What Do These Following Lab Reports Indicate?
I have made consultation with you on XXXXXXX 6th with my test reports and as per your advice I am taking the following medicines:1)Gluconom-G2 (1-0-1),2) Metnurobion(1-0-0),3) Januvia-100mg(1-0-0), 4)Rosavel 10mg(0-0-1).
Now I underwent Lab test now and sending you the reports and please advice what medicine I should take/continue now. For the past 10dyas I am on Low-carb diet(Paleo diet). What food supplement tablet I should take.
Good Diabetes control and Iron deficiency.
Detailed Answer:
Hi,
Thanks for your question.
Noted your concern.
Considering your age and duration of diabetes HbA1c of 7.1 denote good diabetes control but definitely one should always target for better control in future.
Also there is
- Iron deficiency.
- Well controlled lipid profile.
- Normal liver and kidney function.
I may suggest you to continue all your current medicines (Gluconom-G2 1-0-1, Metnurobion 1-0-0, Januvia-100mg 1-0-0, Rosavel 10mg 0-0-1)and start oral Iron supplement either tablet or liquid form.
Also continue following diabetic diet with iron rich diet (green leafy vegetables, fruits)
Also follow regular exercise according to your exercise tolerance.
Usually 150min per week of moderate degree physical exercise is recommended.
Hope this helps you.
Regards,
Dr. Abhay Mali.
Diabetologsit.
Thanks for your advice and suggestions.
I request you to clarify the followings:
1) Since my LIPID Profile is O.K, Whether I should continue with Rosavel 10 mg Tablet? If so how long?
2) Can you please prescribe some Iron supplement Liquid or Tablet.
3) As per the test report I am also having Vitamin D deficiency, can you please prescribe some supplement Tablet.
4) For the past 10 days I am on paleo diet and can you please suggest some Multi vitamin tablet (or) Metnurobion will do?
Looking forward to receive your reply.
Best Regards.
D.Arivalagan
Statin therapy is usually suggested to all diabetic patients.
Detailed Answer:
1) For every diabetic patient after the age of 35yrs irrespective of lipid level I always suggest statins (cholesterol lowering drug like rosuvastatin – content of rosavel) for life long.
Its dose usually depends upon baseline LDL level, age of patient, presence of heart disease.
Rosavel dose of 10mg is low dose statin therapy I may suggest to continue for life long if there are no side effects.
2) For Iron supplement I may suggest Tab Orofer XT starting with once a day with increase in dose twice a day as per tolerance. Iron supplement usually cause abdominal symptoms like constipation, bloating.
3) For Vitamin D deficiency I may suggest Tablet or XXXXXXX containing Cholecalciferol 60k units once a week for 8 weeks then once a month for 1 year.
4) Metnurobion is sufficient as vitamin supplent.
Hope this helps you.