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Dr. Andrew Rynne

Family Physician

Exp 18 years

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Taking medicine for diabetes and BP. Feeling tired and giddiness. Suggest effective medicine

Aug 2012
User rating for this question
Very Good
Answered by

Practicing since : 1999
Answered : 362 Questions
Dear Sir,

I am diabetic & BP & with medication and Insulin. My diet also is as per advise and its includes mixed vegetables (boiled & Raw) and fruits.

Brief Details:-

Diabetic (Type -II) - 20 Years
BP - 13 Years

• Vegetarian
• Non-smoker
• Non-alcoholic
• Age – 54 Years
• Weight 81 Kg
• Height 176 CM

TAB- METAFORTE G-853            1-0-1
INJ - MIXTARD 30/70           16-0-10
TAB - TELSARTAN AM 40MG       1'-0'-1
COLSPRIN 100 MG                1'-0'-0
TAB- PLOZ MF -15           0'-1'-0
TAB- ROSEDAY 10MG           0'-0'-1
BECADEXAMIN                0-0-1

Recently my doctor changed my medicines as follows:-

Tab -Metaforte 853 is changed to TRIVOLIB 2 MG
Inj- Mixtard 30/70 is changed to Mixtard 50/50 for morning.

Though I have started taking the changed medicines, but I am feeling uncomfortble like giddiness and tiredness, as such could you please advice me whether this changed medicines causing this problems and what is the effect & how it will works compare to old medicines sir. Kindly brief me little about it sir.

Thanks and regards,

Mon, 4 Feb 2013 in Diabetes
Answered by Dr. Madhuri Patil 2 hours later

First let me comment on the reports. I really do not understand why did you undergo tests like iron binding capacity, serum testosterone levels, CRP levels, TSH levels, Vit B 12 etc? Are you suffering from something else which you have not mentioned here? Please make sure you question your doctor on the tests also why he/ she prescribed those tests for you.
Your vitamin D level is slightly less as expected in Indian public. Please take vit D supplement available over the counter- Calcirol Satchet once a day for 10 days and then once in a month regularly.
Your triglycerides are high and hence your VLDL cholesterol. This happenes when sugars are not under control. So once I comment on your medications here, please make sure you check your blood sugars after 1 week and let me know.
Now about your medications which you WERE on:
The old medicine Metafort G 853 contains 850 mg of T Metformin and 3 mg of T Glimepiride. And the insulin H Mixard 30/70 contains short acting insulin 30% and long acting insulin 70%.
Your NEW medications: Trivolib 2 contains 2 mg of Glimepiride, 500 mg of Metformin and 0.2 or 0.3 mg of Voglibose. And 50% of short acting insulin and 50% of long acting insulin in the inj Mixtard 50/50.
The voglibose tablet makes one feel uneasy. But if your sugars are low then one feels dizzy and tired. Likely that your sugars are on lower side and hence you feel like that. Please check your sugars that time and if it is less than what you used to have (not necessarily less than 70 only) then that's the reason for your feelings.
The tab Voglibose delays breaking down of complex sugar into simple sugars and the 50% of short acting insulin acts more on your food sugars and hence you tend to get lower sugars.
In short it is sure likely that new prescription is causing these symtpoms. Please see your doctor for this and ask for change in medications. Take care.
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