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DOMSTAL-RD

    Answered 9 years ago
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    Hi Doctor, I am a 53 year old male, insulin dependent diabetic and a hypertensive. To add to this I am having BI polar disorder. Sugar control is average or below. BP under control. Now my medicines Lantus 20 units at Bedtime, Novorapid 10 units before lunch Glycigon 80, two times a day, two tablets each time For BP Olmin 40 LN Bloc 20 pantoprazole with Domstal one time a day As far as Bipolar problem is concerned I am cleared by psychiatrist to take all the above with the medicines he prescribed. I consider this a sensitive matter. I am always in stress because of my Job, I am the GM or second in command of a large turnover construction company. My morning sugar is between 95 tp 110, but post breakfast after 2 hours is 225. After taking my lunch I take novorapid 10 units hence for few hours my sugar drops to normal range. Again in the evening it when Novorapid effect is gone it climbs to 250-275. Remains like that perhaps till I sleep after taking Lantus 20 units, again in the morning it is normal. HB1C today's test shows a reading of 7.0. What should I do to take this reading to 6.0.

    MD - Diabetology, Membership of the Roya...read more

    Endocrinologist•Kochi
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    Mr. Lybrate-user, firstly, I congratulate you for having taken very good care of all those multiple problems you are suffering from. Secondly, I must commend the detailed manner in which you have described your present status. Thirdly, you have managed your diabetes pretty well. For your lifestyle & busy work schedule, an hba1c of 7% is quite good. You might be able to bring it down marginally, to 6.5% if you take care of your diet a bit more meticulously & exercise regulary. Beware of hypos whe...more
    Answered 10 years ago
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    General Physician (AM)

    Alternative Medicine Specialist•Chandigarh
    Cause could be hyperacidity you can try any safe antacid like gripewater etc or can consult pvt for details.
    Answered 9 years ago
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    Diploma in Obstetrics & Gynaecology, MBB...read more

    General Physician•Delhi
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    Give him a spoon of domstal syrup, do not give water or ors for half an hour till medicine gets absorbed, give him semisolid fat free food like custurd or curds or diluted toned milk or parle g biscuits. Start simple antibiotic like septran syrup 1 spoon twice daily along with metrogyl syrup 1 spoon twice daily for 3 days, lots of ors and juices but no solids or fats or maida like noodles. Pasta, white bread etc. Total rest. Repeat domstal after 12 hours if nausea persists.
    Answered 9 years ago
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    MBBS

    General Physician•Mumbai
    For now take tb domstal and meftal spas and we. Need to investigate cbc bs sgpt widal urine r/m tomorrow.
    Answered 9 years ago
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    MBBS

    General Physician•Mumbai
    I feel first we should sought out your headache and nausea problem and it can be due to sinusitis, Migrane, refractive error problem or due to hyperacidity and as of now take tablet paracetamol with domstal and for your PCOD problem exercise regularly
    Answered 10 years ago
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    PDDM, MHA, MBBS

    General Physician•Nashik
    Start antibiotics and paracetamol.

    Consult privately for details. Dr surbhi agrawal consultant physician and diabetologist
    Answered 8 years ago
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    Diploma in Anesthesia, MBBS

    General Physician•Hyderabad
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    Take plenty of water atleast 2.5 - 3 litres throughout the day. Give atleast 2 hours gap between dinner and sleep. Go for morning walk or yoga. If your are constipated get it treated. Avoid too many tea/coffee, do not take tea/coffee on empty stomach. Have atleast 6 hours sleep. Avoid stress, if you have stress practice meditation and relaxation techniques. These are the some of the measures in preventing hyperacidity.
    Answered 9 years ago
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    MBBS

    General Physician•Mumbai
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    Drink ors solution and For pain take tablet paracetamol 650 mg with domstal and take tablet zenflox oz 1-1 for three days and if necessary Get your blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports
    Answered 9 years ago
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    MBBS

    General Physician•Mumbai
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    Take tablet paracetamol with domstal and Get your blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports
    Answered 9 years ago
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    MBBS

    General Physician•Mumbai
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    Can take tablet paracetamol with domstal and Eat nutritious food and have adequate fluid intake and take physical rest
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