Endocrinology

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Pioglitazone induced edema

My mother was taking metformin gliclazide and pioglitazone triple drug combination since many years. Simultaneously she was also taking nebivolol and hydrochlorothiazide combination. So there is no edema developed due to pioglitazone because of hydrochlorothiazide medicine is running. But 6 months ago endocrinologist has changed medicine from nebi H to Nebi . Then my mother has developed swelling and edema in legs. Creatinine is normal Echo is normal Venous doplar both legs are normal Ddimer is normal Tsh is normal Hb1ac 6.7 So he  changed treatment like below Pioglitazone is  stopped and metformin and gliclazide is continue and sitagliptin is added. Nebivolol is stopped and chlorthalidone 6.5 mg is added. Today we have done CXR It's showing bilateral prominent bronchovascular markings Do we need to worry sir Because there are few cases reported that pioglitazone can cause pulmonary edema. Prominent bronchovascular markings is due to pulmonary edema? do we need to any further test ?
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Increased thirst

I have pre diabetes with hba1c 5.8. But in office I  have very much thirst it's really not like 5.8. In home I feel less thirst .. will air conditioner make my throat dry??
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Low Blood Sugar

His blood sugar is dropping suddenly once in while lowest 60 .. when we give him some sugar like candy or sweet it came back to normal again upto 110. Should we stop giving him medicine so that sugar level doesn't drop. What can we do maintain a healthy sugar level ? Should we take when the sugar level is low?
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Best glucometer to test sugar levels

Hi want to know whether Beat o sugar testing machine is good for regular checkup of sugar levels at home.
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Sugar is 288

My husband's sugar is 288... Has been in this range for last 4-5 days...he takes triperide 1 once daily..he is also a smoker..how long should i wait before consulting with the doctor again..what are the chances of him getting insulin dependent..i'm really worried for his health..please advice.
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Sugar level

Hi, i am 34 years old female. My hba1c 6.8,  fasting sugar 122, pp 1 hour after meal was 210 and 2 hours after was 180. Am I diabetic or not ? What should be the next step?
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Hb1ac 8.8

Good evening sir/madam, my mom's and dad's blood sugar level has been increased they are not on any medication we have checked blood sugar this year so both of them had values of hb1ac about 7.2 and 8.8 do they need to start on medication or lifestyle changes for two weeks and repeat test ? Also Hscrp is high for both of them 4.56 please replyy anything serious and cholesterol LDL is 174 and 180 any probelm?
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Blood sugar reading

My father takes 2 sugar tablets, one in the morning another after lunch. 3 days Readings at night and morning 141(night)- - - 116(morning) 155(night )- - -114 (morning) 171(night) - - - 95 (morning) Why is there a huge drop in sugar levels when he is not taking any tablets at night...kinda concerned??? Morning tablet- vildamiz mf Lunch tablets - dapagliflozin tablets 5 mg Is it because of the medicine?? I read metformin remains in the body for 4 days???
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Sir please give me suggest

Sir suddenly my father platelets is down 28k and sugar level is 480. Bp is normal 110/60 pluse is normal. Please give a suggestion
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Excess sweat

I am using metformin 1000mg +glimperide 2mg in the morning and metformin 1000mg +20mg teneligliptin during night for diabetes. I am getting excess sweat while having any food or snacks.
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