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40-year-old diabetic on metformin and telmisartan experiences sudden itching and uncontrolled blood sugar – what should they do?

Komal

Komal Jethmalani  |365 Answers  |Ask -

Dietician, Diabetes Expert - Answered on Aug 05, 2024

Komal Jethmalani is a practising dietician and nutritionist with over 26 years of experience.
She specialises in weight loss and diabetes management.
Jethmalani has completed her MSc in food and nutrition from SNDT University and trained at Jaslok Hospital.
She is a NDEP-certified diabetes educator.... more
Gaurav Question by Gaurav on Jul 26, 2024Hindi
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Hello Mam ! I am 40 years old . Type 2 Diabetec and Hypertensive since 3 Yrs . My HBA1C has been below 6.5 all throughout years while I have been taking Metformin 500 mg BD and Telmisartan 40 md OD . Last Month all of sudden I had started experience very uncomfortable throughout day with frequent itching all across my body . Post undergoing all diagnostic Tests my HBA1C came out 13.6 After consulting Physician I am prescribed Sitagliptin plus metformin 500 in Morning and Metformin 1 Gm in Night before meals . Still not very comfortable. Please guide what should I be doing to keep my diabetes under control ?

Ans: I’m sorry to hear about the discomfort you’re experiencing. Managing diabetes and hypertension together can be challenging.
Dietary changes to focus on include reducing your intake of refined carbohydrates and sugars. Opt for whole grains, vegetables, and legumes. Include plenty of fiber-rich foods like vegetables, fruits, and whole grains to help control blood sugar levels. Incorporate healthy fats from sources like avocados, nuts, and olive oil and avoid sugary foods. Aim for regular exercises with strength training and stay well hydrated. Sleep well and be positive.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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I am 54 years M ,having Diabetes and High BP (HTN) since the past 13 years. At times it has been in poor control also like in May 2021 the HbA1c was 10.10 which gradually went down to 7.70 and then remained constant between 7.90 and 8.10 with the medications and 'not so strict' diet regime. Plus the body weight was also increasing and i gained around 10 kgs (101.2 Kgs) in a span of around 06 months. Recently in March 2024, the test reports indicated it as 8.70 causing me some concern and in April 2024 the reports showed a value of 9.20, which made me think about the reliablity of Lab report as well as made me change the doctor. My medicines were changed from Glimepiride (2 mg),Metformin (500 mg) Pioglitazone (15 mg) and METFORMIN-500MG + VILDAGLIPTIN-50MG twice daily ( taking for about 20 months) to GLIMEPIRIDE-2MG + METFORMIN-500MG + VOGLIBOSE-0.2MG and Dapagliflozin 5 mg+Metformin 500 mg twice daily recently in Mid April 2024. I was asked by the doctor to report after a month with Fasting and PP readings. However after few days,I started realising that my blood sugar was approaching higher and then I experienced needle like sensations in feet and hands plus sticky urine with a heavy head and hot face. I again went for a checkup three days back and the randomn sugar was 291 mg/dl. The medications have again been changed to Dapagliflozin (10mg) + Metformin (500mg) + Sitagliptin (100mg) + Saroglitazar (4mg) in the morning and METFORMIN-500MG + VILDAGLIPTIN-50MG since yesterday (08.05.2024) and I have been asked to take daily readings and report after 10 days. All this has lead to a panicky feeling in me, resulting in increased HTN. I am worried that how this hit and trial or permutations and combinations will help me in achieving a perfect set of medicines to lower my blood sugar to normal levels. Kindly advice. I shall be highly obliged.
Ans: Medicines alone cannot work in these Lifestyle diseases.
Lifestyle modification plays a vital role
So start with your dietary discipline. Strict no to Sugars and refined carbohydrates.
Have less portion of Carbohydrate in a complex form
Timely meals with early dinner before 7 pm

..Read more

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