High sugar since last 6 years. Sudden increase in cholesterol. Fasting sugar around 170 avg. Pp 250-350 (measured with flash glucose monitoring system. Last blood tests done in 9th aug. Total chol- 315 hdl - 38 ldl - 147 triglyc- 733 tsh - 4.38 hb1ac - 8.7% blood urea (bun) - 12.7 uric acid - 4.7 recovered from cavity in october 2020 was taking glyciphage sr 1, azulix 2, roseday 5, thyrox 50. Latest prescribe - rovo 5, torglip r, azulix 1, roseday f 20.

Santhosh C AbrahamEndocrinologist17yrs exp

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Blood sugar levels and hba1c indicate poor glycemic control should change or add more meds for diabetes as well as increase cholesterol medication.  

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Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Hello, thanks for the query. I have seen the details mentioned. The glucose levels & hba1c% are too high. Similarly tgls also too high. This suggests that current treatment needs an urgent upgrade ideally fbg should be <100 ng or close to it. Pp should be 150 to 170 mg & hba1c% <6.5%,tgl around 150 mg. Another important aspect is the weight you have grade 2 obesity with a bmi of >36.1 kg/sq meter. So there's a need to look at not only the drugs but diet, exercise & weight reduction. So please come back in a private conversation where I can give specific guidance plus will be able to prescribe necessary medications. In this communication we are supposed to give only general guidelines. No drugs can be prescribed. I hope you understand. Hence, I await your response. Thanks.  

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