I have been diagnosed T2DM for the past 11 years. She now takes one Tripride-1 in the morning after breakfast and one TENEFRON M 20/500 in the night after food. But her blood sugar remains high at 183 fasting and 276 post prandial. Our doctor has suggested the morning dosage to Tripride-2 one tablet. Is this ok? 2. Cause of T2DM May be (a) low insulin production by beta cells or damage to beta cells (b) normal insulin production, but release inhibited or (c) insulin resistance or (d) high glucagon activity. Are there any methods to diagnose the cause correctly? What is the cause of my illness? Are all the four causes treated by the same medication? Are the medicines now used by me enough to address my problems.

Dr. Subhash SubramanianAyurveda8yrs exp

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Moat probable cause of your uncontrolled FBS and PPBS may be Insulin resistance. So many T2DM patients experiences the same condition during their course of treatment. Usually its developed after an illness or an infection. Insulin resistance can manage properly with Ayurvedic herbal medicine. Ayurvedic medicines are poly herbal formulations, it enhances Insulin production by stimulating beta cells, increases cellular permeability and ensures insulin activity and also delay starch absorption from intestine, thus preventing sudden raise of PPBS. With proper medication we will able to bring down FBS and PPBS in normal limit. You can consult for further advice and also for treatments.  

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Dr. Karuna ChawlaHomeopath22yrs exp

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See it is difficult to pin point cause. Moreover treatment remains same. R you Following diabetic diet strictly. As your blood sugar is still v high. A diabetes diet simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains. U can take (moderate amount) Grapes. Apples. Berries. Citrus fruits. Pineapple. Papaya. U should avoid Sugar-Sweetened Beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans Fats Sugar, cake, pastries Mithai/sweets Chocolate Fruits like mango, litchi etc. White Bread, Pasta Fruit-Flavored Yogurt. Sweetened Breakfast Cereals. Flavored Coffee Drinks. Honey 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic). No only biscuits or rusk will not do. 2. Take your breakfast every day. Don't skip it. 3. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc 4. Finish your dinner at least 2 hours before going to sleep. 5. Maintain active life style 6. Avoid fast foods, spicy n fried foods 7.Take a lot of green vegetables n fruit. 8. Drink lot of water. 9.Curd is good for u. Exercise in the form of yoga, cycling, Swimming, gymming, walking etc. For more details you can consult m.  

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Dr. Sathish ErraHomeopath12yrs exp

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Yes.  

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Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Hello, Thanks for the query. the drugs used to treat T2 diabetes which you are on, do tend to act on various causes that lead to increased blood glucose levels or diabetes. For example Glimepiride stimulates Beta cells to produce Insulin, Metformin helps slow down glucose absorption and reduces glucose load, plus helps reduce insulin resistance. Pioglitazone again helps reduce Insulin resistance. Tenelegliptin acts through Incretin system and helps insulin secretion. Therefore, there is no need for you to worry about the etiology part of diabetes. Type diabetes most often is because of lack of insulin secretion. In an obese or overweight person there is more likely hood of increased insulin resistance. Thanks.  

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