What are the next steps and recommended diet for my 59-year-old father who has high blood pressure and diabetes, given that despite taking Cetanil T in the morning and Glycomet 850 sr after lunch, his blood sugar after meals is high at 233 mg/dl, his three-month average blood sugar (HbA1C) is high at 9.1% (with a fasting level of 118 mg/dl and average daily sugar of 214.47 mg/dl), his blood pressure is high at 150/90, and his kidney function (creatinine) level is 0.89 mg/dl? | Apollo Pharmacy

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What are the next steps and recommended diet for my 59-year-old father who has high blood pressure and diabetes, given that despite taking Cetanil T in the morning and Glycomet 850 sr after lunch, his blood sugar after meals is high at 233 mg/dl, his three-month average blood sugar (HbA1C) is high at 9.1% (with a fasting level of 118 mg/dl and average daily sugar of 214.47 mg/dl), his blood pressure is high at 150/90, and his kidney function (creatinine) level is 0.89 mg/dl?

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What are the next steps and recommended diet for my 59-year-old father who has high blood pressure and diabetes, given that despite taking Cetanil T in the morning and Glycomet 850 sr after lunch, his blood sugar after meals is high at 233 mg/dl, his three-month average blood sugar (HbA1C) is high at 9.1% (with a fasting level of 118 mg/dl and average daily sugar of 214.47 mg/dl), his blood pressure is high at 150/90, and his kidney function (creatinine) level is 0.89 mg/dl?

Asked by Male, 59 · 6 days ago

Dr. S Aneela

M. Pharm (Pharmacology)., PhD

6 days ago

His blood pressure (150/90) and blood sugars (HbA1c 9.1%) need better control. I highly recommend consulting his doctor to adjust his medications, Cetanil T (cilnidipine/telmisartan) and Glycomet 850 SR (metformin). For his diet, focus on high-fiber, low-glycemic foods like green vegetables, whole grains, and lean proteins, while limiting salt, refined sugar, and processed carbs. Regular, gentle walks will also help. With timely medical guidance and these lifestyle adjustments, his levels will improve safely.

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What should we do next for my 59-year-old father who has diabetes, takes Cetanil T and Glycomet SR, and has just tested positive for COVID-19 with symptoms of extreme weakness and a dry cough, but no fever or breathing problems?

Since he has diabetes, please monitor his blood glucose levels closely, as infections can cause fluctuations. He should continue taking his Cetanil T and Glycomet SR as usual unless his doctor advises otherwise. Focus on keeping him well-hydrated, encouraging plenty of rest, and tracking his oxygen levels with a pulse oximeter. Please consult his physician or a doctor online today to review his symptoms. If he experiences any breathing difficulty or if his oxygen saturation falls below 94%, seek immediate medical care.

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I am suffering from high blood pressure of 180 over 100. I am taking Supermet XL 50 Tablet, Eslo-Tel 2.5 mg Tablet, and Cetanil-T Tablet daily. What should I do?

Your blood pressure reading of 180 over 100 is very high and puts you at risk of serious complications such as a heart attack, stroke, or kidney damage. You should contact your doctor immediately or go to the nearest hospital. Continue taking your prescribed medications as directed, but do not stop or change them on your own. Your doctor may need to adjust your treatment or provide additional therapy to lower your blood pressure safely.

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Is it safe for my mother?who has a history of high uric acid and was recently found to have a slow heart rate of 58 beats per minute?to switch her blood pressure medication from Vinicor XL to Cetanil T and take Stemetil, Zincovit, and the antibiotic Azithromycin, and is Azithromycin safe to use with a slow heart rate?

Switching her blood pressure medicine from Vinicor XL (metoprolol) to Cetanil T (cilnidipine and telmisartan) may actually help her heart rate, as metoprolol slows the heart while Cetanil T does not. However, please be cautious with Azithromycin; this antibiotic can occasionally affect heart rhythms, which carries some risk with a slower heart rate of 58 bpm. Stemetil (prochlorperazine) and Zincovit are generally fine. Please consult her doctor before making these changes so they can safely monitor her heart rate and uric acid levels.

Last Updated on 8 days ago