My uncle is Diabetic ,his HB1AC is 7,please suggest the management and Rx?
Start with Glimperide 2mg / Met 500 BD before meals. Check with glucometer at home weekly.. FBS and PPBS are also important. Proceed accordingly. Check S.Createnine.& Fundus check for safety.
Dont go for strict control of sugar if the patient is old aged/elderly With such HBA1C, most likely PPBS will be deranged, fasting would be normal So avoid using sulphonylureas, instead use DPP 4 or SGLT 2 Inhibitors along with Metformin
How old is he? When was he diagnosed? Any other comorbidities? Assuming denovo T2DM without any other comorbidities, I would screen for presence of microvascular complications. I would start with dietary advice and advice regarding regular physical activity. Consider adding Metformin
Cases that would interest you
- Login to View the image
52/M c/ o this kind of lesions all over his body for the past 6months.no fever. Rx/Tx pls
Dr. Subash Chandra Bose3 Likes15 Answers - Login to View the image
DD s please ( ~ a week) No drug history Nd Management
Akash B3 Likes23 Answers - Login to View the image
2yr baby having lesion all over body.....occasionally itching as informed by parents
Dr. Chetna Saini0 Like15 Answers - Login to View the image
A 50 yr m pt.c/o itiching with scally lesion over both leg since 2 yr .pt.taking treatment omnacortil and attarax 25 mg similar lession back of The ear
Dr. Praveen Pant1 Like17 Answers - Login to View the image
18 month femal infant This lesions since 15 days No other complaints Please fot D. ttt Thanks
Dr. Abd Elnasser Badawy0 Like18 Answers