Suggest treatment for elevated blood sugar levels

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Posted on Fri, 22 Sep 2017 in Diabetes
Question: I've recently got "Elevated Blood sugar" in blood test. How i can control it
doctor
Answered by Dr. Saumya Mittal 44 minutes later
Brief Answer:
Suggested. Needs more information

Detailed Answer:
Hi.
I am Dr Mittal.
I have read your message.
I think I can help you.

High sugars are basically an imbalance between the calories intake and calories output.
So your first step is correct, stopping junk and fried food.
The second step would be to start physical exercises. Moderate physical exercises as well tolerated are very effective.

Now , high sugars are often detected on routine blood tests and the problem has actually been on for a longer time.
Sometimes therefore , the illness is prolonged and the above measures are not sufficient. to
At other times, the sugars are simply too high.
In such cases , medications need to be added.

Of Course, you will need to tell me the exact reports before I can suggest on that aspect.
So do let me know the exact reports.
Are you on any medication for anything?

Do let me know the details.
Dr Mittal
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Saumya Mittal 29 hours later
Please find the uploaded blood test report .
in this report Fasting blood sugar is 256 mg/dl
doctor
Answered by Dr. Saumya Mittal 5 hours later
Brief Answer:
Suggestions

Detailed Answer:
Hello,
Thanks for your response.
I think I can suggest testing PPBS and HbA1c as well.
Besides, I also think that you will need to start medications.
I would suggest metformin 500 mg to start with.
From this minimum dose of the medicine, it can be gradually hiked up as per sugar control.
You will need to monitor sugars regularly.
Doing so is better with a glucometer.
I have tried to make it simple.
Feel free to ask a follow up query for any clarification needed.
Best of luck, Dr Mittal
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Saumya Mittal 14 hours later
Attached recent test report including HbA1C. The other test, i'll go and share the report as well as.

Kindly can you share the prescription for Medication, it looks like that you have mentioned the salt name only and all cautionary steps(like - Do's & Don't)

I've below queries as well as

1. What type of Diabetic I am having and at what stages (if there is any).
2. Whether it can be controlled by controlled Diet and regular exercise or I'll have to live with Medications.
3. How often i should continuously check my blood sugar.


Thank you in advance.

Regards,
XXXX
doctor
Answered by Dr. Saumya Mittal 6 hours later
Brief Answer:
Suggestions

Detailed Answer:
Hi.
Received your response.
Seen you reports.

In my last mail, I have clearly mentioned that you need to start metformin.
I have mentioned the dose of 500 mg that needs to be started.
And I have mentioned that the dose of medicine will need to be hiked.
I have not mentioned the brands because you may find different brands in your area.
Your local pharmacist can easily help you there.
You can start the medicine once a day with breakfast. The dose will be adjusted slowly.
I may add that if the tablets do not suffice, eventually insulin may be needed.

As for your newer queries-
1. it does look like IDDM or Type 1 diabetes. It is difficult to say what stage since I can obviously not do the retinal examination and nervous system examination on this forum. Since you mentioned no such symptoms, I think you dont have these complications.

2. As I mentioned previously PPBS is needed. Your reports has FBS and HbA1C. PPBS is still not there.
However with a high HbA1C, and FBS, I think the medicines need to be started initially at least. As per control, they may be later adjusted.

3. I have mentioned previously that using a glucometer is advisable. Initially, checking the sugars at least once a week (FBS and PPBS) is advisable. The medicines can be adjusted accordingly. Once the target sugars are reached, the frequency of checking sugars can be reduced.

Finally your lipid profile has some alarming and worrisome numbers, especially triglycerides. I think you need to initiate a combination medicine of statins like atorvastatin and finofibrate like Atocor F. The lipid profile will need to be repeated at 3 months and the medicine can be adjusted thereafter.

I hope that helps.
Best of luck, Dr Mittal
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2881 Questions

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