Sir, I am aged about 49+. I am type 2 diabetic for the past 4 years. From the last 2 years i used to take GLICOMET GP2 and lost weight 6%

[murthyhealth]

(glimepiride 2mg +metformin500mg) twice a day. i observed that i lost my weight 4 kgs during the said period. from 66 to 62 Probably due to metformin. i am not obese . now i shifted to PIOGLAR-G (pioglitazone 15mg +glimepiride 2mg) twice .Can any one advice me whether there is chance of improving my weight with this prescription.

[curious62]

Sometimes metformine is responsible for wt. loss.since you have stopped it you may recover the lost weight. If your sugar levels are high that can also cause weight loss.

[murthyhealth in reply to curious62]

Thank u sir

[norreal]

Sir, if you have been taking medicine for 4 years, either your diabetes is too bad or your doctor is conservative. Normally 7% weight loss is recommended + 'disciplined' intake of carbohydrate and exercise to bring blood glucose within acceptable range. I am 61. First time I reversed Diabetes in 2005. Had an attack in 2008 and I think I managed to reverse (at least control) it. On Jan 11 this year my fasting glucose was 212 and HBA1C 11.6%. Improved without any medicine to random < 200 and HBA1C 7.9%. Metformin is generally almost the safest of all medicines for Type II as applicable to most situations. However, even this this (Glucophage) regularly almost means in year 11 you will be like Type I, Insulin dependent. Email me, I am willing to share experiences of many people and research sites. [e-mail]

[Aditya in reply to norreal]

[e-mail]

[murthyhealth in reply to norreal]

Thank u sir

[anilkanojia in reply to norreal]

My blood sugar Fasting 160 and PP 240, i am taking CitapineXR 500 once in the morning, 6 month before my Fasting was reduced to 120 but now it is again increased to 170, i am not taking any sweet. taking 4 chapati in a day. Should I add glimpride 2mg in my doss

[norreal]

Are you out of range on BMI parameter?

[murthyhealth in reply to norreal]

sir My BMI is 25.40 .thank u for your valuable discussion

[norreal]

Medfree, even 150 is OK for a sixty year old. My last HBA1C gives an average of 180. FYI, up to 205 average has a 2.5% probability of dreaded outcomes like neuropathy, organ and vision failure and amputation. Even with A1C of 10%, risk is up to ten percent. BS up to 126 is pre-diabetic.

[norreal]

Medfree, even 150 is OK for a sixty year old. My last HBA1C gives an average of 180. FYI, up to 205 average has a 2.5% probability of dreaded outcomes like neuropathy, organ and vision failure and amputation. Even with A1C of 10%, risk is up to ten percent. BS up to 126 is pre-diabetic.

[norreal]

Medfree, even 150 is OK for a sixty year old. My last HBA1C gives an average of 180. FYI, up to 205 average has a 2.5% probability of dreaded outcomes like neuropathy, organ and vision failure and amputation. Even with A1C of 10%, risk is up to ten percent. BS up to 126 is pre-diabetic.

[norreal]

This is a blog! webMD, Mayo Clinic and American Diabetic Association differ from UK sites of medical practitioners. If you let me have your email, I will send you specific references. In trying to keep unrealistically low targets you could risk your immunity system . . .

[norreal]

I have replied to this. British medical practitioners are happy with A1C in 6.0 - 8.0 range!

[guru1001]

Please consult your physician .I do not think that pioglitazone is a good remady.

J.K.Misra

[murthyhealth in reply to guru1001]

thank u sir

[norreal]

Medfree:

If you search for diabetes management standards for over 60, you will find big changes. Having a low blood glucose target means you hamper the immunity system!!

Graydon S. Meneilly MD, FRCPC, FACP Aileen Knip RN, MN, CDE Daniel Tessier MD, MSc, FRCPC

Of Canadian Diabetes Association Clinical Practice Guidelines Expert Committee reported:

Diabetes in the elderly is metabolically distinct from diabetes in younger people and the approach to therapy should be different.

And RECOMMENDED: A new recommendation for glycemic targets among the frail elderly of glycated hemoglobin (A1C) ≤8.5%, and fasting and pre prandial plasma glucose of 5.0 to 12.0 mmol/L has been added.

(Mind you elderly is 60 and over)

You will find that instead of A1C of < 5.6%, 8% is now the target of medical practitioners in UK and many other countries.

[norreal]

Medfree:

If you search for diabetes management standards for over 60, you will find big changes. Having a low blood glucose target means you hamper the immunity system!!

Graydon S. Meneilly MD, FRCPC, FACP Aileen Knip RN, MN, CDE Daniel Tessier MD, MSc, FRCPC

Of Canadian Diabetes Association Clinical Practice Guidelines Expert Committee reported:

Diabetes in the elderly is metabolically distinct from diabetes in younger people and the approach to therapy should be different.

And RECOMMENDED: A new recommendation for glycemic targets among the frail elderly of glycated hemoglobin (A1C) ≤8.5%, and fasting and pre prandial plasma glucose of 5.0 to 12.0 mmol/L has been added.

(Mind you elderly is 60 and over)

You will find that instead of A1C of < 5.6%, 8% is now the target of medical practitioners in UK and many other countries.

[norreal]

Yes I am working on it.

BTW: If you search for diabetes management standards for over 60, you will find big changes. Having a low blood glucose target means you hamper the immunity system!!

Graydon S. Meneilly MD, FRCPC, FACP Aileen Knip RN, MN, CDE Daniel Tessier MD, MSc, FRCPC

Of Canadian Diabetes Association Clinical Practice Guidelines Expert Committee reported:

Diabetes in the elderly is metabolically distinct from diabetes in younger people and the approach to therapy should be different.

And RECOMMENDED: A new recommendation for glycemic targets among the frail elderly of glycated hemoglobin (A1C) ≤8.5%, and fasting and pre prandial plasma glucose of 5.0 to 12.0 mmol/L has been added.

(Mind you elderly is 60 and over)

You will find that instead of A1C of < 5.6%, 8% is now the target of medical practitioners in UK and many other countries.

[norreal]

If you search for diabetes management standards for over 60, you will find big changes. Having a low blood glucose target means you hamper the immunity system!!

Graydon S. Meneilly MD, FRCPC, FACP Aileen Knip RN, MN, CDE Daniel Tessier MD, MSc, FRCPC

Of Canadian Diabetes Association Clinical Practice Guidelines Expert Committee reported:

Diabetes in the elderly is metabolically distinct from diabetes in younger people and the approach to therapy should be different.

And RECOMMENDED: A new recommendation for glycemic targets among the frail elderly of glycated hemoglobin (A1C) ≤8.5%, and fasting and pre prandial plasma glucose of 5.0 to 12.0 mmol/L has been added.

(Mind you elderly is 60 and over)

You will find that instead of A1C of < 5.6%, 8% is now the target of medical practitioners in UK and many other countries.

[norreal]

Metformin enhances prospects for insulin therapy . .

[norreal]

Yes quite often after becoming like Type I. Taking diabetic medicine piushes the patient to stop making insulin...

[norreal]

Yes, that is the intent. I'd be very happy with 7%

[norreal]

Medfree: Sir, the aspartame type (sugar substitute) lobby is also around! No, it is not true they are promoting the 45% - 65% calorie for diabetics any more! A cap of 150 grams on a 2k+ daily diet translates to 30% or less!

[norreal]

Yes butter could be poison on white bleached, refined flour!

[murthyhealth]

My BMI is 25.40 thank u..but the weight loss caused loss of look.that is my worry.thank u for your responce

[norreal]

Yes your diet may need review. First point to start would perhaps be protein. Beans & Legumes. I love gram dall but found that Black chickpea (lower price whole channa) does not whack the blood sugar much! Take it cool. You have all the time in the world at hand.

[getz08]

may you please submit your FBS,PPBS,S.Creatinin. only then any advise may be given

[plus]

Not rediabetc but diabetic.