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CGM results Help
Hi Sir/Mam,
Attached my CGM results for the past 14 days. Please check and advise, if i can manage with good diet(avoiding sugar also) and strengh training...my BMI is 22.
I am facing lot of side effects with multiple medicines (Glimepiride, Dapaglipzin, Vildagliptin) like low sugars, Acidity, Low energy, Gas, Bloating etc., for the past 1 year...
So wanted to check my daily control with CGM and attached results...it spikes and fluctuates and last 4 days I dint take medicines.am doing system work and WFH....
My HBA1C on Mar 6.4 and July 7.4..
Please help on this...
Answers (5)
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Need to continue medication
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consult for detailed information
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I understand your concern regarding diabetes. The CGM is a good tool for continuous monitoring of blood glucose. In your results your average blood sugar is 148 but your blood sugar levels peak post meal. Carbohydrates restricted diet and exercise could help but that could be assessed only over long periods of monitoring.
Next Steps
i would suggest you to just start with Metformin sustained release tablet once daily with sugar monitoring. this will improve the insulin sensitivity and decrease the HbA1C. You can consult for further assistance.
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You are diabetic of sure, diet exercise and medication will bring under control. As you mentioned about medication you are on to but still sugar levels are high that means your diet is not properly controlling your sugar . You need to do more of hard work diet control for sugar control. Discipline approach will bring sugar levels down and also reduce medication
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Dr. Pratyush Kumar Mishra
Diabetologist
14 yrs exp
Patna
Hi,
It’s difficult to stop all the medicines at once. What you can do is to take those medicines which have less chances of hypoglycaemia and continue with lifestyle modifications.
Drugs like metformin, sitagliptin, DAPAGLIFLOZIN have less risk of hypoglycaemia compared to Glimepride. Dose needs to be adjusted based on your CGM profile.
Next Steps
Consult with all the reports and medicine dosage details.
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Continue lifestyle modifications
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.