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Is FBS Value Of 150 A Cause For Concern?

Posted on Thu, 16 Jun 2016

Question: Hi Dr Ryne. As per your advice I am voglibose with dinner. My fasting sugar is 150. I take glycomet 500 SR morn and eve. Voglibose for lunch and dinner. During the day sugar is fine. My TSH now is 3.2 snd increased my thyronom to 62.5 mg from 50 mg

Answered by Dr. Saumya Mittal (4 hours later)

Brief Answer:
Sounds good

Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
The blood levels sound good.
I would suggest continue the medicines.
I hope you are on a good diabetic diet.
Also avoid brassica family of foods like cabbage. it will help your thyroid.
You need to check PPBS HBA1C.
Let me know the reports.
Test TSH in a month.
I have tried to make it as simple as possible.
I hope that the information contained in this message will be able to help you find the best solution for your problem.
Best of luck. Dr Mittal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saumya Mittal (2 hours later)

Hi dr mittal.,want to know any side effects of voglibose? My post dinner sugar still high and fasting sugar 150.. Its been 2 days since started vobligose for dinner.. Day time sugar good. Any changes?

Answered by Dr. Saumya Mittal (16 minutes later)

Brief Answer:
need more information

Detailed Answer:
Hi
Thanks for your response,
1st, please inform the exact sugars.Saying sugars are good or high does not help me get an idea where you stand.
When are your sugars checked post dinner- how long after dinner.
The drug voglibose causes nausea vomiting and giddiness. It can cause hypoglycemia.
Let me know the required details.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saumya Mittal (20 minutes later)

Hi dr Mittal. My post lunch is 150-160. Post dinner is 180-215. Chkd 1-2 hours.. Fasting 150. Hb1c 7.2.. Tsh 3.21. Vobligose day time is fine., taking it with dinner isgiving me swollen feet, headache and bloated stomach in the morn... Any other alternate for night?

Answered by Dr. Saumya Mittal (11 hours later)

Brief Answer:
Suggestions

Detailed Answer:
Hi
Thanks for your response.
I would suggest testing sugars after 2 hours of dinner.
Between 1 to 2 hours it will be higher side only.
So I would not suggest changing medicine as of now till you check the sugar.
You also need to control your diet. Restrict it as per your height and weight. It may actually reduce the need of medicines. Simple exercises may also help.
As for the side effects, it's been just 2 days. Usually people get accustomed to it. So wait 1 to 2 weeks before you change. It's controlling your FBS nicely.
Meeting a dietician for a suitable diet chart as per your food preference will go a long way.
Check sugars again after 1 month with lipid profile.
I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar