Recently Answered Questions
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Why has the sugar level not reduced after taking Dibizid M?
Query: Hello doctor, My mother has diabetes for the past 10 years. She has been on Dibizid M (twice a day- morning and night) and the sugar levels had been under control until the past few months. A few months ago her sugar levels went up and here before food reading was 220 mg/dL, while after food it was ... Read Full »
Answer: Hi, Welcome to icliniq.com. The medicine is fine. Divide her diet in six portions and decrease fat content as low as possible. Read Full »
My mother is type 2 diabetic and her level is not dropping even after using medications. What to do?
Query: Hello doctor, My mother has diabetics type 2. Currently, she is using Metformin 500 mg two times a day with Glibenclamide. The problem is it is not dropping as before. Can you please help with other medications or tablets? Read Full »
Answer: Hello, Welcome to icliniq.com. Your mother needs some different medications, Glimepiride 3 mg before breakfast, Sitagliptin Metformin combination of 50/850 twice daily after meals. Decrease fats in her diet, avoid fast food. Increase physical activity if possible. Sugary things should be avoided alt... 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 »
Why is my husband's sugar level consistently high despite taking medicines?
Query: Hi doctor, My husband has diabetes for the last 10 years. He is currently on Amaryl M1. He is living a sedentary lifestyle. For the past few months, the sugar level is always high despite the medication. The fasting blood sugar value was around 169, a week back. His other tests like triglycerides... Read Full »
Answer: Hi, Welcome to icliniq.com. I went through your post and investigations (attachment removed to protect patient identity). I would suggest a stepwise approach. As the blood glucose level is not controlled on Amaryl M 1, increase the dose to Amaryl M 2 (Glimepiride and Metformin), one tablet in the m... Read Full »
Query: Hello doctor, I am 26 years old. I recently found out that I have PCOS by taking some blood tests and ultrasounds. I noticed that I have a medium-sized cyst on my ovaries. So the doctor has given me birth control pills and a few packs of Metformin. I am worried about the cyst. Please give me advice... Read Full »
Answer: Hi, Welcome to icliniq.com. PCOD is best to be diagnosed by history and never by ultrasound. It will be overdiagnosed. If I may explain - polycystic ovarian disease (PCOD) is a congenital condition. I mean, it is a genetically programmed condition. You get it from your parents. When you suddenly ... Read Full »
For 7.5 HbA1c level, should Gemer 1 tablet be continued?
Query: Hi doctor, Last month, my HbA1C was 7.5. I was advised to take Gemer 1 tablet before breakfast for 30 days. My LDL cholesterol is 119 mg/dL, HDL is 40mg/dL and triglycerides 161 mg/dL. My age is 49. Should I continue Gemer 1 along with other medicines? Kindly suggest. Read Full »
Answer: Hi, Welcome to icliniq.com. With an HbA1C level above 7, you have a confirmatory diagnosis of diabetes mellitus. Therefore, you should receive full diabetic management, including diet modification, regular exercise, and medication. I recommend taking tablet Gemer 1 mg (Glimepiride) lifelong, along... Read Full »
I have weight gain due to PCOS. Please help.
Query: Hi doctor,I was told I have PCOS after a scan but after telling the doctors something was wrong as I kept gaining weight. I was put on Metformin but I started gaining even more weight so I stopped taking it. My facial hair increased and I still had very slow weight loss. I then started taking it aga... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that you have PCOS (polycystic ovarian syndrome). Yes, it is common to have weight loss with Metformin therapy and it is actually very good for you. You see Metformin decreases insulin resistance whic... Read Full »
I have PCOS, and I am trying to conceive. Please help.
Query: Hi doctor, I have been diagnosed with polycystic ovary syndrome and, also trying to conceive for more than three years ago. I consulted a doctor and he has prescribed me Metformin hydochloride. However, it has been three months since there have been no signs of a period. This Metformin hydrochloride... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for your query, Menstrual irregularities could be due to hormonal imbalance cause by polycystic ovarian syndrome. Polycystic ovarian syndrome is a endocrinal disorder in which hormonal imbalance will be there due to cyst in ovary, facial hair growth and weigh... Read Full »
How can fatigue be managed in a patient taking Metformin?
Query: Hello doctor,My father's age is 60 years and is a patient of type 2 DM. He is also a patient of hypertension with an abnormal lipid profile. His RBS is now 360 mg/dl. He is suffering from extreme fatigue although BP is controlled by anti-hypertensive drugs. In this condition, how can we manage fatig... Read Full »
Answer: Hello, Welcome to icliniq.com. Looking at RBG given (360 mg/100 ml), he has totally uncontrolled diabetes. When this happens there is a lot of glucose lost through urine, leading to excess urination, excess thirst and excess hunger. Plus there is unexplained weight loss and severe tiredness. The r... Read Full »
I have a lot of facial hair. Please help.
Query: Hello doctor, I am a 32 year old female. I have PCOD. My doctor prescribed me Fertiplus tablets containing Myo-inositol and D-chiro inositol. But, I cannot afford it. Please suggest me a low-cost treatment. Read Full »
Answer: Hello, Welcome to icliniq.com. The easiest and cheapest way for you to get healthy is by lifestyle modification such as diet and exercise. Try losing weight. You need to lose 20 kg. Weight loss itself will improve the symptoms of PCOD (polycystic ovarian disease). Take Calcium tablet like Shelcal-... Read Full »