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Suggest Treatment For Type 2 Diabetes
Sir my diagnosed with type 2diabetes.her wt-55kg age-61yrs.ger current sugar chart is Date FBS PPBS 1.3.14 134 135 5.3.14 114 230 6.3.14 180 203 7.3.14 134 230(lab test) Till 7.3.14 doctor kept her on tab glimlsave M2 morning and night,tab.janumet 50/500-1tab afternoon after lunch.cap neuro special - 1cap afternoon after lunch.tab rabekind20 -1 tab morning. Now from 8.3.14 he prescribed following medicine Tab glimisave M2-1tab morning and night. Tab vogo M .2 1tab after lunch. Tab janumet 50/500 1 tab at night Cap neuro special-1cap after lunch. Now sir my questation is that at night she is taking glimisave M2 and janumet 50/500 both. Her fasting sugar sometime comes 114,sometime 134,sometime 138. So taking both this medicine at night can create hypoglycemia.. her PPBS is high but he increased the night dose..at first he said to take janumet 50/ 500 after lunch but then he changed his mind and said to take janumet 50/500 at night.... I m worried that is giving these 2medicine at night can bring hypoglycemia
Fri, 26 Dec 2014
Thankyou for your query.
As per your details regarding blood sugars it is certain that your blood sugar is raised despite taking medication. Kindly mention your dietary patterns because as per your post prandial sugar levels it is clearly evident that you are taking heavy dinner.
You can do one thing that you can start small frequent meals, low carbohydrate diets, brisk walking 30 minutes a day for 5 times a week, green leafy vegetables, nuts, skimmed milk products.
Regarding medical treatment instead of janumet you can take galvusmet 5/1000mg in the morning, one tablet glucobay along with metformin at the time of having lunch, and then at dinner you can take gliclazide in combination with pioglitazone and metformin.
Yes sometimes too much of medicine at a time can cause hypoglycaemia, kindly let me know if you ever feel lethargy or get up from sleep due to intense hunger, or altered sensorium. Do mention it as you might have to change your drugs if such symptoms occurs.
Get in touch anytime
God Bless
As per your details regarding blood sugars it is certain that your blood sugar is raised despite taking medication. Kindly mention your dietary patterns because as per your post prandial sugar levels it is clearly evident that you are taking heavy dinner.
You can do one thing that you can start small frequent meals, low carbohydrate diets, brisk walking 30 minutes a day for 5 times a week, green leafy vegetables, nuts, skimmed milk products.
Regarding medical treatment instead of janumet you can take galvusmet 5/1000mg in the morning, one tablet glucobay along with metformin at the time of having lunch, and then at dinner you can take gliclazide in combination with pioglitazone and metformin.
Yes sometimes too much of medicine at a time can cause hypoglycaemia, kindly let me know if you ever feel lethargy or get up from sleep due to intense hunger, or altered sensorium. Do mention it as you might have to change your drugs if such symptoms occurs.
Get in touch anytime
God Bless
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