Diabetes India
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My HBiAC not under control

My HBIAC to day is 8.2 taking victoza once 18 and Amlyl 2 with voglitor 0.3 twice with food. My doctor earlier gave me Blisto 4 mf and then Blisto 2 mf for about 2 years and my Hb1 ac was improving regularly and once it touched even 5.7. But then he changed the medicince to plain Glicoclide and then it started going bad. He again put me to Emryl.

Sir

Need your advise whether Blisto 4 mf or Blisto 2mf are better medicines as they worked in controlling my sugar to a great extent.

Regards

Rajesh Garg

10 Replies
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Generally speaking,members rarely give suggestions regarding medication,because only your physician can decide about medicines and dosages after considering your medical history and other issues.Problem for you might be your diet,physical activity level etc.Members on the forum will certainly help out in those matters.

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Thanks a lot Mr Ramana. Am looking advise for a healthy diet and a good exercise regime. Since I am 55+ I do cycling in Gym and treadmill for about 35 minutes in evening about 5 to 6 days weekly. I am vegetarian and take 1 chapatti in bf and dinner with daal or vegetable and 2 in lunch apart from few fruits. Suggest me alternative food habits to loss weight and improve my BS, My weight is 84 and height 5.7. Thanks a lot for your help and support

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Most effective way for you will be reducing your weight,even by a few kilos.You have a lot of scope for reducing weight since your ideal weight must be close to 70.Your exercise schedule is excellent.You are having chapathi thrice a day.Why not have lower glycemic foods like mixed boiled sprouts with vegetables or steel cut oats porridge?Do some experimentation.You can arrive at a solution without sacrificing taste.Search on Youtube for recipes.

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Thanks ! A lot. Will surely try to change dinner to vegetable / soups and other non atta options.

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Composition for Blisto-2 MF Tablet SR is Glimepiride (2mg), Metformin (1000mg).

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.

Side effects from taking glimepiride include gastrointestinal tract (GI) disturbances, occasional allergic reactions, and rarely blood production disorders including thrombocytopenia, leukopenia, and hemolytic anemia. In the initial weeks of treatment, the risk of hypoglycemia may be increased. Alcohol consumption and exposure to sunlight should be restricted because they can worsen side effects. Due to frequent hypoglycemia, you are likely to consume more food causing high blood sugar.

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.

Diet and exercise can reduce your blood sugar levels.

Please furnish the names of medicines without spelling mistakes.

Sources:--

en.wikipedia.org/wiki/Glime...

medlineplus.gov/druginfo/me...

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

medlineplus.gov/druginfo/me...

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Thanks a lot Mr Gangadharan. Your advise always helps. Currently am taking Amyl 2 Forte twice before breakfast and diner and Voglitor 0.3 along with breakfast and dinner. As apprised earlier best result have seen with Blisto 4MF twice daily. Want to bring my Hb1ac again around 6. Your kind advise is always helpful

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VOGLITOR 0.3MG TABLET (TORRENT) with a composition (formula) of Voglibose 0.3 MG

Voglibose (generic name) Voglitor (brand name) is an alpha-glucosidase inhibitor used for lowering post-prandial blood glucose levels in people with diabetes mellitus. Voglibose delays the absorption of glucose thereby reducing the risk of macrovascular complications. Voglibose was first launched in 1994 to improve postprandial hyperglycemia in diabetes mellitus.

Postprandial hyperglycemia (PPHG) is primarily due to first phase insulin secretion. Alpha glucosidase inhibitors delay glucose absorption at the intestine level and thereby prevent sudden surge of glucose after a meal.

Composition for Blisto-4 MF Tablet SR

is Glimepiride (4mg), Metformin (1000mg)

Blisto-4 MF Tablet SR should be used with caution in patients with kidney disease.

Sources:--

en.wikipedia.org/wiki/Vogli...

en.wikipedia.org/wiki/Alpha...

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Thanks a lot Sir. Currently my doctor told me to stick with Amryl 2 Forte and Victoza once daily. Though Hb1ac in now around 8 but with start with some LSHF dient or any other diet control as per your advise and with exercise am doing mainly cycling 30 minutes in evening hope to bring the same under 7 gradually.

Kindly do guide me on diet habits also. Am a vegetarian. Take 4 chpaties( I bf,2 lunch & 1 dinner) daily with daal and subzi. Rice rarely once a week only.

Thanks again for you KINDadvises.

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Composition for Amaryl Forte 2mg Tablet

is glimepiride (2mg) + Metformin 1000 mg.

Liraglutide injection (Victoza) is used with a diet and exercise program to control blood sugar levels in adults with type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood) when other medications did not control levels well enough. Liraglutide injection (Victoza) is used along with a reduced calorie diet and exercise plan to help people who are obese or who are overweight and have weight-related medical problems to lose weight and to keep from gaining back that weight. Liraglutide injection (Saxenda) is not used to treat type 2 diabetes. Liraglutide injection is in a class of medications called incretin mimetics. It works by helping the pancreas to release the right amount of insulin when blood sugar levels are high. Insulin helps move sugar from the blood into other body tissues where it is used for energy. Liraglutide injection also slows the emptying of the stomach and may decrease appetite and cause weight loss.

Liraglutide injection may increase the risk that you will develop tumors of the thyroid gland, including medullary thyroid carcinoma (MTC; a type of thyroid cancer).

Sources:--

en.wikipedia.org/wiki/Lirag...

medlineplus.gov/druginfo/me...

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Thanks a Lot Anup ji. Would request if y can provide healthy diet. I am an eggeterian.

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