Fasting Blood Sugar 89.7, PPBS 144.2, HbA1C 8

by MAGAN
(RAJKOT)

Sir,

I am sending herewith medical reports from 06/07/2016 to 08/04/2017 showing blood sugar along with date wise chart of results and doctors' prescription:

DATE REPORT RESULT LAB
06/07/2016 RBS 204.0 SAMARPAN LAB, RAJKOT
09/07/2016 FASTING 89.7 SAMARPAN LAB, RAJKOT
09/07/2016 PPBS 144.2 SAMARPAN LAB, RAJKOT
04/08/2016 MEAN PLASMA GLUCOSE 184.0 ADVANCE LAB SYSTEMS, RAJKOT
04/08/2016 MEAN WHOLE BLOOD GLU 166.8 ADVANCE LAB SYSTEMS, RAJKOT
10/08/2016 HBA1C 8.0 EXCEL DIGNOSTIC CENTRE, RAJKOT
19/11/2016 FBS 100.0 EXCEL DIGNOSTIC CENTRE, RAJKOT
19/11/2016 PPBS 190.0 EXCEL DIGNOSTIC CENTRE, RAJKOT
21/11/2016 RBS 83.0 SADBHAVNA CLINICAL LAB, RAJKOT
30/12/2016 RBS 96.0 SADBHAVNA CLINICAL LAB, RAJKOT
21/01/2017 FBS 112.0 SADBHAVNA CLINICAL LAB, RAJKOT
21/01/2017 PPBS 194.0 SADBHAVNA CLINICAL LAB, RAJKOT
24/01/2017 PPBS 172.0 SADBHAVNA CLINICAL LAB, RAJKOT
24/02/2017 FBS 109.0 SADBHAVNA CLINICAL LAB, RAJKOT
24/02/2017 PPBS 156.0 SADBHAVNA CLINICAL LAB, RAJKOT
08/04/2017 RBS 125.0 SADBHAVNA CLINICAL LAB, RAJKOT
08/04/2017 HBA1C 7.21 DEPARTMENT OF PATHOLOGY, RJT

DATE PRESCRIPTION NGS. SUGGESTED BY DR.

10/08/2016 TAB GLYCOMET SR. 500 30 DR. VIMAL, SADBHAVNA HOSPITAL, RAJKOT
26/11/2016 TAB CETAPIN XR 1000 90 DR. T.K.M. ISHWAR, RAJKOT.

Dr. Vimal has advised me to take tab. glycomet 500 and Dr. T.K.M. Ishwar has prescribed tab. cetapin 1000.

Kindly advise me on the basis of my above reports, whether i need to take medicine and if yes which is the suitable for me.

I will be highly thankful if I get golden advice from you, sir.

M.M. Sagathiya,
Rajkot. (Mob. 9979168979)

Comments for Fasting Blood Sugar 89.7, PPBS 144.2, HbA1C 8

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May 20, 2017
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Mean Plasma Glucose 184.0
by: Dr.Albana

Hello Mr. M.M Sagathiya,

I read your message carefully and understood your medical problem.

I see that you had an HBA1C 8% before the first drug Glycomet sr 500 was prescribed to you. It is crystal clear that you have diabetes and 8% is a high number and I am happy to see that after treatment your HBA1C was reduced to 7.21%. This means that the treatment has been beneficial.

SR for Glycomet means sustained release and XR for Cetapin means extended release. Both these terms mean the same thing that the drug is slowly spread to the blood and the effect last longer with only one tablet a day.

Both drugs contain metformin which is the real drug. The names Glycomet and Cetapin are just trading names. Glycomet is 500mg metformin formulation and Cetapin is a 1000mg pill. Both of your doctors are right. Let me explain how the treatment scheme is so you will understand why I am saying this.

To reduce the risk for hypoglycemia, metformin drug is given at the maximum dosage that the body can tolerate. The recommendation is to start with 500mg metformin xr or sr as a single dose taken with dinner. After 5 to 7 days the dosage must be increased by taking it twice a day. Then the dosage is still increased to 1000 mg twice a day. If side effects appear the dosage will be reduced to 500mg twice a day.

Considering your medical data the drug that you must currently take is Cetapin 1000 as your last doctor prescribed to you. Only if side effects will appear then this dosage will be reduced and you will go back to Glycomet.

The treatment has worked as I see that your blood glucose levels are reduced to a satisfactory level.

To illustrate this I am commenting the recent information:

24/02/2017 FBS 109.0
24/02/2017 PPBS 156.0
08/04/2017 RBS 125.0
08/04/2017 HBA1C 7.21

Reducing HBA1C from 8 to 7.21% is a success. The goal is to keep it under 7% which is the target number to reach in diabetes. You can help yourself with diet changes and by increasing your physical activity to keep this number 7 or near 7. FBS under 110mg/dl is considered as completely normal and PPBS under 160mg/dl is the target number to reach by diabetes patients.

Just keep monitoring your blood glucose levels and work to maintain these numbers. The treatment has been very useful in controlling your blood glucose.

I want to emphasize that you must take now CETAPIN 1000 as I explained above and if side effects are present consult your doctor to change the dosage.

Hope this is helpful for you.

Thank you.

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