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Dr Chaithanya
Dr Chaithanya, General Physician, Medical Researcher, All medical and health questions answered.
Category: Medical
Satisfied Customers: 798
Experience:  General Physician, Family medicine, Internal medicine, all age groups.
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I am a diabetic. I was going to get my knee replaced. at

Customer Question

I am a diabetic. I was going to get my knee replaced. at this point in time I have a ALC OF 8.6. I was just told that they will not operate unless my ALC IS 7.0. what would the quickest but healthiest way to get this down. how long would this take? any help would be very much appreciated.
Submitted: 3 months ago.
Category: Medical
Expert:  Michael Salama replied 3 months ago.

Hello this is Dr. Salama MD,

Are you currently taking any medications for your diabetes?

Customer: replied 3 months ago.
METFORMIN ER 4 PILLS 500MG INSULIN 70/30 SLIDING SCALE GLIMEPIRIDE 2 MG X2
Expert:  Michael Salama replied 3 months ago.

What is your height and weight?

Customer: replied 3 months ago.
PLEASE CANCEL THIS.
Expert:  Michael Salama replied 3 months ago.

Sure I would be happy to opt out.

Expert:  Dr Chaithanya replied 3 months ago.

Hello

I'm Dr Chaithanya attending you

I'm a Diabetologist

I will sure help you

Please let me know on what medications are you for Diabetes?

Expert:  Dr Chaithanya replied 3 months ago.

Now, you need to stop metformin. Insulin dose should be increased, it can be like you can be given long acting insulin once in the night, and mixtard in the morning. You can or cannot continue on Glimipride based on insulin dosage.

The Insulin dosage is initially monitored for 2 weeks

After 6 weeks, HbA1c will get to normal

Hope this helps

Any further questions, please ask

Expert:  Dr Chaithanya replied 3 months ago.

Please do not hesitate to click on positive rating if you are done. If you have further questions, I will be pleased to answer.

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