.
Now during the last month or so, my fasting readings are sometimes going over 200 (range 135-240). I still control my diet as before and taking 1 tab Glynase MF twice a day.
Is this happening due to the extreme cold weather here?
Please advise if I should change my medication.
Change of food habits , weather, climate, exercise all will affect
dear sir, Hi! welcome to Ask A Doctor. diabetes worsening slowly is due to many reasons. one is, disease itself is progressive in nature. second of course your life style. so change of place, work culture, sleep pattern, food quality, exercise ROUTINE, all will show cumulative effect.
as you have already started tab glynase MF, please add tab istamet 50/500 mg Twice a day. Continue exercise plan, increase time or speed which ever is feasible . follow strict diet plan. and recheck your sugars after 7 days and let me know . also please check it hba1c, lipids, thyroid, and renal function and do let me know
hba1c, renal function and thyroid report is good, lipids need correction.
Dear sir, all are good, but LDL is high. Need to add Rosuvastatin 20 mg at night.
sugars are doing good. one hypo because you changed your meal plan. I would suggest make glynase MF once a day and continue istamet twice a day.
Are you on some medicine for hypertension?
The statin is the recommended molecule for cholesterol, heart issues. So it will not increase the BP nor will it reduce it.
But high fasting sugars are not good. We need to add tab Vobose-M at night before dinner. For BP you may add tab Telmisartan 40 mg once a day after breakfast (after discussing with your treating doctor).