when to take medicines ?

[unnibalakrishnan]

I take glucon M2 (glimmy 2 mg + metformin 500) twice daily 30 minutes before breakfast and dinner.Immediately after breakfast and dinner I take Janumet 50/500 (sitagliptin & metformin) . Night at 10 pm insulin Lantus is taken. My sugar is under good control now. Should I continue medication in the same way or any change is required in timings ?

[shrisamarth Volunteer]

Controls means what BS levels?

4mg glimi, 2gm met, 100mg sitagliptin and insulin. You are on heavy drug dosage. Either you are on high carb diet or your most of the beta cells are dysfunctional or dead.

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Your comments seen it is good . For asking any guidance all the BS pesons must give the complete history of their diabetic

height and wt age from how much long period noticed last blood test done and what the result

Important the daily routine work and daily eating lunch midday meals and night meals and snacks and how much cofee or tea or milk used

This may be clearly mentioned and how much high sugar contents and sweets must be noticed and check

this is the fundamental work thanks

[unnibalakrishnan]

my height is 163 cm and weight 60 kg.I am diabetic for 18 yrs. recently my sugar was very high ie., fbs 220 and 330 after food. For the last one month I am taking these medicines. Insulin started one month back (16 units). Today morning when checked my fbs was 73 and after food 101. I am

vegetarian and taking medicines for cardiology problems also .Age 62 yrs.

[shrisamarth Volunteer in reply to unnibalakrishnan]

Sulfonyluria drugs and insulin doses have to be carefully adjusted. To reduce drugs you need to reduce your carb intake and test for BS variations. Being vegetarian your diet possibly could be of high carb one. Otherwise you don't need your current drug schedule.

[shrisamarth Volunteer]

I would suggest it is better to look at what actually happens.

Person on 100gm carbs is getting his most of the energy from fat in ketone form. So there is no need for gluconeogenesis of fat. My point was that if the person is not eating sufficient fat then he might experience weakness. Or if his body can not process fat efficiently (rare possibility).

Whatever calculations you are doing are theoretical and may be useful for some but practically not applicable for all.

This weight reduction theory is not for all is my practical experience. Even after unintended reduction of weight by 8kg and so called balanced diet (prior to adopting LCHF diet) there was no control of BS. (I was never overweight contrary always underweight).

Still some questions remain unanswered.

It the test for ketone in urine is negative (on LCHF), are you going to still claim the same thing?

Quote from my last reply to you

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"These people try to manage their diabetes with the help of their doctors but fail. I myself initially was doing what conventional medical practice recommends. But to no avail.(For diet none of the doctors suggested me anything)."

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You said you have successfully controlled you diabetes by weight reduction then you should post your BS and lipid nos. here.

[shrisamarth Volunteer]

My point is same as you mentioned in point no. 1

It is only when needed.

His BMI theory is not always applicable. And that he also knows it very well. He is just unnecessarily theoretical. If it is true then forum members should follow his advice which is not happening.

[shrisamarth Volunteer]

"I am not diabetic" was also claim of one of members sridhar but he did reply when I asked about his nos.

[shrisamarth Volunteer]

In India people follow their doctors with trust for diabetes but still fail to control it. Who is at fault?

Still you are unable to reply.