Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Uncontrollable Blood Sugar Levels
Question: dear sir, I am a patient of diabetic type-II for last 15 years .for last 6 months my sugar is remaining under uncontrolled state of affairs I am giving below the test result before 6 months and of dated 30.11.2014
Fasting-171 mg as on 30.11.2014-fasting-221mg
PP- 211 PP-226mg
HbA1c-8.7 HBa1c-8.7
Triglyceride-238 triglyceride-197.0
HDL-32.0 HDl-27.0
urea-22.0 urea-19.0
creatinine-0.89 creatinine0.95
sodium-134.0 sodium-136.0
potassium-4.65 potassium-4.91
chloride-103.0 choloride-100
vit D-3 -- VitD3-27.0 Now prescribed with 1.Pan D,2.Gladar 4 mg twice
medicine was taking- a day,3. Istamet 50+1000mg twice a day,
Zoryl-500mg one tab / thrice a day 4. Nuromark-1500 one tab a day
Isatvel-100mg-one tab a day 5. Tayo K 60- one tab once in a week
Rosvas 10mg-1tab a day
Diavit-1 tab a day Please suggest what to do whether this mecdicine will control my sugar so that I can live with medicine for another 9 years before my retirement and before switching over to insulin.Please help me.A line of reply is highly solicited.
XXXXXX email: YYYY@YYYY
Fasting-171 mg as on 30.11.2014-fasting-221mg
PP- 211 PP-226mg
HbA1c-8.7 HBa1c-8.7
Triglyceride-238 triglyceride-197.0
HDL-32.0 HDl-27.0
urea-22.0 urea-19.0
creatinine-0.89 creatinine0.95
sodium-134.0 sodium-136.0
potassium-4.65 potassium-4.91
chloride-103.0 choloride-100
vit D-3 -- VitD3-27.0 Now prescribed with 1.Pan D,2.Gladar 4 mg twice
medicine was taking- a day,3. Istamet 50+1000mg twice a day,
Zoryl-500mg one tab / thrice a day 4. Nuromark-1500 one tab a day
Isatvel-100mg-one tab a day 5. Tayo K 60- one tab once in a week
Rosvas 10mg-1tab a day
Diavit-1 tab a day Please suggest what to do whether this mecdicine will control my sugar so that I can live with medicine for another 9 years before my retirement and before switching over to insulin.Please help me.A line of reply is highly solicited.
XXXXXX email: YYYY@YYYY
Brief Answer:
suggestions
Detailed Answer:
Hi, I am Dr Mittal. I have read your query. I think I would be able to help you.
The combination of medicines that has been prescribed by the doctor to you is indeed a very potent combination. The sugars should definitely get better controlled by the combination therapy.
However, I think it would be good to point out that the HBA1C thar to have reported does not seem to have changed much. In all it suggests that the bad control has been existent for at least 6 month. What's more, I don't consider 170s a very good control. I prefer to keep the patients that I an treating around 140.
I think I would suggest that you meet up with a dietician also. I recommend a regular exercise campaign as well- nothing extraordinary, a simple walk is good enough as well.
Also, as I said before, the combination of the medicines is a potent combination. So make sure you check your sugars regularly, with a 7glucometer. This record is more reliable to me than the laboratory reports.
I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact us for more information. Best of luck. Dr Mittal.
suggestions
Detailed Answer:
Hi, I am Dr Mittal. I have read your query. I think I would be able to help you.
The combination of medicines that has been prescribed by the doctor to you is indeed a very potent combination. The sugars should definitely get better controlled by the combination therapy.
However, I think it would be good to point out that the HBA1C thar to have reported does not seem to have changed much. In all it suggests that the bad control has been existent for at least 6 month. What's more, I don't consider 170s a very good control. I prefer to keep the patients that I an treating around 140.
I think I would suggest that you meet up with a dietician also. I recommend a regular exercise campaign as well- nothing extraordinary, a simple walk is good enough as well.
Also, as I said before, the combination of the medicines is a potent combination. So make sure you check your sugars regularly, with a 7glucometer. This record is more reliable to me than the laboratory reports.
I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact us for more information. Best of luck. Dr Mittal.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
thanks for the valuable suggestions. I have already taken advice of the dietician and going to follow her advice. my worry is that my Vit-c level is also very low ,whether it has got any relation to level of sugar in the body. moreover doctor is advising me to take hopace 2.5 mg daily whereas My blood pressure some time remains low in other times it remains normal. when it goes low I reported a mild headache. Please advise 1. Whether there is production of insulin in my body still date? 2.what is the best medicine for secreation of insulin with out any side effect?
3.i am taking Nutrilite daily one tab daily ,shall I continue the same ?4. What is reason of prescribing Nuramax 1500? Please provide your advice please.
s
3.i am taking Nutrilite daily one tab daily ,shall I continue the same ?4. What is reason of prescribing Nuramax 1500? Please provide your advice please.
s
Brief Answer:
Specific answers
Detailed Answer:
Hi
You see vitamin C levels can be easily and naturally replaced, you can use a citrus fruit a day e.g. lemons and oranges. the body absorbs the vitamin C easily. So that is a natural way of getting vitamin C. And no, it has no issues with sugars.
As for BP medicine, most doctors suggest it because of its positive effects on heart muscles. However if your blood pressures are normal, I wont suggest it either.
As for the insulin, most tablets make the pancreas secrete insulin, others make the insulin more effective in the body. Since the tablets are working, It suppose the body is still producing insulin. You can help the body by working out and doing exercise regularly. This helps the secreted insulin become more effective.
You can continue nutrilite. There is no problem with that. They are basically like vitamin supplements. As said before, taking them will cause no harm.
As for nuramax, it is usually prescribed for the nerves. Long standing diabetics are known to have nerve damage, which can be reduced by the tablet
I hope that the information helps you.
Best of luck
Feel free to contact us for further information
Dr Mittal
Specific answers
Detailed Answer:
Hi
You see vitamin C levels can be easily and naturally replaced, you can use a citrus fruit a day e.g. lemons and oranges. the body absorbs the vitamin C easily. So that is a natural way of getting vitamin C. And no, it has no issues with sugars.
As for BP medicine, most doctors suggest it because of its positive effects on heart muscles. However if your blood pressures are normal, I wont suggest it either.
As for the insulin, most tablets make the pancreas secrete insulin, others make the insulin more effective in the body. Since the tablets are working, It suppose the body is still producing insulin. You can help the body by working out and doing exercise regularly. This helps the secreted insulin become more effective.
You can continue nutrilite. There is no problem with that. They are basically like vitamin supplements. As said before, taking them will cause no harm.
As for nuramax, it is usually prescribed for the nerves. Long standing diabetics are known to have nerve damage, which can be reduced by the tablet
I hope that the information helps you.
Best of luck
Feel free to contact us for further information
Dr Mittal
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
