Recently Answered Questions
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My diabetes is not under control despite taking medications. Why?
Query: Hello doctor,I take GP3 before lunch and dinner, Obimate SR 1 gm after lunch and dinner, and Tryglynase 2 before breakfast but my diabetes is not coming under control. I have attached my report. Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. There are three ways to control diabetes. Diet, exercise, medicines (oral or Insulin). No matter how good your blood sugar reports are, you should definitely follow a strict anti-diabetic diet and do regular daily aerobic exercises like wa... Read Full »
What is an alternative to Lantus in controlling blood sugar level?
Query: Hello doctor, I have moderate NPDR and I am diabetic for the last 15 years. I am 189 cm tall and weigh 89 kg. I was taking fast acting insulin Humalog 25 and tablet Tragenta Duo 1000 1-0-1 for the past 2 years. After I found NPDR, I shifted to Lantus as the doctor said NPDR can cause sudden variat... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. NPDR (nonproliferative diabetic retinopathy) is one of the common complications of diabetes. We cannot prevent it completely, but we can delay it for years. Our target is to delay the proliferative phase by controlling the blood sugar level. Regarding your medications,... Read Full »
I am type I diabetic. How can I treat hypoglycemia?
Query: Hello doctor, My doctor whom I had been visiting discontinued her practice. I found a new doctor with whom I am having problems. The doctor diagnosed me with diabetes 24 years ago when I was 39. I was tried on a couple of different types and dosages of pills, but I cannot remember the names and was ... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned, it appears that you indeed have type 1 diabetes. Regarding your hypoglycemia, I would suggest that you decrease the dose of NovoLog (insulin aspart injection) by two units in the morning and night. Your kidney ... Read Full »
Advise a diet plan to avoid diabetes during pregnancy.
Query: Hello doctor, I am 26 weeks pregnant. This weekend I had my glucose tolerance test (3 hours) and on which I failed badly. My fasting numbers were 172, 325 and 318. I know they are bad, but my doctor never told me to follow a strict diet of three to five days prior to the test. In my pregnancy, I ha... Read Full »
Answer: Hello, Welcome to icliniq.com. You are suffering from gestational diabetes mellitus without any doubt. As per IADPSG criteria (International Association of Diabetes and Pregnancy Study Group) and DIPSI criteria (The Diabetes and Pregnancy Study Group India) both makes you overt diabetic. These le... Read Full »
I am a 30-year-old female with prediabetes. Please help.
Query: Hi doctor, I am a 30-year-old female suffering from some close to diabetic levels. I usually started to get a full-body check-up after pregnancy. My fasting blood glucose is pointed to 120 mg/dl. Can I reverse my diabetes doctor? My mother-in-law suggested with ketogenic diet as it has been proven t... Read Full »
Answer: Hi, Welcome to icliniq.com. The ketogenic diet is extreme. I suggest you follow a diabetic diet. Avoid sweets and extra sugar, exercises regularly, and monitor blood sugar weekly. If you cannot control blood sugar levels, then you should start anti-diabetic medications. Thank you, Read Full »
Can my diabetes be controlled by walk and diet alone?
Query: Hello doctor, I was feeling angry and very consistent in the urine. I decided to check my blood sugar level. I was in fasting regularly. Meanwhile, I was under extreme stress pressure due to my job problems, I consulted with the doctor and checked the blood sugar level, and it was 391 with fasting w... Read Full »
Answer: Hello, Welcome to icliniq.com. Your test of HbA1c (glycated hemoglobin) is too high. It is good that you have controlled your sugar with diet and exercise. But you should take some safe medication. But to control your sugar, you need some more lab test. Now you can start a formula of Sitagliptin a... Read Full »
I seek your advice for my father's blood report. Kindly help.
Query: Hi doctor, I have enclosed the preventive blood test reports of my father. I seek your advice for the test report. Read Full »
Answer: Hi, Welcome to icliniq.com. According to the reports (attachment removed to protect patient identity), he has type 2 diabetes with dyslipidemia and iron deficiency anemia. All these can be managed with lifestyle modifications along with some drugs. I would advise daily brisk walking for 45 minutes... Read Full »
I have had diabetes for five years. How to manage my blood sugar?
Query: Hello doctor, I am a 50-year-old male who has been dealing with diabetes for the past five years. I am looking for guidance on lifestyle modifications to manage diabetes better. Can you provide information on the latest research or developments in diabetes management? Is there a cure for diabetes, a... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Diabetes is a lifestyle disease that can be managed by lifestyle modification and weight management. Taking medication to control blood glucose is also very important. Daily exercise for half an hour and a strict diet avoiding oily, fried, su... Read Full »
Kindly help me with some treatment options to reduce my sugar level.
Query: Hi doctor,I am 41 years old with a weight of 207 pounds and a height of six feet. Today I brought a glucometer and checked my sugar levels. I had a blood sugar level of 220 mg/dL. Kindly suggest some measures to reduce my sugar level. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through the details given. Having a random blood sugar of 220 mg/dL is quite high than the expected level. A normal person should have a fasting blood sugar of less than 100 mg/dL and postprandial should be 6.5 percent. This gives you a clear idea. For takin... Read Full »
Please suggest a regular diet plan for a diabetic patient to maintain the sugar level.
Query: Hello doctor, My father, aged 65 years, has been suffering from diabetes for more than eight years. He was using insulin injection, 20 ml in the morning, and 12 ml at night. A recent blood test shows that the RBS value is 265 mg/dl, and the creatinine value is 2.1 mg/dL. Now, as per the doctor's adv... Read Full »
Answer: Hello, Welcome to icliniq.com. I understood your concern. Since your father's blood glucose level is not under control, the doctor is right in increasing his dosage of insulin. His weight is a little on the higher side. A reduction in weight can help both his diabetes and blood pressure readings. ... Read Full »