Uncontrolled PPBS

A 65 year old male presented to OPD with uncontrolled sugars esp. PPBS History He is a known case of T2DM, HTN and Mixed Dyslipidemia Investigations PPBS is around 230, 240, 220, 219, 260 and so on HbA1c - 8.3 LDL - 131 Non HDL - raised S.Cr - 1.33 Management He is currently on - Vildamac M 50/500 BD Telista D OD and so on What would be the best combination for such patient?

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? DIABETES .. WITH .. UNCONTROLLED .. PPBS .. MANAGEMENT .. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH .. INSULIN .. OHA .. DIET PLAN .. REGULAR EXERCISE .. ENDOCRINOLOGIST OPINION ..

Tnx Dr Ashok Leel sir
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Uncontrolled DM with Mixed Dyslipidemia. Strict control on diet . Medicine like Metformin 500mg + Glimepride 1mg bd. Diet control with medicine ,light brisk walking and Look regularly for LFT and RFT. If HTN salt restricted diet and exercise and plenty for liquid nutritious balanced diet . STATIN may be given after proper assessment and evaluation.

Thanks Dr Kute Ankush
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If fasting is well controlled means he has still has indigenous Insulin secretion so still may continue with oral drugs.May increase the dose with drug which inhibit glucose absorption from gut such as volibose .2 or .3 mg twice before meals.Add statins also with proper control of diet and aerobic exercise such as 30 mts brisk walk daily.

Uncontrolled diabetes with dyslipidemia. Medication with diabetic diet and regular physical activity or exercise must be done. Health check up for every month.

Right now yr prescribed medicines OK, continue it. Fortnightly monitor of blood sugar along with prescribed diet chart & morning brisk walking & yoga & aerobic exercises. May think to add STATIN but after monitoring Lipid profile after a month if LDH not decreases. Refer to Dietitian for proper specific conerned diet chart to decrease LDH. Rpt KFT after a month.

Chiaseeds soaked overnight methidana soaked overnight alternately.. sunshine walk prayers ginger figs guavas cauliflower dates beetroot coriander juice sweet potato corn broccoli purple cabbage cabbage juice orange juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages no vyasan pomegranat e muskmelon walnuts blue berries.. cold pressed coconut oil massage and in naval lime juice inhalation techniques...no stress.. needs counselling calmness symphony music..under strict supervision of Doctor

Add optimum dose of SGLT2 inhibitors with proper hydration.

Add metformin

Sglt 2 Vildamac m Diabeti c diet

Can add Glimpride + Metformin

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