Case of T2DM
I am happy to share that the patient who has reported of low FBS and high PPBS is now settled with following medicines - Tab Vildamac M 50/1000 BD, Tab Pioz 15 mg OD, Tab Volix R 0.5/0.2 with lunch, Tab Voglital 0.3 with breakfast and dinner Inj Lantus 8 units at 10pm His FBS is around 101, 110,105, only today it was 68, PPBS is also controlled and is 130 My decisions on this case - I have decided to stop his voglital 0.3 with bfast and dinner, Also seeing todays Fasting sugar of 61, I have decided to change his lantus insulin to Degludec insulin 6 units at 10 pm Kindly give your valuable feedback Check attached case below Chief Complaints He had presented one week back with low fasting sugars and high pp sugars I had stopped his Glimipiride 2mg since then
Well done doctor Decision to stop Glimepiride was very important decision! Your clinical judgement has helped patient to achieve normal blood sugar Congratulations!!
diabetes avoid sugar in any form:like rice,potato,banana,fat intake, take all bitter foods,wheat,barley,millets * shadangapaniyam is best for quenching thirst matsyendra asana is useful * consider for aptarpna/shamshodhana or santarpana/brumhana
Good decision ...as SULFONYLUREAS as per have no more role then acute control. They exhaust b cells.. But i was expecting HbA1c value too
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