Diabetes management

55/F, wt 60kg.. diabete.. on metformin (irregular) todays sugar reports are aa follows.. HbA1c 13.1 Fbs 198 plbs 276 plzz suggest drug of choice with doses..

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Uncontrolled diabetic Edjucate about diabetes and its sequele Make her understand this is not a normal disease like common flu etc rather it is a silent killer and cost your heart kidneys etc Edjucate about diet and wt as she needs reduction in wt Lifestyle and regular treatment are as important as other things in life Medication As she has very high hba1c13.1 infact she needs insulin basal bolus insulin with mixtard Amongst OHA Start with Tab glimiperide 2mg+metformin 500mg 1bd before meals Tab metformin sr 500mg to 1000mg 1od Tab voglibose 0.3mg 1bd with meals All said and done it all depends on herself
Thank you doctor
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Start Patient on 1. Metformin 500 + Glimepride 2 mg 1 tab bd before food 2. Life style modification 3. Avoid tubers, sugar in diet 4. Repeat FBS and ppbs after 1 month
Thank you doctor
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Teneglitine 20 mg and glimepride 2mg before breakfast and metmormin 500 mg bd and regular bs checkup and adjust the dose accordingly
Thank you doctor
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