Diabetes type 2

1 – I am a Diabetic type2 person whose heart’s bare metal stenting was done in August 2013. My present Labs test reports of blood are as below. Blood sugar fasting 91, PP 104, HbA1c 5.4%, Hemoglobin 14.4, Creatinine 1.1, Cholesterol 156, Triglycerides 110, HDL 36, LDL 98, VLDL 22, T calcium 9.2. All readings are in mg/dl. At present I am taking Glemiperide 1 mg od half an hour before lunch & Metformin SR 750 mg od after lunch. Please advise in view of my above blood sugar reports can I stop to take Glemiperide 1mg od & alter the dose of Metformin SR od from 750 mg to 500 mg od. 2 – Can I take Ecosprin 150 mg od & Atorvastatin 10 mg od together after dinner or these should be taken separately ie Second medicine should be taken after half hour of first medicine taken.Please also comments on my other test reports.  Dt of birth – 21-12-1948 Height – 5 feet 4 inch Weight – 57 kg, waist -32 inch, Body mass index 21.3 Blood group – B+ Other Medicines using – Urimax – D 0.4 mg hs Vitamin E capsule od, Calcium with vitamin D tablet od Cremafin 30 ml hs / Isabgol husk 10 gram hs for remove Constipation.
Diabetes glucose meter and healthy organic food - Copy

Answered
Family Physician

Answers ( 13 )

  1. Hello,
    Welcome to medimetry.
    Thanks for the query.

    I really appreciate the brief description that you have given regarding your medical history.
    All the parameters are good and you are on good medications.
    I would suggest you to continue the same.
    If at all you are inclined to reduce your medicines, you can take a glimipride metformin combination available as Gluconorm G1 and a aspirin atorvastatin combination ecospirin av 150.
    If you are facing hypoglycemia you may consider omitting glimipride.
    Most importantly make sure you follow a diabetic diet and exercise daily for at least 30 minutes.
    Get your routine check up done atleast once a month.
    Let me know if you have any more doubts.
    Wishing you good health!!
  2. User
    I am a 67 yrs heart patient, (height 5'4", wt57 kg, blood group B+ waist 32", body mass index 21.3), faced MI on Aug1995 (present EF is 45%) & Bare metal stenting in 90% blocked LAD on Aug 2013, & B.P.H.patient(Present Prostate gland Grade2 volume 44.16 ml) since Aug 2000, taking at present Ecosprin 150mg od,Atorvastatin 10 mg hs, Ramipril 2.5 mg od, Urimax- D 0.4 mg, Glemiperide1mg od& Metformin SR750 mg od. My present Lab's test reports are - Cholesterol 156,Triglycerides 110, HDL 36, LDL 98, VLDL 22,T. Calcium 9.2, Hemoglobin 14.4, Creatinine 1.1, Urea 31, Blood sugar fasting 91, P.P.104 (all readings are in mg/dl), HbA1c 5.4%. Due to long use of above medicines I am suffering with side effects of these in the form of Chronic hard stool type Constipation & Itchness on back side spine & surrounding. In view of my above Labs test reports & to minimize side effects can I take from today Ecosprin 75 mg od dose in place of it's 150 mg od dose & can I take Atorvastatin 10 mg hs & Ramipril 2.5 mg od medicines on alternate days or after skipping one day. For controlling Diabetes 2 can I stop to take Glemiperide 1mg & change the dose of Metformin SR 750 mg od to 500 mg od from today.Thanks.
  3. Chronic hard stools and constipation are more due to gastroparesis associated with diabetes and not as a side effect of all the drugs.
    You can definitely not skip medications for blood pressure and cholesterol as this could be hazardous for you.
    Please do not change your medicines yourself.
    As I already said you can try omitting glimipride after consulting with your doctor and checking blood sugars frequently.
  4. User
    Dr Madam,
    What is Gastroparisis associated with diabities, please clearly define. For removing Constipation I am taking at bed time some nights Cremafin syrep 30 ml, Some night I take Isabgol husk 10 ml with Luke milk, some nights Tirfla churn.I take fibre diets & drink 4 lt water in a day. At morning drinks One glass Luke water do yoga half hour & walking. Please intimate how I overcome to my Constipation. My stool comes in Small pieces, sometimes in the shape of small balls & comes out on applying much pressure, due to this I am suffering with Left Inguinal Hernia since April 2014. I wear left hand side pressure pad type Hernia belt in whole day.Please advice which types of Hernia belt should I wear, left hand side pressure pad type or both left & right hand side pressure pad types? Thanks.
  5. Gastroparesis is a condition in which the spontaneous movement of the muscles (motility) in your stomach does not function normally.

    Ordinarily, strong muscular contractions propel food through your digestive tract. But in gastroparesis, your stomach's motility works poorly or not at all. This prevents your stomach from emptying properly.

  6. I would suggest you to meet a gastroenterologist to help you with your constipation as you are already doing everything for it.
    A colonoscopy might clinch the cause.
  7. Belt is for your comfort only, so use the belt which you feel better.
  8. User
    Dr Madam,
    I went last year Delhi for colonoscopy, where Doctor advice me to take Cremafin 30 ml in morning also for passing motion. After taking this motion was passed. I am a diabitic type 2 person, due to this at present I am taking 4 Priya gold marie lite Biscuits at morning & evening with tea.Sometimes I take Rusk with tea. These buiscuits & rusk are made of Ararote with sugar & Maida with sugar. Please advice that to avoid Constipation & sugar what should I take with tea on breakfast. Can I take Laiya & bhune chane on breakfast morning & evening in my Constipation condition safely.




    year Delhi for colonoscopy
  9. User
    Comments are as above. Please delete last sentence year Delhi for colonoscopy
  10. You should definitely avoid anything made of maida and sugar.
    You can take sprouts or upma for breakfast.


  11. Here is a sample diet to help you understand the diet. Early Morning: Green tea ( sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits ( avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
  12. User
    Pl suggest the name/ brand of high fiber, without sugar biscuits which I can eat at morning tea at 5 am 3.5 hour before breakfast. Can I eat Laiya & chana when I feel hungry at morning & evening. Can I mix one sugarfree tablet in tea, because I can not drink tea without it. Is daily taking Cremafin 30 ml or Isabgol husk 10 gm at bed time for removing Constipation is harmful, because I am taking these since last 2.5 years. On every morning I take empty stomach Meethis seeds wetted in water at night, Kari patta, neem's 4 patte, sadabahar 10 flowers & it''s patte, alovera for controlling my blood sugar.Is taking these alternative things are useful in controlling Diabities 2. Thanks.
  13. You can take Obicure Oatmeal Sugar Free Cookies and also eat rice puffs and chana in moderation.
    You can continue your home remedies and try to stop cremaffin plus daily intake..