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Talk to Internal Medicine on Diabetes, High Blood Pressure & Obesity

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Asking For Self, Male, 33 Years old, Sargodha

I am 33 years old and was diagnosed with diabetes 1 week ago. A doctor recommended that I take a tablet containing Empagliflozin 10 mg, Linagliptin 5 mg, and Metformin HCl 1000 mg. I am taking it daily, but I want to switch to insulin. Which tests can determine the dose I need to take for insulin?

Internal Medicine Specialist in Faisalabad - Asst. Prof. Dr. Ahmed Zeeshan Chughtai

insulin level. C peptide


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Internal Medicine Specialist in Lahore - Dr. Shazmi Khan

Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore

review-stars

19 Positive Reviews

Your Hemoglobin A12 and fasting blood sugar show that you need to add insulin to your therapy. You can further check LFTs and C-peptide test. Before your insulin is started you need eGFR. Do you ever experienced episodes of hypoglycemia after starting the three drugs that you have mentioned? You should know that insulin can cause episodes of hypoglycemia and fainting.


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Member

Post Owner


No, actually I have never experienced any episodes of hypoglycemia yet. And i will do the examination that you mentioned. hope in sha Allah i will get good results.

3 months ago

Member

Post Owner


I have done following screening and reports attached : eGFR , LFTs , C peptide so which insulin is better for me?

3 months ago

Internal Medicine Specialist in Lahore - Dr. Shazmi Khan

Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore

review-stars

19 Positive Reviews

You can start Ozempic subcutaneous injection. It is cheap if you get it from Turkey instead of USA or UK


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Clinical Dietician in Lahore - Mr. Muhammad Shaharyar

Mr. Muhammad Shaharyar - Clinical Dietician

Doctor of Dietetics and Nutritional Sciences (DDNS) | Lahore

review-stars

9 Positive Reviews

don’t go for insulin because u can manage it with diet And don’t eat sweets for proper diet plan book consultation with me


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Internal Medicine Specialist in Jhang - Dr. Muhammad Wasim Afzal

Dr. Muhammad Wasim Afzal - Internal Medicine Specialist

MBBS, MD (Internal Medicine), Diplomate American Board of Internal Medicine | Jhang

review-stars

10 Positive Reviews

Yeah Serum insulin and C peptide levels


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Member of Marham-Forum

I have done following screening and reports attached : eGFR , LFTs , C peptide so which insulin is better for me?


Internal Medicine Specialist in Lahore - Dr. Shazmi Khan

Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore

review-stars

19 Positive Reviews

Your results show that besides considering Diabetes type 2, there might be other reasons causing insulin resistance, such as high cortisol levels. What is your blood pressure numbers? Do you have mood changes like depression or mania? Another reason is low serum pottassium levels. Since your gland is already making too much insulin, hence you need other medicine and not insulin.


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Member

Post Owner


For the last 2-3 years, I have been monitoring my blood pressure, which stays at 140/100. I am also suffering from depression and have gained weight in my abdomen and chest. Should I consider cortisol level screening? I am feeling numbness in left hand’s pinky finger from last 2 weeks.

3 months ago

Internal Medicine Specialist in Lahore - Dr. Shazmi Khan

Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore

review-stars

19 Positive Reviews

Yes.


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Member

Post Owner


Cortisol test should i do in morning or evening or both?

3 months ago

Internal Medicine Specialist in Lahore - Dr. Shazmi Khan

Dr. Shazmi Khan - Internal Medicine Specialist

MBBS (Pb.), M.Phil.(Pb.) D.G.O (Pb) M.D.(USA) | Lahore

review-stars

19 Positive Reviews

Evening. Also get serum ACTH levels. Why don’t you book an online consult through Marham so that we can talk and make a plan of action.


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Member

Post Owner


After doing all of these screening at final step i will setup online booking for further information and plan.

3 months ago

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