What if a patient of D-type 2 has fasting 1... - Diabetes India
What if a patient of D-type 2 has fasting 134 & after 2hrs ie.BS > 140. He is taking Gloconorm-G-1 Forte. Should he increase his medicine ?
Generally, when we take carbs our Blood Glucose should increase. This is just like Crediting money to our bank account and the amount in the account increases. If it is not increasing then only we should be worrying. Always our PPBG should be more than Random. There is wrong concept that our BG should be always 140.
When PPBG is equal to FBG then your in-take must be low in carbs, or your medication should be stronger, or reading must be faulty.
. PPBS >140 means how much? FBS of 134 is high. Try to reduce carbs. It would be better if you adopt for LCHF diet. If properly done you may not need any drug or it will be minimal.
Undergo HbA1c test and consult your diabetologist.
* Do not consume food after 7:00 pm.
* Adopt diabetic diet.
* Consume less food more times in a day.
* Exercise (brisk walking) for 30 minutes daily.
FBS should be be less than 100 mg/dL and PPBS should be less than 140 mg/dL.
1 Tablet Gluconorm G1 Forte (1+500) contains two drug combinations viz; Glimepiride 1 mg Metformin 500 mg
Glimepiride is used along with diet and exercise, and sometimes with other medications, 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). Glimepiride lowers blood sugar by causing the pancreas to produce insulin (a natural substance that is needed to break down sugar in the body) and helping the body use insulin efficiently. This medication will only help lower blood sugar in people whose bodies produce insulin naturally.
Metformin 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.
Over time, people who have diabetes and high blood sugar can develop serious or life-threatening complications, including heart disease, stroke, kidney problems, nerve damage, and eye problems. Taking medication(s), making lifestyle changes (e.g., diet, exercise, quitting smoking), and regularly checking your blood sugar may help to manage your diabetes and improve your health. This therapy may also decrease your chances of having a heart attack, stroke, or other diabetes-related complications such as kidney failure, nerve damage (numb, cold legs or feet; decreased sexual ability in men and women), eye problems, including changes or loss of vision, or gum disease. Your doctor and other healthcare providers will talk to you about the best way to manage your diabetes.
Sources:--
en.wikipedia.org/wiki/Diabe...
nlm.nih.gov/medlineplus/dia...
en.wikipedia.org/wiki/Aerob...
nlm.nih.gov/medlineplus/enc...
en.wikipedia.org/wiki/Glime...
nlm.nih.gov/medlineplus/dru...
Thanks you all for your valuable inputs.Especially gangadharan-nair.
What is the result of lipid Profile? If not done so far, get it done and let me know.
