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What Causes Fluctuation In BP While On Metformin And Glipizide?

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Posted on Thu, 9 Jun 2016
Question: I have diabetes type 2 and I am taking metformin 1000mg together with glipizide, since yesterday my sugar level has been fluctuating above 300 to 160, I am female 60 years old.
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Answered by Dr. Shehzad Topiwala (34 minutes later)
Brief Answer:
Diabetes

Detailed Answer:
It is not the objective of this forum to provide specific medications and doses.

You will be best served by consulting an Endocrinologist in person.

When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio
25 hydroxy Vitamin D

After reviewing results, I consider dose increases of the current medications versus adding others such as Januvia.

Then I advise the patient to come back in a few days with home log of blood glucoses, for further dose adjustments if necessary
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Fluctuation In BP While On Metformin And Glipizide?

Brief Answer: Diabetes Detailed Answer: It is not the objective of this forum to provide specific medications and doses. You will be best served by consulting an Endocrinologist in person. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your 3 month glucose average) Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH 12 hour Fasting Lipid profile Urine albumin to Creatinine Ratio 25 hydroxy Vitamin D After reviewing results, I consider dose increases of the current medications versus adding others such as Januvia. Then I advise the patient to come back in a few days with home log of blood glucoses, for further dose adjustments if necessary