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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should High Blood Sugar Levels In Diabetes Be Treated?

my mom is suffering from diabetes(last checked 380) and hyperthyroid(12.55). she is under medication (amaryl 3mg, cetapin xr 1000mg, path 30, volix 0.2mg, atorsave 10, elthroxin 50 mg). She was diagnosed with diabetes 3years back and was given isulin after 2yrs. due to fluctuating sugar level she changed the doc. this doc has stopped her insulin and prescribed the above medicines. Since then her diabetes has remained high and she feels weak and her heart palpitates sometimes. Please give me your valuable suggestion.. thankyou..
Wed, 24 Sep 2014
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General & Family Physician 's  Response
welcome to hcm,
with such a sugar levels continuing your diabetic medications will not help. i think you have to change to insulin again then only your sugar will come down. it will give more complications when you are not controlled the fluctuating sugar levels can be maintained by changing your insulin regimen.
beta cells of your pancreas secrete insulin.all your anti diabetic medications act in the beta cells and now i feel at this stage there is no enough beta cells to produce insulin even after this, if you are taking anti dibetic medications it will not act.
so the best is to change t o an insulin regimen as your physicians advise
with regards
Dr.Amarnath
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General & Family Physician Dr. Amarnath's  Response
Welcome to hcm,
I think if her sugar levels are not controlled by these medications you have to switch over to insulin another time.
If she has fluctuations you can adjust the dosage.
Many of the anti diabetic medications act on the beta cells which secreate insulin. Because of long term usage these beta cells get destructed and at a stage there will not be enough cells to secreated insulin.so you have to give insulin from outside by injections nowadays the insulin syringes are becoming very thinner especially the pen devices which reduce the pain also
Hope this explains
With regards
Dr.Amarnath.
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How Should High Blood Sugar Levels In Diabetes Be Treated?

welcome to hcm, with such a sugar levels continuing your diabetic medications will not help. i think you have to change to insulin again then only your sugar will come down. it will give more complications when you are not controlled the fluctuating sugar levels can be maintained by changing your insulin regimen. beta cells of your pancreas secrete insulin.all your anti diabetic medications act in the beta cells and now i feel at this stage there is no enough beta cells to produce insulin even after this, if you are taking anti dibetic medications it will not act. so the best is to change t o an insulin regimen as your physicians advise with regards Dr.Amarnath