Book Video Consultation
Stay Home
No Waiting in lines
Audio/Video Call
PMC Verified Doctors
Asking For Self, Male 43, ksa
right now using 3 times a day glucovance 500/5mg but fasting always came 200+ any suggestions for changing of medicine age 43 height 6'1" weight 74kg
Salaam
first of all is your diet control adequate?
do regular exercise for 30 minutes daily .take healthy diet .
Do following tests
RFTS,
Urine R/E
HbA1c . consult if needed will change medicine.
Hello..!! Thank u for your query.. You may add Amaryl 1mg in the morning with breakfast. But adding another hypoglycemic, means you have to monitor your blood sugars strictly, in order to avoid hypoglycemia risk.
You may add Amaryl alongwith Glucophage 500mg 3 times daily..
Amaryl 1mg 1 tab in morning
Glucophage 500mg 3 times daily
Also you have to be careful on your diet and exercise. You should be on a diabetic diet and exercise regularly to get good results..!!
4 years ago
the dose needs to be altered along with a proper diet schedule
consult ur diabetologist n follow the prescription with adjusted dosage in ordee ti bring ur sugar to normal levels
Aslam o alikum. Kindly check your blood sugar around 3 AM for 3 days and then contact me. Will discuss about drug and other options to control diabetes . Thank you
It might be DAWN phenomenon which is actualy disturbing you . With high blood glucose in morning . For this you have to decrease dose at night but first as I said check blood glucose at 3AM for 3 days
First you need tk start exercising and consider weight loss... Make your meals regular with specific proportion of whole grains. Cut sugars, sweet food, drinks and very sweet fruits from diet.
Even after these measures if blood sugar remains out of range than we can add another medicine to current treatment but that would be done by your diabetes doctor
U need to alter your medication . Get your fasting blood glucose levels checked after 8-12 hours of fasting . Also hba1c to get accurate idea of your blood glucose levels .. then can make changes accordingly
control your diet
monitor your sugar level daily
avoid food which contain sugar
book an appoinment for consultation
use glucovance twice day
add rab diamicron60 in morning
go for 30minutes walk at least and diet control
Assalamualaikum please scan your previous medical record and send it to me. Or call me zero three one five five zero five five zero zero two.
Need your more symptoms and history to treat your problems so take appointment or call me through marham
Member
not mam ... actually working in remote area so bit difficult to control specially the timing since living alone so some time a meal may got skipped
4 years ago
MBBS, FCPS (Training Complete) | Karachi | Book Appointment
You see if like that
-firstly try to make adjustment and some arrangement so u should have proper diabetic diet.
-secondly timings should not be out of schedule meaning
breakfast time (-like a slice of brown bread with egg white 7 am) then around 1 pm some food chicken but less oil with chappati)
around 5 pm some fruit which can fill your one palm (avoid grape, banana )
9 pm can have small one chapatti etc with some food
like vegetables n bitter gourd is good
please avoid rice, potato or vegetables growing underground
I know difficult in remote area so stock food for atleast 3 weeks n store fruit in cool area and freeze cook food u will see u can try these measures
try to do fast walk at least 20 min 4 times a week n fix your timing
believe me it works . you try and then check inshallah there will be improvement.
u know that ur medicine hope you are taking twice daily once with breakfast n one at night
Like alcohol is prohibited in Islam , the same way having control diet as a diabetic patient u should follow it like your religion.
Try it
4 years ago
Member
noted let me try this in Sha Allah
4 years ago
MBBS, FCPS (Training Complete) | Karachi | Book Appointment
and please drink lots of water I think you must be knowing that the medicine you are taking one of its side effects is that it effects the kidney so practise drinking at least 1.5 to even 2 litre of water
4 years ago
Member
for water it may be more then 5 liters a day mam as intake
4 years ago
MBBS, FCPS (Training Complete) | Karachi | Book Appointment
Great, inshallah try from basic diet n exercise, relax n follow at the moment same medication and then see after 1 to 2 weeks it's effect
4 years ago
Member
in Sha Allah
4 years ago