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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Jalra And GP2 Trio, Still Sugar Levels High. Advised GP3 /850 With Jalra Now. Is This Right Medication ?

Hello Sir, My mother is taking Jalra 50mg 1 tab after B/F and 1 Tab after dinner and GP2 trio one tab before lunch. With such routine hew sugar level wqas 120/145. Yesterday, I have checked hes sugar level. It is 227/300. Now the doctor has suggested GP3 /850 one tab before B/f and one Tab before dinner. And Jalra 50 mg one tab after B/F and one Tab after dinner.
Tue, 2 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications.
Blood sugar both fasting and postprandial must be in controlled range.
Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas.
When diabetes has been diagnosed, less than 20% beta cells remains in pancreas and progressive destruction of beta cells is still continuing.
Your mother is taking right treatment and she should take above advised treatment.
She should go for repeat blood sugar both fasting and postprandial at regular interval till the control of sugar.
In Type II diabetes, there comes a stage where oral hypoglycemic agents won't work and a patient may need insulin.
She should also go for serum C peptide level also. This indicates secretion of insulin from pancreas.
She can also take alpha1 glucosidase along with mentioned medicines.
Take care,
Dr. Mayank Bhargava
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

There are several classes of drugs and several drugs in each class.
The dose and the drugs need titration in every individual.
The quantum of insulin secreting cells can only be expected to go down with time / so re-adjustments will be necessary.
A long acting insulin once a day for providing a basal level could also help.


Take care
Wishing speedy recovery
God bless
Good luck
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On Jalra And GP2 Trio, Still Sugar Levels High. Advised GP3 /850 With Jalra Now. Is This Right Medication ?

Hi, Thanks for posting your query. Diabetes is a multi organ disease with involvement of almost all organs of body due to its complications. Blood sugar both fasting and postprandial must be in controlled range. Diabetes is due to progressive loss or destruction of beta cells in endocrinal part of pancreas. When diabetes has been diagnosed, less than 20% beta cells remains in pancreas and progressive destruction of beta cells is still continuing. Your mother is taking right treatment and she should take above advised treatment. She should go for repeat blood sugar both fasting and postprandial at regular interval till the control of sugar. In Type II diabetes, there comes a stage where oral hypoglycemic agents won t work and a patient may need insulin. She should also go for serum C peptide level also. This indicates secretion of insulin from pancreas. She can also take alpha1 glucosidase along with mentioned medicines. Take care, Dr. Mayank Bhargava