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    Suggest treatment for high blood sugar levels

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Posted on Thu, 2 Jun 2016 in Diabetes
Question: Hi

I am 36yeras old and found the sugar content in body suddenly more it is 209 and after food it is 310 mg.I want to know how can i control this and need your guidance to make it normal asap.

Regards,
XXXX
doctor
Answered by Dr. Abhay A Mali 43 minutes later
Brief Answer:
Diet restrictions, exercise & medicines are important for diabetes control.

Detailed Answer:
Hi Mr. XXXXXXX

Thanks for your question.
Noted your concern.

In such a scenario I may suggest following investigations -
- Complete Blood Count.
- HbA1c.
- Lipid Profile.
- Renal Function Test.
- Liver Function Test.
- Urine examination including urine ketone.

Considering your age, asymptomatic nature despite of high blood sugar & fact that your parents are diabetic there is likely possibility of Type 2 diabetes in your case. Which may be confirmed by physical examination.

Most of time with even in Type 2 Diabetes with such blood sugar level I may suggest to start with small dose of night time long acting insulin (Insulin Glargin) along with oral medications.

Usually most of patients refuse insulin treatment, in those patients I may suggest to start Metformin 500mg once day with gradual increase to 1500 to 2000mg over a period of 2 weeks. Along with Metformin Tablet containing Sitagliptin 100mg once a day (Considering normal Renal function & heart status).

With this treatment may have suggested to repeat fasting and post-prandial blood sugar levels after 3 to 4 weeks and accordingly further changes in medicines can be suggested.

Along with Medicine role of Diabetic diet & exercise is very important.

- Consult near by dietitian for your diet assessment so that he/she can plan diet for you depending upon your height, weight & food habits.

- Regular exercise - moderate degree of exercise at least 150 min a week (depending upon your physical tolerance) may be suggested.

Hope this helps you.

Regards,

Dr. Abhay Mali.
Diabetologist.

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Abhay A Mali 17 minutes later
hi

As per your request I uploaded the report and do suggest me on this so that I can follow the treat ment or any doctor in XXXXXXX whom I can visit for consulting will be great.

Regards,
XXXX
doctor
Answered by Dr. Abhay A Mali 24 hours later
Brief Answer:
Metformin & Teneligliptin may be started

Detailed Answer:
Hi,

Sorry for delayed reply.

After going through your reports, I may suggest to Start with Tablet containing Metformin 500mg once a day along with Teneligliptin 20mg once a day with gradual increase in dose of Metformin to 500mg three times a day over a period of 2 weeks.
Repeat Fasting & Post-prandial blood sugar levels after 3 to 4 weeks subsequent changes in medications if required can be done.

As these are prescription medicine you have to consult any diabetologist or endocrinologist.

Along with medication follow diabetic diet & exercise as advised earlier.

Myself practicing in XXXXXXX
You can visit my profile page on Healthcare magic.

Hope this helps you.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 805 Questions

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