Suggest Treatment For Diabetic Person

Posted on Thu, 4 Sep 2014

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

Thu, 4 Sep 2014 Answered on

Mon, 29 Sep 2014 Last reviewed on

Question : I AM DIABETIC LAST 18 YEARS.INLAST 6 MONTHS MY SUGAR LEVEL NOT CONTROLLED & my body also reduces.Previously I use GLIMULIN MF 2& JANUVIA.NOW I TAKE GLUCONORM PG 2. CAN I RIGHT DIRECTION?ANY HEART PROBLEM OCCURS FROM ABOVE MEDICIN.

Answered by Dr. Anshul Varshney (38 minutes later)

Brief Answer:
I need further details.

Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
Pioglitazone has been implicated and banned recently due to increase in bladder cancer and heart failure cases.
But got green flag again with warning status.
Means its up to you that you want to take it or not. Definitely there are chances of heart problem on use of this medication.
I personally use this medicine only in my patients who are not willing for insulin treatment and no other resort is left.
If you have any further query please ask me.
Stay Healthy

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (2 days later)

WHAT IS THE SUBSTITUE OF GLUCONORM PG 2 ? WHAT I CAN DO FOR BETTERMENT?

Answered by Dr. Anshul Varshney (2 hours later)

Brief Answer:
Detail Follows.

Detailed Answer:
Dear SKV1140
See in your last query you had asked about heart and pioglitazone. Actually to help you with dosages I need your blood sugar levels.
I need to see your blood sugar charting so that I can help you with the suitable medicines and dosages.
Revert with the charting.
Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (46 hours later)

MY SUGAR LEVEL VARIES.PRESENTLY PP IS 275 & FASTING IS 162.MY LDL HDL RATIO IS 2.9 & TRIGLYCIRIDE IS 186.GENERALLA MY SUGAR LEVEL NOT MSINTAINED.KINDLY GUIDE ME. WHAT CAN I DO? THANKING U.

PLEASE ALSO GUIDE ME WHICH IS SAFEST ? EITHER ORAL MEDICINE OR INSULIN.

Answered by Dr. Anshul Varshney (5 minutes later)

Brief Answer:
Detail Follows.

Detailed Answer:
Dear Skv.
In such scenario I would advise to start on Metformin 1gm twice a day and Glimiperide 2 mg once a day.
I ask my patient to maintain record of self monitoring of blood sugar and then revert back after 10 days of charting.
You may observe this.
For high triglyc start exercises and take low fat diet.
Repeat Lipid profile after 2 months.
Good Luck.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar