Dear Doc My Mom Is Diabetic For 17 Odd Years.

Posted on Wed, 22 May 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 22 May 2019 Answered on

Last reviewed on

Question : Dear Doc
My mom is diabetic for 17 odd years.
Here is her HbA1c figures

HbA1C REPORTS IN 2017. 2018 AND 2019

1.02/2017- 6.6%,
2.12/2017- 7%,
3.10/2018- 7.2%
4. 03/2019-5.9%
5. 05/2019 - 6.2%

Creatinine - Very Normal
ECG - Normal
BP - 110/70
Cholestrol - Normal
Liver Function - Normal

Her current medications are listed in current medications section
Please advice
1. If she needs to move to Insulin as her HbA1c readings are very good
2. Can she reduce some medication ?

She is not obese, She doesnt have Hypogycemia, She doesnt have cholestrol. Kidney and Live function is fine

Follow up: Dr. Dr. (0 minute later)

Dear Doc
My mom is diabetic for 17 odd years.
Here is her HbA1c figures

HbA1C REPORTS IN 2017. 2018 AND 2019

1.02/2017- 6.6%,
2.12/2017- 7%,
3.10/2018- 7.2%
4. 03/2019-5.9%
5. 05/2019 - 6.2%

Creatinine - Very Normal
ECG - Normal
BP - 110/70
Cholestrol - Normal
Liver Function - Normal

Her current medications are listed in current medications section
Please advice
1. If she needs to move to Insulin as her HbA1c readings are very good
2. Can she reduce some medication ?

She is not obese, She doesnt have Hypogycemia, She doesnt have cholestrol. Kidney and Live function is fine

Follow up: Dr. Dr. (0 minute later)

Current Medications :

Medicines:

Before b/f-Gliclazide XR 60-1Tab

Aftr b/f - Sitagliptin 100 -1 Tab, Metformin SR500 1Tab, Losartan 25 ,

With lunch: Voglibose 0.3 1tab,

A/Dinner: Metformin SR 500 1TAB, Atorvastatin 10- 1Tab

Follow up: Dr. Dr. (0 minute later)

Answered by Dr. Dr. (7 hours later)

Brief Answer:
No need. Follow up with a bit more information

Detailed Answer:
Hello,

I have gone through your query and here is my advice.

As per your history, HbA1c may month report is 6.2 which indicates her sugar level is absolutely under control. Still kindly follow up with fasting and postprandial blood sugar levels.

Please let me know does she has any symptoms like diarrhea, abdominal distension, flatulence?

In that case she can stop tablet voglibose. As she does not have hypoglycemia, so no need to change tablet gliclazide or it's dosage. Otherwise other medications usually does not cause hypoglycemia.

Along with that follow strict diabetic diet and regular exercise. Repeat fasting and postprandial sugar level, HbA1c after 3 months. Do regular blood pressure monitoring.

Kindly watch for symptoms of hypoglycemia like dizziness, shakiness, sweating.

Hope I have answered your query and let me know if I can assist you further... Thank you.

Regards,
Dr Shyam Kale

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Dr. (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. (3 hours later)

Her fasting sugar is 103 average and postprqndial after a light meal is 135 to 140. She doesn’t have diarrhea or gas or stomach upset

Follow up: Dr. Dr. (0 minute later)

Her fasting sugar is 103 average and postprqndial after a light meal is 135 to 140. She doesn’t have diarrhea or gas or stomach upset

Answered by Dr. Dr. (9 hours later)

Brief Answer:
Continue medications as adviced.

Detailed Answer:
Hello,

Thank you for your reply.

As per your history, fasting and postprandial sugar levels are within normal range.

As she does not have any symptoms, so kindly continue anti diabetic medications as adviced.

Along with that kindly follow all measures as suggested earlier.

Let me know I can assist you further.. Thank you.

Regards,
Dr Shyam Kale

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Dr. (0 minute later)

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. (43 minutes later)

OK Dr. So should we stop Voglibose ?

Follow up: Dr. Dr. (0 minute later)

OK Dr. So should we stop Voglibose ?

Answered by Dr. Dr. (20 minutes later)

Brief Answer:
Can stop in case of any gastrointestinal symptoms

Detailed Answer:
Hello,

Thank you for your reply.

You can stop tablet voglibose in case of any gastrointestinal symptoms like diarrhea, abdominal distension, flatulence.

Kindly do regular follow up with endocrinologist.

Let me know I can assist you further... Thank you.

Regards,
Dr Shyam Kale

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Dr. (0 minute later)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. (15 hours later)

Hello Dr.
We want to discontinue Voglibose. What will be the effect of it ? Should we monitor her Blood Sugar levels daily to see if this is a rise in levels.

Follow up: Dr. Dr. (0 minute later)

Hello Dr.
We want to discontinue Voglibose. What will be the effect of it ? Should we monitor her Blood Sugar levels daily to see if this is a rise in levels.

Answered by Dr. Dr. (36 minutes later)

Brief Answer:
You can stop.

Detailed Answer:
Hello,

Thank you for reply.

You Can stop tablet voglibose. There is no need of daily monitoring.

Repeat fasting, postprandial and HbA1c after 3 months and take physician consultation for dosage adjustment.

Let me know I can assist you further.

Regards,
Dr. Shyam Kale

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Dr. (0 minute later)