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Suggest Treatment For Uncontrolled Levels Of High Blood Sugar While Having Diabetes

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Posted on Mon, 11 Jul 2016
Question: Diagnosed with type II diabetes in 2007. I am suddenly unable to keep my blood sugar under control. I was taking Januvia for 30 days and had to dc the drug because of side effects. Are there any suggestions you may have for getting my glucose levels down?
doctor
Answered by Dr. Ronald Schubert (13 minutes later)
Brief Answer:
Diabetes

Detailed Answer:
Thank you for contacting HCM with your health care concerns

I am sorry to hear that you are having difficulty controlling your diabetes. You had been on Januvia but side effects prevented your from taking the medication. Before I go any further I need to know what other diabetes medications you have tried. There are numerous medications that help control diabetes so I need the list before I can answer your question clearly. So please return with a history of diabetes treatment
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ronald Schubert (2 hours later)
I have been taking Metformin 1000 2times a day for the last three yrs. Originally the dosage was Metformin 500 2times a day. I also take HCTZ 12.5, Atenolol 50mgs, Lisinopril 5mgs. and Livalo 4mgs. All these meds are once a day.
doctor
Answered by Dr. Ronald Schubert (4 minutes later)
Brief Answer:
Diabetes control

Detailed Answer:
Thank you for returning to HCM with your information. If you were my patient I would add pioglitazone to your current treatment program. This is a insulin sensitizer so your body will become more sensitive to the insulin you already make. It should help control your sugars much better. The only reason I would not recommend this is if you have a history of heart failure as it can cause worsening of your heart failure. I do not think that insulin is needed or any other of the expensive new medication as pioglitazone is a very good controller of DM and you have not tried it yet

I hope this helps. Please contact us again if you have any additional questions
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

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

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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Suggest Treatment For Uncontrolled Levels Of High Blood Sugar While Having Diabetes

Brief Answer: Diabetes Detailed Answer: Thank you for contacting HCM with your health care concerns I am sorry to hear that you are having difficulty controlling your diabetes. You had been on Januvia but side effects prevented your from taking the medication. Before I go any further I need to know what other diabetes medications you have tried. There are numerous medications that help control diabetes so I need the list before I can answer your question clearly. So please return with a history of diabetes treatment