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Do I need to take Insulin with FBS 271 and PPBS level 475?

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Patient's Query

Hi doctor,

I am a 70 year old female. My weight is 132 pounds. I am a known case of NIDDM. I am on Glimepiride 4 mg bid and Repaglinide bid. But, my FBS is 271 mg/dL and PPBS is 457 mg/dL. Is there any solution to lower my sugar without Insulin? For me Insulin was already prescribed, but still I have not started.
Answered by Dr. Ankush Gupta

Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

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Hello,

Welcome to icliniq.com.

Your blood sugar levels are very high. You have to get started on Insulin as it is the best way to reduce blood sugar. Insulin production in our body is decreased, so we are just replacing that from outside. You are already on two oral anti-diabetic drugs which are high in dose. So, it is the right time to get started on Insulin. Add tablet Glyciphage (Metformin) 500 mg twice a day till you make up your mind for Insulin. This much high blood glucose will affect your kidneys, eyes, heart and arteries. Better start on Insulin to have a better complication free life. Get well soon.

Patient's Query

Hello doctor,

My serum creatinine 2.19 mg/dL. Can I take Glyciphage?

Answered by Dr. Ankush Gupta

Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

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

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

You did not mention your serum creatinine before. No, you cannot take Glyciphage because of your high serum creatinine. As I mentioned earlier, Insulin would be the appropriate choice to prevent you from further complications.

Medically reviewed by Dr. K. Shobana
Published At April 4, 2016
Reviewed At September 11, 2024

Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

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

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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

Dr. Ankush Gupta
Dr. Ankush Gupta

Diabetology

Education:

MBBS

Professional Bio:

Dr. Ankush Dhaniram Gupta is a dedicated General and Family Physician, Diabetologist, and Critical Care Physician with expertise in managing chronic conditions, acute illnesses, and emergency care. He specializes in diabetes management, preventive health, and critical care support. Known for his compassionate approach and clinical precision, Dr. Gupta provides personalized, holistic treatment for patients of all ages, ensuring comprehensive and long-term wellness.

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

Consult other doctors in the same speciality
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