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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diabetes

I am 33 yr old.recently found that i am diabetic with Fasting (Avg) 145 & pp (Avg) 240.My lipid profile Serum cholostorol is 272,VLDL 54.4,HDL 41.0 and Dr Rxed me Diamicron XR 60 and no medication for cholesterol.Am i getting right treatment? because i heard somewhere that Amaryl tab is better for diabetics.Also why i am not rxed any tab for cholestorol.dr said it is due to high sugar. Am i getting right treatment? please guide.Thanks in advance
Fri, 11 Jul 2014
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Internal Medicine Specialist 's  Response
Hello,
I'm afraid I'll have to disagree with your doctor. I believe you need treatment for your cholesterol. Your LDL levels (although not mentioned) should be really high even for a patient without diabetes. Diabetic patients should have a more strict cholesterol regulation according to current guidelines because their risk for cardiovascular and other complications is high. I would suggest sticking to a healthy diet, maintaining a healthy body weight and getting some exercise every day to the extent that other possible medical issues allow for. If you're a smoker try to cut down on smoking.
I usually advice my patients to try atorvastatin 20mg once every night, if no contraindications exist. This can prove enough to reduce your LDL levels to a more acceptable range.
A final word of caution: since I've only read the rather short paragraph you wrote, which does not include enough information for a complete evaluation, perhaps your first step should be to ask your doctor why he hasn't prescribed any medication for your cholesterol despite its high levels. You can ask me again if you'd like providing more information about your health, including kidney and liver functionality, other medical issues, other drugs etc
Kind Regards!
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Suggest Treatment For Diabetes

Hello, I m afraid I ll have to disagree with your doctor. I believe you need treatment for your cholesterol. Your LDL levels (although not mentioned) should be really high even for a patient without diabetes. Diabetic patients should have a more strict cholesterol regulation according to current guidelines because their risk for cardiovascular and other complications is high. I would suggest sticking to a healthy diet, maintaining a healthy body weight and getting some exercise every day to the extent that other possible medical issues allow for. If you re a smoker try to cut down on smoking. I usually advice my patients to try atorvastatin 20mg once every night, if no contraindications exist. This can prove enough to reduce your LDL levels to a more acceptable range. A final word of caution: since I ve only read the rather short paragraph you wrote, which does not include enough information for a complete evaluation, perhaps your first step should be to ask your doctor why he hasn t prescribed any medication for your cholesterol despite its high levels. You can ask me again if you d like providing more information about your health, including kidney and liver functionality, other medical issues, other drugs etc Kind Regards!