3 doctors weighed in:

Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise. ....A1c 9.7 please help!

3 doctors weighed in
Dr. Victor Bonuel
Internal Medicine
1 doctor agrees

In brief: Your endocrinologist

Needs to adjust/ increase the dose of your medicine esp Insulin to attain good control of your sugar reflected in your a1c (ideally in the 6 or 7 range).
A good diet & exercise regimen would help as well. Increase your water intake to maintain good kidney function. Annual or periodic ekg is a must have your annual eye check , lipid and kidney function monitored closely .Take care & god bless u!

In brief: Your endocrinologist

Needs to adjust/ increase the dose of your medicine esp Insulin to attain good control of your sugar reflected in your a1c (ideally in the 6 or 7 range).
A good diet & exercise regimen would help as well. Increase your water intake to maintain good kidney function. Annual or periodic ekg is a must have your annual eye check , lipid and kidney function monitored closely .Take care & god bless u!
Dr. Victor Bonuel
Dr. Victor Bonuel
Thank

In brief: You are high risk

For coronary artery disease, just based upon the very limited data you give.
You should control your glucose until HGB alc is <7.0. Low carb weight loss, exercise, medication--you are doing all of that. I think you need more Insulin and perhaps metformin. You need opinion from and endocrinologist in order to control your blood sugar better, .

In brief: You are high risk

For coronary artery disease, just based upon the very limited data you give.
You should control your glucose until HGB alc is <7.0. Low carb weight loss, exercise, medication--you are doing all of that. I think you need more Insulin and perhaps metformin. You need opinion from and endocrinologist in order to control your blood sugar better, .
Dr. Robert Uyeda
Dr. Robert Uyeda
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