Maarten Vasbinder is a retired general practitioner, a profession he previously practiced largely in Spain. On Thailandblog he answers questions from readers who live in Thailand.

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Dear Martin,

Please advice about my medication diabetes type 2. My age 67 years, 169 cm tall, weight 83 kg. I cycle a lot and walk occasionally.

This morning I had a blood test where hba1c was 6.5 and blood sugar 151 mg. I read in the report that creatinine in the kidneys is 1.33 (mg) which would be too high?

As medication I take 1 tablet of glipizide 5 mg before breakfast, 850 mg of metformin after breakfast and 850 mg of metformin after dinner.

With best regards

A.

*****

Best A,

Also take 5mg Glipizide before lunch. If that doesn't work enough, a GLP antagonist, such as Ozempic, is an option.

Always have glucose on hand in case of hypoglycemia.

Yours faithfully,

Dr. Maarten

Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide the correct information (see list at the top of the page).

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