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 »
My mother takes Jalra. Can it reduce blood sugar level in a short period?
Query: Hello doctor, The fasting blood sugar of my mother, aged 55 is 204 mg/dL. She needs to make it low for an operation within a short period. She has started on tablet Jalra 50/1000 form yesterday. Is there any other medication with a quick result? Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I assume that the medication that your mother has started is based on a doctor's prescription. Jalra 50/1000 is a good combination and will help your mother's condition. She will have to take it for around two weeks at least to see a consid... Read Full »
My mom's sugar levels are not controlled with insulin. Why?
Query: Hi doctor, My 77 year old mother, who weighs 253 pounds is suffering from diabetes mellitus since last 6 to 8 years. Her fasting sugar level is 180 mg/dL and postprandial is 250 mg/dL. She is taking Insulin from the past 3 to 4 years, Humalog 50/50 (twice a day 40 units). And her HbA1c is also high.... Read Full »
Answer: Hello, Welcome to icliniq.com. Weight reduction is very important in diabetes. Maintain a strict diet and walk daily to reduce weight. I suggest changing tablet Jentin Met (combination of Sitagliptin and Metformin) to tablet Galvus Met (combination of Vildagliptin and Metformin). Continue with Insu... Read Full »
I am taking insulin for diabetes since 22 years of age. What is the type of diabetes?
Query: Hello doctor, I was diagnosed with diabetes at age 22. When I was first diagnosed, I was taking pills which never worked. So, after a while, I started taking Insulin and have been since. I am taking five shots a day including rapid and long-acting Insulin. I was wondering if I would be type 1 or ty... Read Full »
Answer: Hi, Welcome to icliniq.com. You can be either type 1 diabetic or LADA (latent autoimmune diabetes of the adult) which behaves exactly like type 1. That is why pills worked for you first and then you ended up on Insulin. Either way, you will surely need Insulin to survive. I can recommend some test... Read Full »
I want to know insulin's role in diabetes. Please help.
Query: Hello doctor,I am a 40 year old female. I seek information regarding insulin and its role in managing blood sugar levels. Will you briefly explain what insulin is and how it helps the body function? What role does insulin play in regulating blood sugar levels? What are the different types of diabete... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read the query, and I can understand your concern. Sure, I would be happy to provide you with information about insulin and its role in managing blood sugar levels, as well as tips for maintaining healthy insulin levels through lifestyle and diet choices. Ins... Read Full »
My diabetic father has nausea, vomiting, and loss of appetite. Why?
Query: Hello doctor,My father is a diabetic. He takes Basugine insulin before dinner and Eglucent rapid insulin before lunch. After taking Basugine for one year and three months and Eglucent rapid insulin for only three months, he started facing various issues such as nausea, vomiting, fatigue, and, most i... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. Based on the information provided, your father's symptoms may be related to his diabetes management. Here are some possible reasons and treatment options: Hypoglycemia: One possible reason for your father's symptoms is low blood sugar (hypogly... Read Full »
Why are there frequent urination and vomiting while taking Insulin?
Query: Hello doctor, Medical history: I am a diabetic patient under insulin treatment. Frequent vomiting from today morning onwards, unable to drink even water, continuously vomiting. An urge to drink is also there due to dryness. Morning there was an urge to urinate frequently. Normally when there is an ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have a few concerns here and would like to know what is her blood sugar right now if you have a glucose monitor. She may be having very high blood sugars causing her to go to the bathroom as now vomiting. She may be having a stomach virus. Read Full »
I have a diabetic foot ulcer on my left foot. Please help.
Query: Hello doctor, I am a 48-year-old male weighing 202 lbs and I have a diabetic foot ulcer on my left foot with an infection on the ankle bone and joint. Currently, I am taking a 10 ml insulin dose in the morning and the evening Vancomycin antibiotics two tablets four times daily, and Cecloxib 200 mg. ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. It seems you have a severe diabetic foot infection involving deep tissues and likely bone. You would need wound swab culture and sensitivity. Escalation of antibiotics further as per the culture and sensitivity. Additional antibiotics a... Read Full »
My diabetes is not being controlled with medications. Why?
Query: Hello doctor, I am 33 years old. One year back, my HbA1c result was 8.2 %. Then, I started to take medicine Dailyglim M1 for three months and started some workout and took light food. Then, my sugar level came down. Fasting and PP result were in 105 mg/dL and 160 mg/dL range respectively. But, after... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand you are hesitant to use Insulin. But what she has said is right. Finally, Insulin is what controls your blood sugars. Since people are hesitant to use it, we usually do not prescribe it as a first-line treatment. Oral medications help the pancreas to pr... 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 »