Brief Answer:
Please let us know the previous medicines you are using for diabetes.

Detailed Answer:
Hi mam, after going through your query, i understand your concerns.

I have gone through your reports and latest prescription dated 16th XXXXXXX that were attached.

You have mentioned latest Medicines which were prescribed on 16th of this month. But to let you know the other choices, we need to know what your were using before this prescription. Please let us know the previous Diabetic drugs in detail. That would help us in prescribing other choices for improving the control.
Also if possible get HbA1C level also done and let us know.
We will be waiting for those details to help you better.

Thank you mam.

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Brief Answer:
Try the new medicine for 15 days and check sugar levels

Detailed Answer:
Hi ma'm, according to that prescription, you are using Metsmall 1gm and insulin injection for diabetes. The others are different. As our concern is for sugar levels, Stop those two.

Take tablet Glyciphage G1 (Metformin 500 plus Glimipiride 1mg) one tablet in the morning 15 minutes before breakfast and one tablet in the night 15 minutes before food. try this for 15 days and get sugar levels checked.

Come back to us with those sugar levels. Mostly they get under control. Based on those values, we can perfectly adjust the dosage.

Now stop Tab Metsmall1g and injection alone. Continue the remaing three tablets as usual after consulting with your physician.

Any other doubts, please write back to us.

Thank you

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Brief Answer:
Small and frequent meals will help you

Detailed Answer:
Hi, Don't worry of similarity in values. Both will be brought under control.
Regarding diet, No sugars, sweets, No vegetables that are grown underground. Better to take only green leafy vegetables .

Better to reduce rice. Regarding fruits, Guava, Papaya, Apple are allowed.

Mild exercise like walking is advised.

Thank you.

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Brief Answer:
You can take Sugar free tablet

Detailed Answer:
Dear Ma'm, Your HbA1C value also represents your average blood sugar levels are high as you mentioned. So continue new medication for about 2 weeks and get back to us with new values of FBS and PPBS. So, that the dose can be adjusted accordingly.

Coming to sugar free, you can take it. No worries regarding Kidney. Just have a good branded company products.

Thank you.

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Brief Answer:
There is a need in increase of dosage

Detailed Answer:
Dear Madam, its nice hear from you.

I had gone through your report. The values shows that your previous medication is correctly replaced. Now we need an increase in dosage to get perfect control in sugar levels.

Now as a part of increase in dosage, Take a Tab.with combination of (Metformin 500 plus Glimipiride 2mg) in place of Glyciphage G1. That is stop Glyciphage G1 and take new one.
Along with that also take Tab. Voglibose 0.2 mg, one tablet in the morning 1 minute before eating and also one tablet in the night one minute before eating. Please get these tablets prescribed by local doctor.

Follow this regimen for 2 weeks and see the results. This mostly suits to control your sugar levels. Once your sugar levels are controlled, we can combine the two tablets and can be taken as one there after.

Coming to burning of feet, Please take a tablet with combination of Pregabilin and Methylcobalamin, one tablet in the afternoon after lunch.

And finally, Phone number sharing is not accepted by the terms and conditions of the website. I think there are options available to contact directly the doctor you want. For such options, you can contact the respected administrator of the website.

Thank you,
Dr Phanindra Dulipala

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Brief Answer:
Get previous brand tablet with glimipiride 2mg

Detailed Answer:
Hi , take previous brand with Glimipride 2mg. I will recommend you take help of your local doctor for the best brand available.
Thank you

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