Recently Answered Questions
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What is an alternative to Lantus in controlling blood sugar level?
Query: Hello doctor, I have moderate NPDR and I am diabetic for the last 15 years. I am 189 cm tall and weigh 89 kg. I was taking fast acting insulin Humalog 25 and tablet Tragenta Duo 1000 1-0-1 for the past 2 years. After I found NPDR, I shifted to Lantus as the doctor said NPDR can cause sudden variat... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. NPDR (nonproliferative diabetic retinopathy) is one of the common complications of diabetes. We cannot prevent it completely, but we can delay it for years. Our target is to delay the proliferative phase by controlling the blood sugar level. Regarding your medications,... Read Full »
Please suggest methods to lower blood sugar level.
Query: Hello doctor,I am not able to stop my sugar level from increasing. Last three HbA1c results are 7.0 %, 7.1 % and 7.4 % with the latest test. My work routine is sedimentary and as I have tracked the high carbohydrate diet which I am not able to change this much even after trying hard. For the last tw... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I always tell my patients that diabetes is not a disease as long as it is under control. When it is not under control, it leads to disease (complications) in the long run. It is extremely important to keep your sugar level under control at ... Read Full »
Advise a diet plan to avoid diabetes during pregnancy.
Query: Hello doctor, I am 26 weeks pregnant. This weekend I had my glucose tolerance test (3 hours) and on which I failed badly. My fasting numbers were 172, 325 and 318. I know they are bad, but my doctor never told me to follow a strict diet of three to five days prior to the test. In my pregnancy, I ha... Read Full »
Answer: Hello, Welcome to icliniq.com. You are suffering from gestational diabetes mellitus without any doubt. As per IADPSG criteria (International Association of Diabetes and Pregnancy Study Group) and DIPSI criteria (The Diabetes and Pregnancy Study Group India) both makes you overt diabetic. These le... Read Full »
Despite medications, my sugar levels are high. Why?
Query: Hi doctor, I am a known diabetic for the past 15 years. 20 days ago, my HbA1c was 9.83. I am 54 years old and my weight is 87 kg. My medications are Metformin 500 mg, Hcl 1500 mg, Istavel 100 mg and Glaritus Insulin 30 units. Even then the sugar levels are 246, 265 and 277 after every three hours t... Read Full »
Answer: Hello, Welcome to icliniq.com. I have a few questions for you as I would like to know more about your diabetes history. Can you please share what are your morning what are your morning blood sugars in fasting? When do you give yourself Insulin and how often? Have you ever tried a higher dose of Met... Read Full »
Please advise what has to be done based on my blood reports.
Query: Hello doctor, I am diabetic and also have cholesterol. My age is 45 years. I am taking the medicine K Glim M2 twice a day for diabetes and Rosuless 10 mg for cholesterol. Kindly suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. I reviewed your results in detail (attachment removed to protect patient identity). My assessment are as follows: Vitamin D level is very very low for your age. This has a huge impact on diabetes control. Advise: Start over the counter Vitamin D supplement at least 5... Read Full »
My diabetic mother-in-law has on and off-toe swelling. Why?
Query: Hello doctor,My mother-in-law 72 years old. She gets swelling in her toe on and off for the past year. Recently there was pus inside, and she is having pain. After soaking the toe in hot water and betadine, discharge came out, but it is relapsing again. She had antibiotic too. She has diabetes but u... Read Full »
Answer: Hello, Welcome to icliniq.com. She has an infection in the nail bed space. Need to focus on three things. 1. Her diabetics need better control. Better diet modification with medicines. HBA1c is too high. 2. The nail needs to be trimmed well regularly, and the area needs to be cared well daily. S... Read Full »
Why is my HbA1c still at 8.4 despite taking medication?
Query: Hello doctor, I am a 48-year-old male, and I have been diagnosed with diabetes for the past 14 years. My latest HbA1c reading is 8.4. Currently, my diabetes management includes the following medications: Metformin 500mg twice daily Januvia 100mg once daily Glimipride 2mg twice daily Kindly... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Based on the information provided, your current diabetes management involves a combination of metformin, januvia, and glimipride. Metformin, a biguanide, works to reduce blood sugar levels by decreasing glucose production in the liver ... Read Full »
How do I maintain my blood sugar levels?
Query: Hello doctor, I was diagnosed with type II diabetes five years back. I have maintained good sugar control. Currently, I am taking Trulicity 1.5 weekly, Lantus nightly and 2000 mg of Metformin with my evening meal. Toward the end of last year, my diet was not good, as I was eating a lot of carbohydr... Read Full »
Answer: Hello, Welcome to icliniq.com. Since you have started proper diet control, your blood sugar levels are getting better and better day by day. Yes, it does take some time to get back to normal once you are careful about your diet and exercise. You can check your HbA1c levels now and after three mont... Read Full »
How can I lower my HbA1c levels?
Query: Hello doctor, I am a 45-year-old male. I am 6 feet tall and I weigh 200.6 lbs. I had taken excess BCAA supplement powder to enhance my gym performance and then stopped going to the gym for two months but continued taking the BCAA powder. I feel bloated all the time after food intake and have high bl... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned, it appears that you have diabetes and you must definitely take treatment for it. I suggest that you start with the tablet Metformin 500 mg thrice a day and then repeat your HbA1c (glycated hemoglobin) after thr... Read Full »
Why does my brother's daughter urinate frequently?
Query: Hi doctor, My brother's younger daughter is 6 years old. Her weight is 52.9 pounds and height is 4 feet. She always rushes to the bathroom to urinate. In a day, she rushes 20 to 25 times to urinate. We have done her urine RE, and it shows everything as normal. She becomes thirsty to drink water. She... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concerns. Increased frequency of urination in a 6 year old child can be due to UTI (Urinary Tract Infection), renal stones or diabetes mellitus. Since, in this case, increased thirst is also present there is a probability of diabetes mellitus. Althou... Read Full »