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Dr Chandrakant Lahariya  |159 Answers  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 29, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more
Narayanasami Question by Narayanasami on Sep 09, 2024Hindi
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Hi Komalji, I'm 61 years male with HbA1C- 9.36 FBS @180 and Random sugar level @ 265 calculated in recent lab tests . My LDL cholesterol (71) and BP is in control even though i am taking 10 mg of Rostarvasten tablet for cholesterol and Janumet 50/1000mg daily once after dinner and Diamicron XT 60mg once in a day before breakfast for sugar . Is this medication Ok or do I have to take Needle injected insulin to reduce my sugar level .If so how much quantity per day?

Ans: The acceptable HbA1c is less than 7% and fasting within 70 to 140 mg% and 2 hr post breakfast within 70 to 180 mg%. Your blood sugar levels are not in control and the medications you are taking are clearly insufficient. Either oral medications need to be increased or (and a better approach) would be to start on insulin.
There are many myths about insulin in people and they fear to get started on insulin. What is not understood that we need to have sugar under control and in good control to prevent the complications. Insulin which is administered is exactly what our body produce - an hormone and when body fails to produce, we need to give injectable insulin.

Please discuss with your doctor and ensure your blood sugar levels falls with in range. Starting on insulin and than adjusting oral antidiabetic medications is a good idea. Your LDL cholesterol is just close to the range and it ismost likely due to 10 mg of Rosuvastatin you are taking, so please continue that.

Best wishes,
Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice,
Safdarjung Enclave, New Delhi
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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