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Diabetes , Hypertension
Mt mother Age 65 yrs old, is undergoing treatment of Hypertension and Diabetes type 2. Her Renal function tests , Ultrasound (whole abdomen pelvis and kidneys)are normal, HbA1c level is 11.8. Now doctor advised him tab Olmisartan40+Cilidipine 20--BD dose, tab Glimipride+Metformin 3/1000 BD dose and tab. Voglibose 0.3 mcg BD dose.
Now Bp is in control(180/110 to 140/90).
Blood sugar levels 150 fasting (morning) and 180 PP in night( after dinner).
She falled in hypoglycemia 2 times in last month after this new prescribed medication, real cause of hypoglycemia was insufficient diet intake,other wise good response.
What should we do......
1. Re-adjustment of dose or
2. Change medicine
3. Doctor also prescribed aspirin 75+ Atovastatin10. Is it justifying when 2D ECHO is normal,LVEF 60℅.
Answers (2)
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Dr. Sheetal Aversekar
Diabetologist
14 yrs exp
Mumbai
Neither. It is better to ensure that she has adequate food intake as we already know the cause of hypoglycaemia. Let the sugar level get slightly better controlled before the medicines can be changed/reduced.
Atorvastatin plus aspirin is justified in her case.
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Dr. Rakesh Parikh
Endocrinologist
23 yrs exp
Jaipur
Atorva + Aspirin is justified for primary prevention in this case. If she is developing hypos her dose surely needs to be reduced. But that depends on various factors like timing of episodes
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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.