Hi my mom is having diabetes. She was on medicine. She was having Glynase -MF 1 and half tablet twice a day. But from last few days she is having a lot urine at night. She is having a loss of weight as well. If there is any cut or injury its taking a lot of time to recover and heal. We did the fasting and blood test. Test results:- Haemoglobin= 11.5 gms% = 78%(By Hellige Method) True Glucose (Fasting):- 260 mgm% We are not sure about the type of diabetes. She is herself a nurse. Help me with a suggestion what should we do? Should we do a C-peptide test first? Before taking any medication. Suggestions please.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. lybrate-user, Thanks for the query. Since she has been taking oral anti-diabetic drugs for controlling blood glucose, it has to T2 diabetes. In T1 only Insulin Injection has to be given. No other drug works. She now has an uncontrolled diabetes that is the reason for excess urination at night and weight loss, because more of glucose is being lost in the urine. She needs to achieve a strict blood glucose control with FBG < 100 mg, PP 170 to 180 mg & HbA1c% <7. That means there has to be a change in the current treatment. New drugs have to be added or Insulin may have to be started. There are other options also, but in this communication we are supposed to give general guidelines only. No prescriptions are allowed. If you are keen for improving her blood glucose levels and achieve better control, please come in a private conversation with following details: FBG, PP glucose levels, HbA1c%, dietary pattern extent of exercise or physical activity, lipid profile, BP readings. Based on those details I will be able to guide specifically and help improve the condition. There is no need for C- peptide testing. Thanks.  

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