Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

My mother has been on glipizide 10 mg twice a day, but her…

Customer Question
My mother has been on...
My mother has been on glipizide 10 mg twice a day, but her a1c and blood sugar levels have still been elevated. Usually her a1c has not gone above 7.5 but her last test was 9.0. What is a safe and effective alternative or addition to the glipizide?
Submitted: 2 years ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 2 minutes by:
3/7/2016
Doctor: Dr Basu, Experienced Specialist replied 2 years ago
Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29,282
Experience: MD
Verified

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Metformin should be added to improve insulin sensitivity.

Works well with glipizide.

Also carbs should be lowered in the diet with regular exercise.

Another option will be GLP1 inhibitors like sitagliptin or saxagliptin orally.

They also help in lower blood sugar by preventing glucose production in the liver and also increasing pancreatic insulin action.
Best wishes,
It was my pleasure to help you today.
If I have answered all your questions, Please rate my response Excellent (click on the 5th star).
Please bookmark my profile for fast, reliable and authentic answers!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/

Ask Your Own Medical Question
Customer reply replied 2 years ago
Is metformin considered safe? Would she need both, metformin and glipizide? Doctor wanted to add Januvia. However, with the risk of pancreatitis, thyroid and pancreatic cancer, I did not want this drug added?
Doctor: Dr Basu, Experienced Specialist replied 2 years ago

Yes metformin is safe to use with glipizide.

Much favored.

Best wishes

Ask Your Own Medical Question
Customer reply replied 2 years ago
Does metformin have any known risks, and can it be used alone, or does it have to be used in conjunction with the glipizide in order to see improvement? Lastly, for someone with a1c of 9, would you consider any specific dosage in order for blood sugar to be at a good level but not too low?
Doctor: Dr Basu, Experienced Specialist replied 2 years ago

Metformin is considered safe-- can cause stomach upset initially.

It needs to be used with glipizide to bring down blood sugar in normal range.

Metformin started at 500 mg daily, then increased to twice daily, maximum dose 1000 mg twice daily.

Best wishes

Ask Your Own Medical Question
Customer reply replied 2 years ago
Thank you.
Doctor: Dr Basu, Experienced Specialist replied 2 years ago

Very welcome

Ask Your Own Medical Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr Basu Your Own Question
Dr Basu
Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29,282
29,282 Satisfied Customers
Experience: MD

Dr Basu is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,788 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

18,159 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

16,629 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor

14,303 satisfied customers

MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

< Previous | Next >

Related Medical Questions
My blood glucose number is 356 and I feel lousy. I was in
My blood glucose number is ***** and I feel lousy. I was in the hospital last night with a blood glucose number of 500 and received 2 bags of fluids. Do I need to do anything now? … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,237 satisfied customers
What is a diabetic diet that avoids medication for a 93 year
What is a diabetic diet that avoids medication for a 93 year old man; I am using food choices to keep blood sugar managed but it is getting tiring. What are the most easiest meals to keep all the prot… read more
Dr. K.
Dr. K.
Staff physician
MD
596 satisfied customers
Diebetis, no symtems at all, fasting is 155 and pp is 214
no symtems at all, fasting is 155 and pp is 214 and h1bac 7.5, 6 months b4 it was 7.8, and fasting sugar was 172 and pp is 212 … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
7,980 satisfied customers
My sugar is 155 and im on glipicide 2.5 mg i took it at
My sugar is 155 and im on glipicide 2.5 mg i took it at around 4p.m. today my dr started me out on 5 mg but it was 3 months ago and im thinking the only way to get it down is take the other half of th… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
18,159 satisfied customers
I have recently received a rejection letter for -term
I have recently received a rejection letter for long-term disability insurance. I requested the information that they based their decision on and received the results of blood work and a urine test th… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
18,159 satisfied customers
I am on 2000ml of Metformin and now my doctor wants to add
I am on 2000ml of Metformin and now my doctor wants to add Glipizide 5 ml once daily in the morning because my sugar level for the past 2 months has only been below 200 twice when testing. It also hig… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,778 satisfied customers
My wife is 64 yrs old and is a diabetic type 2 ...she
My wife is 64 yrs old and is a diabetic type 2 ...she recently found out her kidney functioning is not good ...down to to 45 percent....she has been taking metformin for many years..8 yrs., but it cau… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,865 satisfied customers
My last A1C test came up at 8.7. How can I adjust my dose of
My last A1C test came up at 8.7. How can I adjust my dose of metformin 500mg. I'm currently taking 1 tab twice a day. My Initial first test about a year and a half ago on my A1C was at 12.5. Taking th… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
18,159 satisfied customers
I am 54 years old male. Since two years I am taking ESPIN
I am 54 years old male. Since two years I am taking ESPIN (S-) AMLODIPINE TABLETS I.P 2.5 mg twice a day for BP. Recently I had a "trigger finger" and cortisone injection was given below that finger a… read more
Dr. Robert
Dr. Robert
Consultant
MBBS
3,621 satisfied customers
I by chance took a home a1c test and it said 8.3......i then
hi doc i by chance took a home a1c test and it said 8.3......i then have been checking my glucose since then and my fasting has been any where from 97-110.....and 1 hour after meals has been about 97-… read more
Dr. Robert
Dr. Robert
Consultant
MBBS
3,621 satisfied customers
I had my gallbladder removed 3 weeks ago (weighed 1.15kg and
I had my gallbladder removed 3 weeks ago (weighed 1.15kg and no stones, sludge and sand only per surgeon and pathology report). Am not diabetic however, due to my sympoms (tired, sweaty and increased … read more
Dr Basu
Dr Basu
Experienced Specialist
Doctoral Degree
29,282 satisfied customers
I am a 67 y o with well controlled diabetes. This morning I
Hello I am a 67 y o with well controlled diabetes. This morning I woke up soaked in sweat. So I decided to measure my sugar level and it was high: 7.8 mmol! I was surprised because I thought sweat is … read more
Expert
Expert
6,954 satisfied customers
My 86 year old mother has diabetes. Usually her blood sugar
My 86 year old mother has diabetes. Usually her blood sugar is under 170 when she tests it. This morning she tested and it was 247 and now in the later afternoon it is 356. She does not feel sick (she… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
18,159 satisfied customers
I am a survivor of Cushings Disease. I was first Diagnosed
I am a survivor of Cushings Disease. I was first Diagnosed in July of 1980. I had a very large pituatary tumor removed on September 24 1980. There was no pituatary tissue in my cella or in the tumor. … read more
Family Physician
Family Physician
Doctor
Doctoral Degree
2,592 satisfied customers
Type 2 Diabetic, my a1c has been constant between 6.5 and
I am A type 2 Diabetic, my a1c has been constant between 6.5 and 7.5 for a long time. My Serum Creatinine is 1.56 mg/dl and has been about the same for a few years. My eGFR is 44L and has been about t… read more
Dr. B.
Dr. B.
7,795 satisfied customers
My mother is diabetic and takes Glipizide twice a day, 10 mg
My mother is diabetic and takes Glipizide twice a day, 10 mg in the morning before breakfast nd 10 mg in the evening before dinner. Tonight she accidently took her dinner pills twice, so she took 20 m… read more
Dr. Wright
Dr. Wright
MD - Doctor of Medicine
182 satisfied customers
The doctors says I may have type 2 diabetes. I had a blood
The doctors says I may have type 2 diabetes. I had a blood sugar of 141. They are doing another fasting BS tomorrow. I am doing limited sugar and carb right now. Sometimes I feel a bit light headed, w… read more
Anthony Bray, MD
Anthony Bray, MD
Doctoral Degree
9,226 satisfied customers
My husband is 47 years old. He has been type 1 diabetic for
My husband is 47 years old. He has been type 1 diabetic for 30 years. I finally got him to go to the doctor last week for a diabetic check up and the doctor called today and said his A1C level is 9.2.… read more
Cosmetic Doctor
Cosmetic Doctor
Private practice
Doctoral Degree
654 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x