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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Janumet And Glimipiride For Blood Sugar. Feeling Tired, Cold. Can Diet And Exercise Help?

Hi, i am 54 years old and 165cm height and 75 kg weight. i was having cold, light fever, sinus infection tooth pain etc. since one month my family doctor gave me one course augmentin 625mg antibiotic. and asked me got it check the Blood sugar my pbs was 272 and ppbs was 370. doctor adviced me to take janumet 50/500mg 1-0-0, glimipiride 2mg 1-0-1, i was feeling shivering after 5 days. then glimipiride dosage changed to 0-0-1 but still i was feeling very tired. again doctor asked me stop glimipiride after 2 days for the same reason stopped all the medicine. also as i was feeling very tired due to cold, family function and long travel i was taken more juice and sweets. now my FBS is in range of 100 to 120 and PPBS is in the range of 152 to 200 after 2 hrs of taking food. my body weight decreased by 7 kg in a span of 1 month. i am going daily 1 hr(nearly 5to6 km) in evening. can i maintain my sugar level by food control and exercise. please advice.
Mon, 5 Aug 2013
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General & Family Physician 's  Response
Hi, you got your blood sugar checked, and got treatment and it is under controle, now the thing is your general infection should be under controle, You shoud run a blood tests and urine test for diagnosis and treatment.
So i advise youb to consult a physician for diagnosis and treatment. Thank you.
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General & Family Physician Dr. Sumanth Mallikarjuna Majgi's  Response
hi,
since your blood sugar level is well controlled range, you can control with diet and exercise. try with sugar free diet, with more vegetables and fruits. continue doing walk of 5 to 6 km daily. try doing half of this in morning. you can surely do it. you can also eat fenugreek seeds tea spoon amount daily on empty stomach.

wishing you good health
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello,
It is definitely possible to keep your diabetes in control with diet and exercises for sometime but not forever.
Diabetes is a progressive disease and with passage of time beta cells of pancreas get destroyed.These beta cells are responsible for production of insulin which helps in controlling your blood sugar levels.
Keep your fasting levels around 100 and PP levels around 160.
If your levels are high then you must take some oral antidiabetic as tight control of blood sugar levels helps in avoiding future micro as well as macro vascular complications.You may start with METFORMIN ,as this will not cause any hypoglycemia to you.
Keep a tight control of your blood pressure as well as serum
iPod profile also.
Thanks
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General & Family Physician Dr. Masroor Mir Hussain's  Response
It is good that you have your sugars under control. Yes, diet and exercise can help reduce your blood sugars and it is advisbale to continue them. It is also important that any underlying infection should be corrected as this can also push up your sugar levels. It is alarming to have a weight loss of 7 kgs in a month. you should discuss this with your doctor who can check if there s no other problem which may be causing this.
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Taking Janumet And Glimipiride For Blood Sugar. Feeling Tired, Cold. Can Diet And Exercise Help?

Hi, you got your blood sugar checked, and got treatment and it is under controle, now the thing is your general infection should be under controle, You shoud run a blood tests and urine test for diagnosis and treatment. So i advise youb to consult a physician for diagnosis and treatment. Thank you.