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Stroke and diabetics

2025-11-20 17:40:46
Mother got mild TIA. Fasting sugar : 147 mg/dL Hba1c: 7.67 BP: 135/78 Medications: Metaformin 500 mg twice a day, Glimepiride 2mg before dinner, Ecospirin gold 20 before bed, Eltroxin 100mg Kidney test reports very much Ok. Egfr: 89.83 Want to avoid glimepiride due to TIA episode. Please suggest alternate Medications for diabetics to be bring values under control.
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Answers (5)

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Rx Tab metformin 500 mg OmBD BBF Tab Empagliflozin 10 mg OD Tab Ecosprin gold 20 mg od Eltroxin 50 mg Id ( hypothyroidism  )

Answered2025-11-22 09:11:03

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Without proper examination it’s not in the interest of patient to prescribe medication here. Please consult a local physician and get a prescription proper

Answered2025-11-22 08:30:57

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Pl consult, as new drugs have come in to market. Pl consult.

Answered2025-11-22 14:15:24

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2025-11-22 13:04:37

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Option 1 Metformin + Teneligliptin 20 mg once daily Option 2 (best for heart/brain protection) Metformin + Empagliflozin 10 mg once daily Option 3 (strongest control) Metformin + Teneligliptin + Empagliflozin (Only if sugars remain high after 3 months)
Next Steps
Recheck Fasting, PP sugars after 2–3 weeks of changing medication. Repeat HbA1c in 3 months. Maintain BP below 130/80, as it is crucial after TIA.
Health Tips
Avoid skipping meals to prevent low sugars. Maintain hydration if taking SGLT-2 inhibitors. If dizziness, weakness, or confusion occurs → check sugar immediately.

Answered2025-11-22 08:41:29

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