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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I have type 2 diabetes and have had it for

I have type 2 diabetes and have had it for at least 40 years. I am 84 years old and in fairly good health. I take Metformin (2000 mg/day), Pioglitizone (15mg/day), Glimepiride ((5mg/day), Invokana (150 mg/day) My insurance company is dropping Invokana in 2019. They will crary Farxiga and Jardiance. Farxiga will be much cheaper then Jardiance. Can you tell me any advantages or disadvantages of the three.
Fri, 5 Oct 2018
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doctor1 MD

He prevalence of Type-2 diabetes mellitus is higher in women, partly related to obesity. The Type-2 diabetes typically doubles the coronary heart disease risk in men and triples in women. Diabetes Mellitus in pregnant women poses problems for the mother and the fetus. Women with established diabetes may have menstrual problems and difficulty in conceiving. While, pregnancy itself worsens diabetic control and may cause certain diabetic complications to progress in mother. Maternal diabetes is also hazardous for the fetus and carries an increased risk for fetal loss and major congenital malformations. However, nowadays most women of child bearing age can realistically expect to become mothers of healthy children with intensive glycemic control. Improvements have ranged from technological advances in fetal surveillance (ultrasound scanning) to home glucose monitoring and intensive insulin regimens, enabling women with multiple diabetic complications to have successful pregnancies. Diabetes Mellitus in pregnancy is classified into pre-gestational and gestational diabetes; gestational diabetes is defined as diabetes that is discovered during pregnancy. Approximately 7% of all pregnancies are complicated by GDM. Normal pregnancy reduces insulin sensitivity because of diabetogenic effects of placental hormones. This effect is maximal in the late second and third trimester. Gestationaldiabetes resolves after delivery, but may recur in subsequent pregnancies and the lifetime risk for developing Type-2 diabetes is 30%. Indications for detection of diabetes in pregnant women * Family history of Diabetes * Glucose in urine sample * History of unexplained prenatal loss * History of large baby * History of congenitally malformation infant * Maternal obesity * Maternal age more than 25 years * Members of ethnic/racial group with high prevalence of Diabetes Mellitus To prevent excess spontaneous abortion

doctor1 MD

I just read that after a diagnosis of Congestive Heart Desease, you only have about 5 years left.? Since I learned last July that I have CHD, I have been diagnosed Type 2 Diabetic and the insulin treatment seems to be working, my numbers now in the 90 s. I ve lost 23 lbs but I m still not on a reliable exercize plan. Although, I am walking better and able to bounce up the stairs again. Does the 5 year death sentence still stick if I keep up with my therapy? Pam

doctor1 MD

Please could someone tell me if theres a cure to Type 2 diabete s? Please could someone tell me if theres a cure to Type 2 diabete s? Because a member of my family needs curing, I know they may NOT be a cure- ANYTHING THAT CURES please ! NO stupid comments please!

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