Diabetes India
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Advise me for blood sugar

before six month my blood sugar was 160 (F) I started Citapin xr 500 daily morning to reduce my blood sugar. After one month blood sugar reduced 115 (F), after three month in 20 June, 2013, again increased 140 (F). Please advise me. Should I taken Citapin before meal or after meal, my Lipid profile is normal, KFT (alkaline increased 144)

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Metformin (generic name) Citapin XR (brand name) is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Metformin is in a class of drugs called biguanides. Metformin helps to control the amount of glucose (sugar) in your blood. It decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. Metformin also increases your body's response to insulin, a natural substance that controls the amount of glucose in the blood.

The most common side effects with metformin are nausea, vomiting, gas, bloating, diarrhea and loss of appetite. These symptoms occur in one out of every three patients. These side effects may be severe enough to cause therapy to be discontinued in one out of every 20 patients. These side effects are related to the dose of the medication and may decrease if the dose is reduced.

A serious but rare side effect of metformin is lactic acidosis. Lactic acidosis occurs in one out of every 30,000 patients and is fatal in 50% of cases. The symptoms of lactic acidosis are weakness, trouble breathing, abnormal heartbeats, unusual muscle pain, stomach discomfort, light-headedness and feeling cold. Patients at risk for lactic acidosis include those with reduced function of the kidneys or liver, congestive heart failure, severe acute illnesses, and dehydration.

The extended-release (XR) tablet is usually taken once daily with the evening meal.

Sources:--

nlm.nih.gov/medlineplus/dru...

en.wikipedia.org/wiki/Metfo...

medicinenet.com/metformin/a...

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Monitoring and controlling the levels of diabetes indicators, including HbA1c, fasting plasma glucose (FPG), postprandial plasma glucose (PPG), body mass index (BMI), blood pressure and lipids, is an integral component of diabetes care at every stage of the disease.

Sources:--

en.wikipedia.org/wiki/Diabe...

diabetesindia.healthunlocke...

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As per an SMS received from my earlier clinic,Citapin V containing Pioglitazone is banned by GOI.

Please check.

As a long term diabetic, I am giving few general suggestions which you may consider.

Diabetes is a metabolic disorder which is a result of the pancreatic gland in our body either produces little or no insulin or the body has developed resistance to insulin. In both cases,the body cells do not receive the glucose needed for production of energy because insulin is essential for glucose to enter the cells. This results in the blood sugar levels to increase beyond acceptable levels,though your body cells are starved for glucose. This condition is very bad for our well being and over long term may result in severe complications.

Controlling blood sugar levels is a tough job but it is not impossible if you realize that every thing is in your own hands. This is so,because though you may get good advise from doctors and dieticians,it is ultimately Y O U that will have to take all the necessary steps to successfully control diabetes.I am giving certain general suggestions based on my personal experience which you may consider and adopt based on your personal choice.

Diet plays a very important role in managing diabetes. You should reduce intake of foods that are rich in carbohydrates like sweets, rice,wheat,other grains ,potato,beet and other root vegetables rich in starch. You should eat more of vegetables,sprouts,greens and salads that give you lot of fiber,vitamins and minerals. Each meal you take should be smaller but you may have 5 or 6 meals instead 3 meals a day.

Exercise is very important to control diabetes. Daily brisk walking or jogging for at least 40 to 60 minutes is ideal. Such exercise will consume lots of energy and sugar levels come down accordingly.

Mental stress aggravates diabetes. Lead a stress free life by adopting relaxation techniques like music meditation,yoga and breathing exercises.

Consult a diabetologist and get prescribed for medication if necessary and comply with the doctor's advise scrupulously.

Please remember that the most important person in managing your diabetes is Y O U.

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The main way to control your blood glucose levels is to control your carbohydrate intake, because all carbohydrate is glucose to your body. Keep your carbohydrate intake between 10 and 14 portions per day (1 portion = 10g carbohydrate), ideally 3 meals x 4 carb portions. uk.sitestat.com/diabetes/we...

Eat low GI carbs glycemicindex.com/

Make up the balance of your meals with natural, additive-free, unprocessed protein and fat foods

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Follow this very basic food eating tips:

1. Eat only when ur hungry [don’t go eat lunch just bz its 1 pm...don’t eat time basis]

2. Chew 25 times [count literally each bite]

3. Don’t drink water before or during or after food for 1 hr minimum.

4. Stop when you get 1st Burp while eating. When you chew 25 time, you will get burp - its a signal that ur full.

5. Finish dinner on or before 7 pm

5. Then do walking daily 30 mins a day.

Raj

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