Endocrinology

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FBS,RBS and A1C

Hai iam tested my sugars today FBS : 97( 70 to 110) Hba1c:5.3(4 to 6) RBS :105 ( 80 to 140) at evening. Regards.
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My sugar report

Here attaching my sugar report as I have continuously pulling pain in left hand so done with sugar test as I am a diabetic patient awaiting for your reference
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Change of medicine needed

My brother has diabetic since 9 years his  hba1c now is 6.5 he is taking glycomet sr 500 once in the morning and olmy 20 for bp no need to change medication one doc prescribed sitacip m 50/500 do we need change medication or not and  one more question if one day if he took  sitacip m 50/500 by mistake the next day changed to glycomet will have any side effects or sugar fluctuation will be there thankyou
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Blood glucose level high

For the last few months my blood glucose level has been higher than normal at 135 during FBS. Any recommendations or suggestions would be helpful.
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If my sugar is very high?

I am diabetic since 6 years. It is been couple of months my sugar is 137/160 with hb1ac 7.5 . I was prescribed - [Empaglyde 10/100/1000 - glyciphage SR (19m) - Imeglyn 500 But after having that i was very unwell. I couldn't get up from bed and was weak. I stopped the medicine i was okay. I am confused if this is the right prescription for me. Need guidance!
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Fat Loss is a Myth for me Now🥺

Hello Doctor, I am a 25-year-old male with a height of 163 cm and current weight of 95 kg. Around September 2025, I weighed 92 kg, but despite consistent gym training (primarily strength training), my weight has increased slightly. My estimated body fat is around 32–34%. I have developed good strength (I can squat ~160 kg), and I believe I have gained muscle, but it is not visible due to higher body fat. My main challenge is controlling hunger and maintaining a calorie deficit, even though I train regularly and consume around 100 grams of protein daily. I wanted to ask whether a medication like Semaglutide would be appropriate in my case to help control appetite and support fat loss. Could you please guide me on: 1. Whether I am a suitable candidate for this medication 2. Potential risks or side effects considering my profile 3. Whether lifestyle changes alone would be preferable before starting medication 4. Any tests or evaluations required before considering this option Thank
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Hba1c of 6.7

I have diabetes from 8 yrs i have checked hba1c of 6.7 n i am on medication of metformin sr 500 once only and olmy 20 and one doc prescribed sitacip m 50/500 but after taking i have. Body pain n muscle pain my ppbs is 170 and any other combination will benefit my weight is 50 kg and height is 5 feet 6 inch pls suggest and my weight is also less
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Post distal pancreactectomy

Hi sir,I underwent distal pancreatectomy ,spleen removal.i was given given insulin shots3 times a day and bedtime also.total 4 times..how many days still i need to take insulin shots? As I was having net tumor,part of pancreas was removed.i am taking pain killers also.now after taking insulin doses glucose levels are normal .. how many days still i need to take insulin shots ? If insulin is stopped,how can i maintain normal sugar range please answer
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Very high blood sugar whilebreastfeeding

Hello doctor I have just got my random blood sugar test done and the range is very high 375. My HBA1C levels are currently at 8.9. I just had c section delivery 3 months back and did not have any high blood sugar issues then. I do not want to take in insulin. What medicines can i take safely to reduce blood sugar while breastfeeding?
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Query regarding GLP-1 or Mounjaro

Can a patient taking Warfarin safely start a GLP-1 medication like Mounjaro, considering potential effects on INR levels, diet, weight changes, and the need for close monitoring to avoid risks of bleeding or clotting?
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