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My grandmother,85 yr old,k/c/o HTN,DM,IHD,CKD is on Tab Amlo & Tab Tormesimide 10 mg each OD,Tab Glimy 1 mg OD,Cap Ecosprin 75mg OD,Tab Prazosin OD. Day B4 yesterday,she became drowsy & she went into hypoglycemia. V did sugar testing every 2 hourly Wich came up to 36,43,74 inspite of gvng lots of sugar. She had take all her tablets day B4 yesterday.Yesterday v did sugar testing every 2 hourly with additional sugar,have not given tablet Glimy yesterday...Her reading have progressed to 106,137,193,225.Today we have stopped giving sugars to her,B4 breakfast i.e empty stomach sugar was 100,post breakfast it was 225. B4 lunch it was 126,now we will again do at 4:30. I m a physiotherapist by profession so monitoring everything...Can u please help me & tell me what shud u do?? V stay at Dombivli & none of the doctors are ready to take up the case. Thank you
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At the age of 85 years low sugars is more dangerous than high sugars, get her hba1c tested, if high she needs treatment with drugs with better safety in ppl with kidnEY problems... stop glimiperide for now
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consultation with a physician and few blood tests
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Ur grandmother doesn't need strict control of sugars because of her age and comorbidities..for CKD patients glimy is not advisable..she needs more short acting tablets..her target sugars should be 140-180 mg/dl
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consult online for further help
I have three years of experience
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Instead she should be given insulin judiously .
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Hello,
She has to take proper diet as advised by doctor.
If she is not taking food you stop glimy 1mg at that time because it will cause hypoglycemia.
She can continue other medications as per advice.
She needs complete evolution in hospital.
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Urine routine and ketone should be done,FBS AND PPBS ,HBA1c .
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consult online for further queries
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Dr. Sanjeet S B
General Medicine
6 yrs exp
Bangalore
Get hba1c done... If within normal limits... No need for glimy or insulin... Still daily sugar levels not under control and If difficulty in using insulin... Tenepride 20 can be used... It has good renal safety and no chances of hypoglycemia...
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Consult if any further queries
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Dr. Anil Kumar Jain
General Physician
9 yrs exp
Bangalore
In view of her CKD, I wouldn't want to control sugars with glimy .. insulin would be better.
Get her tests done for CBC, urine complete,RFT With Sr. Electrolytes.
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Dr. Nandkumar Ukadgaonkar
Neurologist
49 yrs exp
Aurangabad
In presence of CKD, glimepride should not be taken. Hence stop it, monitor blood sugars without any antidiabetics and if found raised, control with insulin.
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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.