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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Cardiac Problem. Prescribed Ivabid, Atorva. Swollen Feet. Is Onglyza Better?

My father aged 85 had a cardiac problem on December 2nd.was on a ventilator for a day and after subsequent treatment is home.His heart efficeincy is 30 %.He takes the following medicines Ivabid,Atorva,Cardiovas,Clopilet,valefat and aldactone as prescribed by his cardiologist . He has recovered and doing well. He was earlier taking Glllzid (1-1/2-1) but later our family doctor has modified it to ongliza(5)n once a day.His sugar was within limits earlier but withe the new medicine has shot up to 300 + ( fasting ) The doctor has now prescribed insulin 10 uts too.Also he has developed swelling in the feet in the last 2 days. Is O nglyza the better medicine ?
Mon, 28 Jan 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

The ejection fraction of 30% indicates poor heart function.
He has just come out of a recent problem.
Episodes of low sugar could be worse than a bit higher levels.
That is the reason probably, your doctor prefers to go slow and play safe.
It is a question of time and titration – sugar can be controlled.

Theoretically, glyptins (Onglyza) are a shade better.
The incidence of hypoglycaemia too is less.

Take care
Wishing speedy recovery
God bless
Good luck


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Have Cardiac Problem. Prescribed Ivabid, Atorva. Swollen Feet. Is Onglyza Better?

Hi friend, Welcome to Health Care Magic The ejection fraction of 30% indicates poor heart function. He has just come out of a recent problem. Episodes of low sugar could be worse than a bit higher levels. That is the reason probably, your doctor prefers to go slow and play safe. It is a question of time and titration – sugar can be controlled. Theoretically, glyptins (Onglyza) are a shade better. The incidence of hypoglycaemia too is less. Take care Wishing speedy recovery God bless Good luck