Hello doctor, My mother is 55 years old. She is suffering from diabetes and high BP. Her BP remains 140/90 mmHg. She is taking the following medicines: In the morning Telmisat 40 one tablet, Thyox 25 mg one tablet. During lunchtime Jalra 50 mg one tablet before food, Zoryl M2 Forte one tablet during food. During dinner time Jalra 50 mg one tablet before food, Zoryl M2 Forte one tablet during food, Avas 10 one tablet, Telmisat 40 one tablet, Metolar50 one tablet. The recent lab report shows: Fasting Glucose -137 mg/dl. Post prandial Glucose- 189 mg/dl. Urine report shows: Albumin- 184 mg/l. Creatinine- 0.22 g/l. Albumin to CR- 836.4 mg/gm Micral test-184 mg/l Urine analysis shows: Protein (albumin)- present(+++) Cystatin C.serum 1.51 mg/l. More details about the presenting complaint: She is suffering from high blood pressure and diabetics. Despite taking medicines diabetics is not lowering. Also sometimes swelling appears in the legs.
Hello. Your mother as you said is hypertensive and diabetic. She is on Glimepiride, Vildagliptin antidiabetics and Atorvastatin, Metoprolol as statin and antihypertensive. Her BP (blood pressure) is in under control as per her age and blood sugar is raised moderately. I would advise to start her on insulin the dose ll depending on her weight and blood sugar level.  If she is not fine with insulin I would advise to increase the dose of antidiabetic drugs after consulting your family physician. Her kidneys and eyes are fine. Please take care of her feet by doing a regular examination of feet. Increase her daily activity by daily walks and avoid lifts. Diet should be strict. Avoid non-vegetarian rice and fried foods.