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meri hba1c 8 month pehle 10.2 ayi phir mene tagipmet 2 month or uske bad 3 month k bad s neodipar 500 mg li ..mera w8 11 kg kam hoa pehle 58 tha ab 47 hogya recently hba1c 6.8 ai to dr ne subha nashte s pehle zeenaryl 2 mg di hai ab masla yeh horha subha nashete k bad‚ dupehr khane k bad to 120 ati hai random per rat khane k bad 190 or fasting 150 arhi dr kehte yeh thek hai?? per mene suna hai 150 high hoti hai 12 ghante ki fasting k bad...plz guide thankx

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Dr. Rana Ahsan Javed · Answer

Your case needs detailed review which is not possible here.
Take appointment for video tele-consultation for detailed assessment and prescription!
https://www.marham.pk/online-consultation/internal-medicine/islamabad/dr-rana-ahsan-javed-042-32591427,

Dr. Syed Naqeeb Ullah Khan · Answer

ap ki mention medicine tu teek hai... albata ap ney breakfast lunch dinner mey kon c diet follow karti ho...uc ka zikar nahi kia

Dr. Danish Zia · Answer

metformin reduces weight as well and it may be secondary to diabetes itself
book your appointment for detailed review and treatment

Dr. Mahfooz Ahmed · Answer

Your treatment plan is on the right track as it have reduced your HbA1c. Glucose level fluctuates and depends upon your diet and level of physical activity.

Dr. Anwar Hussain · Answer

what is your height.have you any other disease like thyroid or rheumatoid arthritis.
please measure your Blood sugar fasting for Three days. need other tests like blood urea creatinine, urine RE, and serum insulin levels

Dr. Muhammad Aamir Shaikh · Answer

Draw your HbA1c Blood CP u/c/E and urine d/r

Dr. Shakeela Rehman · Answer

Book online consultation for proper guideline.

Dr. Sarosh Anwar · Answer

the reason for glucose fluctuations are
1. diet changes
2. physical activity changes
3. infections
4. steroid use

raat main , khanay main , diet ka khiyal rakhain.

apki Hba1c improved hai . pareshan nahi hoo.

3 say 6 mahinay baad Hba1c repeat kiya ja Sakta hai.

Dr. Mohammad Abid Shahwar · Answer

much better than before but advised to take zanaryl tab 1 mg  1/2 hr b4 dinner. plz tell dose of Tagipmet & Neodipar, if taking Tagipmet 50/500 2 time then take Neodipar during lunch

Dr. Homayoun Sheikh · Answer

do FBS and OGTT

Dr. Mirza Inam Ullah · Answer

continue this dose just focus on diet and exercise on regular basis

Dr. Kishore Kumar · Answer

Nahen yeh theek nahen hai weight kam ho gaya hai you need Basal Insulin plus oral hypoglycemic in morning

Asst. Prof. Dr. Hadi Hussain · Answer

yes it is high , please shift to repaglinide

Dr. Hiba Tauseef · Answer

just keep record of you daily Blood sugar levels
continue with tha same dose.... if u feel dizzy or hypoglycemic at times ... consult a physician near you
as it will require dose adjustment...
stay healthy

Dr. Muhammad Unis · Answer

Continue same treatment and repeat Hba1c after 3 months

Dr. Khalil Ur Rehman · Answer

Your treatment is on right track. Just continue dietary and drugs disciplines. Regular exercise and repeat baselines after one month

Dr. Waseem Khan · Answer

Book online consultation for proper guidance.
Regards

Dr. Waleed Ahmad Khan · Answer

kindly visit your nearest endocrinologist for a review.

Dr. Ittehad Ul Mulk · Answer

Continue and repeat hba1c aftr 3 months also keep recording ur rbs/fbs plus make diet changes for further bringing down the levels&hellip; nd its still raised

Assoc. Prof. Dr. Dr Muhammad Farooq · Answer

the plan needs to be optimised..pls visit me with all available medical record if you are in Lahore

Dr. Inamullah Jan · Answer

Please visit your Diabetologist for proper treatment plan.

Dr. Mehwish Anwar · Answer

you have not mentioned dose and time of your medicines that's why it's difficult to guide about treatment adjustment. Post it again or consult directly. Meanwhile take care of your dinner diet...reduce portion, have dinner 3-4 hrs before bedtime and go for a walk before going to bed.

Dr. Ali Raza · Answer

continue current treatment and keep record of your sugars
repeat hbA1c after three months
lifestyle modifications ( diet plus exercise) should also be ensured

Dr. Afsheen Naeem · Answer

make a chart of 1week of your random blood sugar in after noon and night after meals and fasting blood sugar (fast for 8hours from 12 to 8 am) and then visit diabetologist for dose adjustment

Dr. Aasim Sharif Cheema · Answer

Your sugar is still not controlled.
you must follow proper diet plan if given, must do excercise and consult your visiting physician to make likely changes in medicine.

Dr. Muhammad Ahmed Yaseen · Answer

Nahi 150 high hai doctor prper antidiabetic nh chala raha online consultation book karein apna regime change krne k liye proper krene k liye

Asst. Prof. Dr. Ameem Gillani · Answer

Fasting sugar level 126mg/dl sey low normal hota ha
Need good diet control and exercise
Along with little increase in medicine if fasting not improve with diet and exercise

Dr. Sabeen Bashir · Answer

150 fasting blood sugar is slightly increased if u take the tablets at night plz increase its dose alittle bit and ur random blood sugar is with in normal range so dontworry about that but still u have to walk for 30 minutes daily and diet control also

Dr Abdul Mannan Khan · Answer

Lets Discuss in detail
Book an appointment through Marham
Or discuss on whatsaap
0/3/4/5/3/0/2/4/1/4/4

Asst. Prof. Dr. Saadia Hussain · Answer

current medication list with the time of day you take it bhejein

Dr. Fareeha Atiq · Answer

Ap ki fasting blood sugar xada arhi h to that means u need to adjust your night medication.
try kren 8-9pm k bd kx b na khayeen. or subha early morning nashta kren. 30-60min walk kren.

apni current medicines ki list bhejen.

Dr. M Sanaullah Qureshi · Answer

detailed history needed for better outcome
https://www.marham.pk/online-consultation/general-physician/khanewal/dr-m-sanaullah-qureshi-042-32591427,
Book appointment online or call at
042-32591427, 042-32591427,
book consultation for as low as Rs 0 for today
ur issue would be resolved IA

Dr. Muhammad Kamran · Answer

ur control of sugar is best
best monitoring test is HBA1C which shows well controlled that should b 6.5-7
u need to continue same medicine.
for any further query plz contact.
thanks

Dr. Khawar Hussain · Answer

You need to to Visit endocrinologist for proper checkup with proper history and further management to properly treat the problem.

Dr. Shehzeen Arif · Answer

Agar apkay HBA1c levels itnay improve huay hain tou don't worry aise hi lifestyle modification kay through ap diabetes free bhi ho skti hain.
And its normal for diabetics to have glucose levels more than the normal range.
Raat ko chawal or meetha na khaien or thori walk or exercise apni life may add karain. In shaa Allah your fasting levels will improve as well.

Assoc. Prof. Dr. Muttahhar Asim Niaz · Answer

Not a surgery question

Dr. Sanober · Answer

are you taking only zenryl now a days ?

Asst. Prof. Dr. Nauman Wazir · Answer

Fasting 130 se neechay honi chahye

Dr. Ghazanfar Ali Riaz · Answer

Neodipar say jab control horahi thi or weight bhi kam hoa , HbA1c bhi normal range ki taraf jaa raha to medicine change kyun ki?

Dr. Muhammad Ishaq · Answer

150 kaafi ziada h.
apko daily exercise aur walk krni chahe. diet ka khayal rakhain. aur BSF plus BSR charting karain

Dr. Javed Qasim · Answer

it's normal, if you want to check fasting then it should be done in morning

Dr. Rasool Hakeem · Answer

yes 190 random blood sugar high haii .. apne zeenaryl 2 mg aik tablet raat bhi use karna ... proper walk karna aur parheez bhi karna haii ...jitna zyada apki physical activity hogi . Etna hi apka sugar control hoga

Dr. Pawan Kumar · Answer

ap ki suger control h aur hba1c b sahi ho gya h continue same medication

Dr. Sakina Fatima · Answer

yes 150 fasting is high. Are you taking only zeenaryl these days? give detailed history.
you can take tablet diampa 10 mg once daily

Dr. Maryam Naz Khan · Answer

Continue the same treatment with a chnage in dietary habbits and life style modifications! 20mints walk three times in a week, avoid Rice and Cold drinks and Sugar in tea or drinks! HbA1c is nearly normal.! Fasting 150 is little high i should be 126 ! Neodepar 500mg two times will work better! Along with zeenarly!

Dr. Muhammad Bilal · Answer

ap key sugar nihar moun ya bhokay pait 126mg/dl sey ziada nae honi chahiye
110mg/dl sey neeche rahay to ideal hey
sugar hamesha khanay sey pehle ya nihar moun check karein
khanay peenay Ka ek hey schedule rakhein
meethi cheezon sey parhez karein

Abdullah Khan · Answer

Normal Sugar Level Fasting mein 100 se kam hota he. Aor Khana Khaney ke 2 ghantay baad 140 se kam hona chahiye.

Behtar tareqa ye he ke 2, 3 din tak 6 Levels Check kiye jaein jis se exact pata chal sake ga ke sugar kis time zyada rehti he. 6 Levels check karne ka matlab ye he ke din mein 6 martaba Sugar check ki jaye gi. Nashte se pahle. Nashte ke 2 ghantay baad. Lunch se pahle. Lunch ke 2 ghantay baad. Dinner se pahle. Dinner ke 2 ghantay baad.

Sugar control rakhne ke liye 1st line drug Metformin he. Jo Glucophage Tablet ke naam se aati he aor 500mg subah sham use ki ja sakti he. Lekin koi bhi dawai doctor ke mashware ke baghair start nahi karni chahiye. Kyunke dose waghera aap ke Sugar Level ko dekh kar rakhi jaye gi. Aor sath sath khane peenay mein Parhez waghera ka bhi bataya jaye ga. Agar sugar level mamoli sa zyada ho to Life Style mein tabdeeli se bhi Sugar Control ho jati he. Misaal ke tor par walk karna, wazan kam karna aor khurak mein jo doctor bataye wo khana aor jis se mana kare usay kam se kam estemaal karna waghera.

Dr. Javeria Siddiqui · Answer

no it's normal.

Dr. Mansoor Ul Hassan · Answer

its nothing to worry  just continue your medcine and feel free for advise

Dr. Ihsan Ullah · Answer

Keep Regualar monitoring of Fasting blood sugar and random blood sugar, HbA1c after 4 months, Fasting upto 130 is good and random upto 160 is good

Dr. Muhammad Fahad · Answer

rat ko khany se phly b zeenaryl 2mg start kar den

Dr. Mohammad Asif · Answer

please update details

Dr. Usman Mehboob Awan · Answer

plz adjust your medicine

Tab Glucophage XR 500mg
one tablet in morning with meal

Tab Getryl 2mg
one tablet before dinner

Then check your blood sugars
target# HbA1c = <6.5
FBS< 120
RBS<180

Dr. Muhammad Saud Khalid Khan · Answer

Aam Toor par ek sugar kay mareez ka khali pait sugar 140 say Kam hona chaheyeah aur bharay pait 180 say Kam magar sugar ka taluq ap kay khanay kay sath zeyada up down hota hai agar ap raat ko aisa khana khain jis ka glycemic index Kam ho Tu subah ap ka sugar Kam aye ga magar ap ki situation ko daikhta howe ap ka sugar abhe theek chal raha hai magar sugar la record khanay ki tarteeb kay sath ek doo din check kar lain Tu InshAllah ap ko andaza ho jaye ga kay kiss khanay say ap say sugar theek chalta hai Umeed hai ap ki pareshani khatam ho gaye hogi

Dr. Madeeha Qamar · Answer

apko chahiye k ap Apne diet ko adjust krn Raat k wakt zyade heavy meal na ln aur apny meals ko divide kr k ln..tab tagimet sbh sham aur tab zeenaryl continue rkhn kyn k apka hbA1C Kafi improved h

Dr. Gulshan Zahra · Answer

Fasting 120  s kam honi chahae. Ap yahi prescription continue krn or BSR ka record rkhen..3 months bad HBA1C krwain

Dr. Zeeshan Amjad · Answer

continue same treatment with diet control and physical activity, do regular exercise and walk.repeat hba1c after 3 months.

Dr. Sadia Mahmood · Answer

Aoa
Please share your complete meals and medicine with dose and time

Dr. Ratan Kumar Sangtani · Answer

appreciate your concern
actually you are right , aap ki HbA1c 6.8 tou reasonable hai , aur agar wo 10.2 se kam hoe hai with Neodipar and tagipmet now i will suggest you ka rather than taking Zeenaryl , aap Forxiga 10 mg (SGLT 2 inhibitor) start karain agar aap ki fasting and Random sugar ziyada aarhe hai tou
and let me know your recent HBA1C result , keep conitiue walk and diet control as well.
Kind Regards
feel free to ask any question
Dr Ratan kumar
from Kuwait working as Diabetologist

Dr. Mehwish Abrar · Answer

w.salam ..
yes fasting sugar 150 zada hai ..
random sahi hai
apki HBAIC 6.8 sahi hai..ap raat mein kya leti hain meal mein ye hamen batayen aur raat ko khon se medicine leti hain sugar k ??

Dr. Waqas Raja · Answer

8 se 10 ghante Bhukha Rahane ke bad fasting blood sugar check ki Jaati Hai jo ki 120 se kam honi chahie aur khane ke baad 200 se kam honi chahie. according to your information fasting blood sugar of 150 milligrams is high so you should perform blood sugar level charting for one week before Consulting a doctor.
check blood sugar at following Times daily for one week:
1. fasting blood sugar k fasting duration 8-10 hrs
2. random blood sugar before dinner

write down these readings for one week on a paper and then consult a medical Specialist, and keep taking your prescribed anti-dabetic medications

Dr. Ahmad Waqas Lashari · Answer

ap ise tab zeenryl ko BD mtlb suba sham lain ..sham khny SE pehly b lain .ap ki Raat wali mtlb post prandial aur fasting dono thek ho jain gi.

Dr. Najia Tul Qasim · Answer

An important part of your treatment is physical excercise. Make sure to walk 40minutes a day... (Start off with 5-10 minutes initially), this will help in regulating your blood sugar spikes. Your treatment plan is designed to adjust your blood sugar levels within a safe range. It is fine to have it on the upper side in evening and night to avoid hypoglycemic events overnight. Follow up in clinic with HbA1c every 3 months. Remember to Get urinary microalbumin and retinoscopy done yearly to prevent and timely manage microvascular problems that develop in uncontrolled diabetes.

Dr. Sadia Shahzadi · Answer

دوا کو اثر کرنے میں وقت لگتا ہے۔۔اس لیےکم از کم ایک ہفتے کیا ریکارڈ بنائیں

Dr. Ali Asif · Answer

yes its a little bit high par zayada nhi ap apne life style change kr k is ko zayada behter control kr skte h apni diet m protein wali cheezo ka istamal zayada kre baqi waqt k sath behter ho jae ga sab

Dr. Sameeta Bai · Answer

yes 150 fbs is raised.
its called somogyi effect.
ap ne apni dinner light rakhni hai..
aur ap neodipar 500 wali after dinner bhi len.. INSHALLAH after dinner rbs aur fbs dono improve hojaegi

Dr. Muhammad Shahid · Answer

Your blood sugar is bit uncontrolled  ,you should follow dietary plan and exercise with your current medication morning zeenaryl 2mg and neodipar 500mg at night check your fasting and random blood sugar routinely

Dr. hadiya · Answer

Better than earlier.
Follow treatment for 3 months and make records on a daily basis .
After 3 months, repeat HbA1C.

Dr. Muhammad Farhan Liaqat · Answer

fasting blood sugar levels are considered normal with maximum upper range of 125mg/dl.
(80mg/dl-100mg/dl) NORMAL
(100mg/dl-125mg/dl) Pre-diabetic
but to address your query, a doctor needs your following info
1.age
2.weight
3.previous medicines that you take for any other ailment( as there are certain drugs that can increase your blood sugar levels, stopping those will solve the issue).
4.Diet routine
Hope this gives you some insight about your issue.
Thanks and regards
DrFarhan

Mehwish · Answer

There could be a lot of factors involved in the fluctuations. Apki proper history aur review k baad apka proper advise ker sakenge. Book an online consultation for complete review

Dr. Tahir Husnain · Answer

Ap ki ya sab reading acceptable hai, dose adjust karni hai medicine ki and make a good diet plan for your Diabetes.

Dr. Ayesha Naveed · Answer

Hi , first of all the positive thing is that your HbA1c has improved . All credit goes to your weight loss .
1. Keep doing exercise / brisk walk for atleast half an hour a day will help in steady production of insulin .
2. Your doctor will gradually increase the dose of zeenryl . So maintain a chart and share it with your doctor .

Apki readings bohat high nahi hen. You are improving.

Dr. Muhammad Usman Javed · Answer

sbbse pehlay aham bat ye k ap ka hba1c bohat behtar ho gaya ha almost normal I'd ka matlab ha k bohat ziada improvement aai ha. agli bat ye k ap tagipmet ko neodipar se switch ku kia? koi side effect tha?

Asst. Prof. Dr. Ahmed Zeeshan Chughtai · Answer

Asalam o alaikum... apki fasting suger 100 ya maximum 120 honi chahya and random suger particularly at night should be 140 to 150 mg/dl. Apka wight bhe bohat kam hogia ha . you need cosultation to review your medicines . regards

Dr. Hammad Ahmed · Answer

150 high hoti hai fasting sugar. adjust night time doses

Asst. Prof. Dr. Murad Ali · Answer

Agar apka weight itna ziada kam hogia hai to you need to be started on insulin.. Better to consult an endocrinologist on time

Dr. Sarmad Ali · Answer

yes ap ki daily readings ideal nh hein, treatment still need to be optimized

Dr. Syed Daood Hashmi · Answer

Apko rozana sugar check krny ki zrurt nhi. Bs subha khali payt sugar check kia kre mahinay baad aur 6 mahinay baad HbA1C. medicine regularly khae aur excercise daily kre. ap ki direction sahi ha

Dr. Nadir Hussain · Answer

Ye ap ki food py bhe dependent hy agr ap sugar use kr rhy hain aur junk food kha rhy hain tu phr dubara HBA1C barh jaey ga agr ap ki food balanced hy tu phr sahi hy

Dr. Hira Riaz · Answer

jis ka hba1c bht high hota hai usko normal mei aney mei tyme lagta hai .apki fasting or random sugar set hony mei or tyme lagega. bas apni diet diabetic wali rakhain. random apki thek hai .dnt worry .hba1c apka 5 tak ana chahiye.

Dr. Asad Ur Rehman · Answer

G ap theak keh rahi han..fasting 150 mg ziada ha..Ap zeenaryl 2mg rat sone se pehle bhi le sakti han .

Dr. Asad Ur Rehman · Answer

G ap theak keh rahi han..fasting 150 mg ziada ha..Ap zeenaryl 2mg rat sone se pehle bhi le sakti han .

Dr. Asad Ur Rehman · Answer

G ap theak keh rahi han..fasting 150 mg ziada ha..Ap zeenaryl 1 mg rat sone se pehle bhi le sakti han .

Dr. Sana Salman · Answer

Your night time medicine needs to be adjusted.

Dr. Sumera Ijaz · Answer

continue same medicine.

Dr. Asma Suleman · Answer

In the start of treatment this level random RBS is totally fine. We have to be very near to normal range

Dr. Hafeez Ur Rehman · Answer

150 is not so high you need to focus on dietary plan

Dr. Shafi Ullah Khan · Answer

Weight kam honay ka matlab he aap ko insulin ke zaroroat he. Zeenaryl se sugar control he magar aap SIDD category se hain. Bohat jald aap me insulin k zakheera khatam kar de ga ye zeenaryl or phir aap ko din me 4 baar insulin laganee paray gee

Dr. Safdar Hussain · Answer

Kindly use Tagipmet 50/500mg subah aur sham aik tablet, Tab. Getryl 2mg also two times a day, in morning and evening and eat short frequent meals and do brisk walk daily and keep strict dietary control regarding diabetic diet. It will be Controlled In Sha Allah.

Dr. Ahmad Imran · Answer

abhi ap sirf zeenaryl 2 mg lay rhi hen ya baqi 2 medicines bhi lay rhi hen?

Dr. Qurratul Ain · Answer

manage your diet properly, walk daily and start Tab. glucophage XR 750mg at night.

Dr. Muhammad Jahanzaib Malik · Answer

there is no need to panic. start a night walk routine after dinner. that will definitely help control the RBS and fasting sugar level.

Dr. Muhammad Usama Shahid · Answer

apki ye readings bilkul theek hn,, don't worry

Dr. Surgeon Syed Muhammad Azeem · Answer

refer to endocrine specialist

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