HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Do These FBS And PPBS Levels Indicate?

Posted on Mon, 26 Oct 2015

Question: Iam 24 years of age I have fbps 168 and pbps 272 what should I do doctor has given glycomet and mecoled for me

Answered by Dr. Ajish TP (29 minutes later)

Brief Answer:
You are having diabetes Start on medications

Detailed Answer:
Hi,

Welcome to HCM. I have gone through your question and understand your concerns.

You are having diabetes and the sugars are too high to be just on life style modifications alone. You have to start on medications immediately. Glycomet (Metformin) is the starting medication for diabetes and is relatively safe.

You can start on this medicine and retest FBS, PPBS after 2 weeks. I recommend you to do a blood test- HbA1C (3 months' average blood sugar) to be done along with that.

Hope this will clear your doubts.

Regards
Dr Ajish TP

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (26 hours later)

If my obesity is decreased is diabetis is also controlled???
Iam also consuming the depression tablets i.e., citas forte and topse 50 mg is there any reaction by consuming glycolet with depression tablets??? While iam using these depression tablets since 4 years . my total cholesterol is 141 and my weight is 89 please tell a brief suggestion???

Answered by Dr. Ajish TP (10 hours later)

Brief Answer:
Diabetes will be controlled by decreasing obesity

Detailed Answer:
Hi,

Welcome to HCM.

1. When excess weight is controlled, that will decrease the blood sugars.

2. You can take Metformin along with depression tablets.

Regards

Dr Ajish TP

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (6 hours later)

Give the medicine to reduce my obesity???

Answered by Dr. Ajish TP (8 hours later)

Brief Answer:
Discuss with your psychiatrist and diabetologist

Detailed Answer:
Hi,

Welcome back. I understand your concerns.

The decision of weight lowering medications can be made only after discussing with your psychiatrist and diabetologist/ endocrinologist.

I shall guide you through the options available.

Your obesity can be due to many factors like : genetic, lifestyle changes, diabetes induced weight gain, depression, medicines for depression etc. Some are modifiable and some are not.

The options of weight reduction include

1. Lifestyle changes - Diet + Exercise + Meditation
2. Medications
3. Surgery - bariatric surgery

Medicines useful in your case are:

1. Metformin - cause only mild weight loss (1-5 kg)
2. Orlistat - useful in patients who eat a lot of fatty food - gastric upset is common side effect
3. Victoza - an injection which can control sugars and cause weight loss of around 3-8 kg. Expensive, gastritis common.

You can discuss these options with your treating doctor and decide

Regards
Dr Ajish TP

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar