Metformin

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Dear Doctor, Please help me to control my diabetes. I am a dibetic patient about 17 years and under insulin for the past 5 years.Before five years I underwent CABG surgery. My need for consultation is for Diabetes. Now i take Metformin 500 SR/Diapride 2mg and 30/70 fast acting Insulin 18 in the morning and night time I take diapride 2mg and Insulin 8 points only. My HbA1c is 7.9 and always PP is above 200 to 240 Today fasting is 121 and PP is 234.Please advice.

Hi, Since you are a known diabetic,few changes which have to be brought in are lifestyle modifications. If you have already not changed them or if you are not serious about them because they are the only steps which would help you the most. Drugs just bring down sugar for a few hours and then would raise back again and your body can become slowly resistant to the same drug dose so first you will have to bring lifestyle modification(changes) in yourself. 1)Eat a low-cholesterol, low-fat diet, ...

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i went for my complete body checkup.every thing was fine except my liver,the sgot and sgpt,billirubin was fine but my ggtp was high about 121.even my sugar level H1Blc was 5.5 with very low medication . i am taking metformin 250 gms two times daily after meals.another problem i am facing is lack of sleep for which i am taking 1mg of alprax every day.but still i am not able to sleep.I have to mention that i am a successful businessmen with stressful life.please suggest something

Hi, Your raised ggt is simply because of alcohol,and should not be of a problem if your other tests are all fine and within normal range.Just try and reduce your alcohol. Sleep deprivation is a big problem and i think all the steps must have already been taken by you but still let you know again. Kindly follow the following steps 1)Avoid excessive stress 2)Don't lie in bed for long in morning,even if you have to force yourself do that and this will help in resheduling your schedule. 3)Try and s ...

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should my 72 yr old husband who has stage 3 or 4 heart failure, has afib, also has a icd implanted and who has just developed diabetes 2 should he take Metformin HCL 500 mgs tablets twice daily with a meal? One Dr. prescribed it and another Dr. of his says no...will make him lose weight and go against his heart. What is your opinion?

As cardiologist I can tell you that metformin is not contraindicated in patients who have heart failure, on contrary, it controls blood suger, lowers levels of cholesterin and so it protects patient's heart vessels. The only conditions when metformin is absolutely contraindicated is acute miocardial infarction and nonstable angina! But, there exists another thing that needs to be considered, metformin has side effect called lactic acidosis, which itself can cause arrhythmias and some other symp ...

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Hi i am 26 years of Age, female and 161 cm height and 71 weight. 10 months back i become pregnant but unfortunately it leads to miscarriage . Again from past 6 months onwards we are trying for pregnancy but there was no positive result. now i consulted a doctor and scanned abdomen and identified PCOs. she recommended me 2 capsules of exermet(metformin) per day, Folvite -1 per day Z&B soflet-1 per day can i use those cap or is there any problem if i use those cap? Does these helps me in getting pregnant soon?

well , you can start metformin and folate caps as metformin helps in controlling the ugar levels and thereby obesity and folate prevents any congenital malformations in the fetus. if your cycles are also deranged for long and irregular, i feel they should be addressed first along with other menas. regards ...

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82 years old man has fluids in his abdomen specially laterly, LFT was normal , RFT was normal , and the thyroid test was in normal status , and his prostate and bladder is normal while he has prostatitis , he has loss of appetite , and the average of his blood pressure is120/60 , finally the medicines that he take finasteride 5mg , doxazosin mesylate 4mg , atenolol 50mg , neurobion , metformin 500mg , aspirin .

presence of fluid in abdomen is termed as ascitis it requires through medical and diagnostic approach to pin point the cause, pls get an 1. ultrasound done as it is required to know the architectural pathology of liver which is one of the most common cause of ascitis. 2. advised to undergo 2 D echo to rule out CHF. ...

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my age 32, I am type 2 diabetic, diagnosed since 4 years but start taking metformin 750 once and valsartan 80 mg once for blood pressure and kidney protection from six months, my sugar level is fasting 120 and after 2hrs of meal 150, please advise best multiviatamin because my stomach is disturbed from my childhood so I can not digest any food or milk easily, have gas ,acidity problem from infant age..

Dear Mr. Wasim, Thanking you for the posting. Going ahead, one thing which you need to do is to get Oral Glucose Tolerance Test (OGTT) done along with the HbA1c levels. As looking from your sugar levels and dose of metformin you seem to be well controlled and what we called 'Pre-diabetic'. Also one should note that metformin has GI upset as a side effects. So the dose of Metformin can be tapered down once we have clear understanding from OGTT and HbA1c. Lets first look at this and then once ...

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Sir I am take 2yrs continue treatment from pcod problem take metformin table not pregnancy current month take hmg 3 inj 1hcg inj now give strone 200 duphaston sir I want baby pls advice furder treatment

Hi there. Are you already being treated by a gynecologist? Have you had complete workup already? If yes, you may discuss with your gynecologist further, if you can proceed with assisted reproductive technique such as intrauterine insemination or in vitro fertilization. ...

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Jai Shri Krisha, Dr, Rohan Nagar I am 60 year old, based in Luton (Beds) and have diabetes type 2 for the last 10 years, I am taking Metformin 500mg+Gliclazide twice a day and recently for the last 7 months my doctor changed Metformin 850mg due to high sugar level Secondly, I have difficulty in writing or signing due to Trauma effect with right hand fingers and doctor gave Propranolol 10mg, twice a day for the last two year, This has negative effect in right hand fingers get cold compare to left hand fingers. Then doctor changed Nifedipine 5mg capsules but it does not resolve the problem Could you please let me know, is there any solution in ayurveda?, if yes, please advise how to go furher Looking forward to have your quick response Regards Ghanshyam

Hello ghaashyam it look u had diabetic neuropathy. Yes we have very good medicines for diabetes as well as diabetic complications. And ayurvedic medicine are safe to take doesn't have any side effects or any interactions with ur other medicines. For more information call or what's app me on this number : nine five three five four two zero seven seven zero. thank u. ...

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i am having the diabatis problem i am using the tablets regularly before food my range is 288 after food is 482 i am using the metformin 500mg as thrice in a day. kindly give the remedy to decrease the level d.senthilkumar from india

It clearly shows that your sugar is not in control.... You have to provide your detail along with medical details to help us guiding you further line of management.... To prescribe any medicines for you, it is essential to consult personally or through video consultation... So you can either go to your diabetologist / take consultion here on this platform... ...

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I am detected with PCODs after 7 months of my marriage. I am now 26years old and got married 1.4 years ago. I am unable to conceive due to PCODs as per my gynocologist. She firstly prescribed me 1.CYSTA Rx, 2. forte tablets, with weight reduction suggestion. after 3 months in USG i got free from PCODs and i was prescribed 1.Duphaston 10mg tablets, 2. follic acid tab and calcium tab, after 2 months again I missed my periods and detected with PCODs again. Doctor prescribed 1.MYOCYST, 2.OSTOCALCIUM TAB but my periods delayed more than 2 months. Now as per my doctor, I am overweight and cant conceive till reducing weight fom 63kg to 55 minimum. Now she again prescribed me 1.cysta rx , 2. metformin for 3 months this time but i have not started this medicine because i have no patience o again again the same medicines to cure this regenerated type PCODs.I have also started workout for my weight loose. Kindly suggest me whether my doctor was suggested me right medicine or not, what is right for me, can i conceive in these PCODs (3mm to 7mm),

Hi there. I agree with the medicines that your doctor gave you. Unfortunately, once you have PCOD, you already have PCOD for life. But it doesnâ€™t mean that you canâ€™t get pregnant. Just follow your doctorâ€™s advice and you have to be patient. Pregnancy seldomly comes after just one cycle of treatment. ...

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