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Stroke and diabetics
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.
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 )
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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.
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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
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
Pl consult, as new drugs have come in to market. Pl consult.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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.