I am diabetic patient and my sugar level is fasting 100 and post meal is 150 and hba1c is 7.2 I have hypertension also and also gone to stent in my heart my b.p.is always 120/80 now days I am taking medicine oxra 5 mg and vilda 50/500 twice day for b.p. Olmezest am40 starpress xl 25 novastat cv 20 aspisol 75 and ivabrad 10 od after taking this medicine my triglycerides is 296 and vldl is 54 I think statins are not working. Sometimes my heart beat is near about 114 to 119 so doctor has started ivabrad 10 od. Please advise me.

Dr. Prabhakar Laxman JatharEndocrinologist52yrs exp

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Hello, thanks for the query. I have seen the details mentioned. Your diabetes appears to be in some control. Ideally at your age fbg should be < 100 mg, pp 150 to 160 mg (whih you have) & hba1c% < 6.5%. Bp is also well controlled, which is quite good. However, one major issue is with a bmi at 37 kg/sq meter you are already in grade 2 obesity and probably going towards morbid level. You have an excess 33 plus kg. This can affect your tgl & ldl as well as blood glucose. If you plane to cut at least 10 to 15 kg, your lipids will come down and diabetes control will be much better. Therefore please look at your dietary intake (it should be based on your ideal weight which is 56 kg x 20 k cals) and increase the extent of daily exercise. This change will benefit in gaining better control. Thanks.  

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