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Diabetes is not controlled despite medication. Please help.

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Patient's Query

Hello doctor,

I take GP3 before lunch and dinner, Obimate SR 1 gm after lunch and dinner, and Tryglynase 2 before breakfast but my diabetes is not coming under control. I have attached my report.

Answered by Dr. Kaushal Bhavsar

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I can understand your concern. There are three ways to control diabetes. Diet, exercise, medicines (oral or Insulin). No matter how good your blood sugar reports are, you should definitely follow a strict anti-diabetic diet and do regular daily aerobic exercises like walking, running, cycling or swimming.

So, start an anti-diabetic diet and exercise if you are not following. In treatment, you should start long-acting Lantus Insulin 10 units in the night at 10 AM. Take Tryglynase two tablets before breakfast, two before lunch, and one before dinner. Also, take Voglibose 0.3 mg tablet one before breakfast, one before lunch, and one before dinner. Stop GP3 and Obimate SR 1 gm. Get repeat FBS, and PPBS after seven days and let me know the results.

The Probable causes

Lack of diet and exercise.

Investigations to be done

FBS and PPBS after seven days.

Differential diagnosis

Obesity.

Probable diagnosis

Uncontrolled diabetes.

Treatment plan

Lantus Insulin.

Preventive measures

Diet and exercise.
Medically reviewed by iCliniq medical review team
Published At March 20, 2019
Reviewed At June 7, 2024

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Kaushal Bhavsar is an experienced Internal Medicine Specialist and Pulmonologist with expertise in managing respiratory conditions such as asthma, COPD, tuberculosis, and lung infections, along with chronic illnesses like diabetes, hypertension, and metabolic disorders. He is skilled in critical care, pulmonary function testing, and evidence-based medical management. Dr. Bhavsar is committed to delivering holistic, patient-centered care for long-term health and respiratory wellness.    

This doctor is not available for online consultations on the platform anymore.

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