Talk to Endocrinologist on Uncontrol Diabetes
Asking for Father, Male, 55 years old, Karachi
My father is diabetic and cardiac patient his hba1c level is 7.39% according to cardiologist due to his uncontrol diabetes his bp raised that why he prescribe lantus insulin 40 units Hs recently as well as empaa 10mg od but my father is uncomfortable with insulin if any possibility to switch oral medicine for control diabetes his creatinine levels is 1.7 if any possibility plz let me know previously he was taken amaryl 4mg Glem lin MXR 5/10/1000mg OD but after labs report dr switch to amaryl 1mg and empaa l 5/25 mg aftr 10 days taken my father sugar is not control then dr add 30mg diamicron but still not maintain sugar then cardiologist switch to insulin if any possibility to switch insulin therapy with oral medicines plz let me know sir.
Dr. Azhar Ali Malik - Endocrinologist
MBBS, MRCPI (Medicine), MRCP (UK), SCE Endocrinology & Diabetes (UK) | Rawalpindi
HBAiC of 7.5 is recommended for pt of Diabetes and heart disease visit my clinic for evaluation
Dr. Muhammad Ayub Khan - Endocrinologist
MBBS, FCPS Medicine, Speciality Certificate (Endocrinology and Diabetes) | Lahore
52 Positive Reviews
Uncontrolled diabetes can cause many complications including heart disease, kidney failure, blindness and foot amputation. Proper control is essential to avoid or delay these conditions.
For proper evaluation and treatment of your father, his full medical history physical examination and some lab tests will be required and regular monitoring of chronic complications is also important.
You can book your appointment for online consultation or a clinic visit
Dr. Syed Kashif Hussain Kazmi - Endocrinologist
MBBS, MRCP (Ireland), MRCP Diabetes & Endocrinology (UK), CCT Endocrinology & Diabetes (UK trained ), FRCP ( UK) | Karachi
8 Positive Reviews
Thanks
Please provide his sugar readings first. HbA1c is not very bad. Very tight control in a cardiac patient with renal involvement is also not a good strategy due to the risk of hypoglycemia. I would recommend arranging an appointment with a trained endocrinologist in your local area; he needs monitoring. I will avoid very tight control due to the risk of hypoglycemia.
Rizwan Ali Khan - Clinical Psychologist
| MSc (Psychology) | MS (Clinical Psychology) | Certified (Crucial Conversations) | | Lahore
73 Positive Reviews
Let us talk about it press a button video consultation I will give you a list of possible solutions pick the best one Apply and Be a very good Manager of your own health
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