tag:blogger.com,1999:blog-5688149402170723675.post3541230450670824493..comments2023-11-04T15:30:42.393-07:00Comments on Karri Family Clinic Tampines: A Diabetic's ChecklistDr Lesliehttp://www.blogger.com/profile/12882813780543748225noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-5688149402170723675.post-83159039099253900942008-03-04T02:25:00.000-08:002008-03-04T02:25:00.000-08:00wah so chiem one ah? doctor dont want to answer u!...wah so chiem one ah? doctor dont want to answer u! hah!<BR/>diabeticAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-5688149402170723675.post-87367304500431614502008-02-26T09:07:00.000-08:002008-02-26T09:07:00.000-08:00yes just to add on to that interesting question.. ...yes just to add on to that interesting question.. cos the older generation has always told us when we see a diabetic in distress to feed him/her a sugar cube or some sugary food..is that advisable? (which would be dependent on whether the diabetic can become hypoglycemic upon fasting and no medication rite?)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5688149402170723675.post-52149015929393119132008-02-25T01:45:00.000-08:002008-02-25T01:45:00.000-08:00Hi Dr Tay,Hi, i have got a few qs on diabetes that...Hi Dr Tay,<BR/><BR/>Hi, i have got a few qs on diabetes that has puzzled me for some time so i hope you could help me out. <BR/>1stly, i am aware that there is a general rule that only type 1 diabetics get diabetic ketoacidosis but type 2 diabetics generally dont unless their body is put under some form of stress like infection. is it possible for a type 2 diabetic to get diabetic ketoacidosis (DKA) in the very late stages when beta cell failure sets in? because at that stage, it would make the type 2 diabetes almost the same as type 1. 2ndly, is it possible that a diabetic becomes hypoglycemic upon fasting? (assuming he has not been on his diabetic medications at all) if so, how does it happen? because the rate of uptake of glucose into the peripheral cells would be very very low and the blood sugar levels wld be high. If not, how would you be able to distinguish a diabetic in DKA and a diabetic in ketoacidosis secondary to starvation? Thank you very much for your help!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5688149402170723675.post-45635571828287968352007-03-19T03:53:00.000-07:002007-03-19T03:53:00.000-07:00It is a good drug to add onto your other drugs whe...It is a good drug to add onto your other drugs when the existing drugs begin to lose control of the blood sugar. The decision when to add is a balance between your financial means and the disease condition and is best to discuss with your Doctor.Dr Lesliehttps://www.blogger.com/profile/12882813780543748225noreply@blogger.comtag:blogger.com,1999:blog-5688149402170723675.post-39562211368553926172007-03-19T02:09:00.000-07:002007-03-19T02:09:00.000-07:00Thanks for your prompt respond. Under what circum...Thanks for your prompt respond. Under what circumstances would you recommend a change to Avandia or add that to the other diabetes medication ?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5688149402170723675.post-12250790075102966802007-03-18T06:19:00.000-07:002007-03-18T06:19:00.000-07:00Avandia is a whole new class of drugs that has be...Avandia is a whole new class of drugs that has been developed for use in diabetes and can be used in conjunction with the other diabetes medication. It works at the DNA level by getting the cells to absorb more glucose and in doing so keeps the blood level of glucose lower.<BR/><BR/>The onset of action is slow and it may take 8 to 12 weeks for it to be maximally effective. Patients who are on Avandia will need to do periodic liver function tests to ensure that the drug has not affected the liver in some way<BR/><BR/>There are some indications that Avandia can slow down the progression of diabetes or even reverse it.Dr Lesliehttps://www.blogger.com/profile/12882813780543748225noreply@blogger.comtag:blogger.com,1999:blog-5688149402170723675.post-30035148816257388242007-03-17T02:37:00.000-07:002007-03-17T02:37:00.000-07:00Hi Dr TayCan you please provide some insight on th...Hi Dr Tay<BR/><BR/>Can you please provide some insight on this new diabetic medicine Avandia. What's the difference between this and the usual medicine taken for diabetes. Thank you for your advise.Anonymousnoreply@blogger.com