The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
I am Mysticdoc, experienced Internal Medicine Specialist.
I am here to help you with your concerns.
Magnesium deficiency and dehydration can explain your symptoms.
You can continue with magnesium supplementatino at 400 mg daily to avoid any future deficiencies.
Your current fasting blood sugar is not that concerning.
Since these levels are above 100, you are considered prediabetic.
A hemoglobin A1c level also should be checked by blodo test which provides average blood sugar level over prior 3 month period.
You do not need any medication for blood sugar currently.
However, you should watch your diet carefully.
onglyza can take 2 weeks
It acts gradually.
But, still it is likely working already since your fingerstick values are good.
what were the numbers before onglyza?
Ok --then you need to wait at least 2 weeks to see any difference.
The goal is to keep blood sugar below 100.
The dosage can be increased if needed after 2 weeks.
No --the sugar will not go too low.
Current numbers are also ok.
Onglyza does not cause hypoglycemia usually.
Let me first explain how onglyza works.
Onglyza prevents the destruction of incretin hormone in your intestine.
Incretin is responsible through various mechanisms to prevent sugar production by the liver.
So, it will maintain the normal blood sugar level throughout the day.
but, this also prevents from spiking of the blood sugar level in the blood.
So, at around 100 level, you will not see much difference.
However, if your blood sugar is running for example above 140 before medication, then the level will be dropping around 100.
So, in other words, onglyza is preventing your blood sugar to spike up currently.
But, the sugar lvel will not drop lower usually with normal diet.
Does i make sense?
the mechanism of action is different.
metformin also does the same action but works differently.
insulin, and other meds like glipizide work differently.
Onglyza will not affect the kidney and your blood sugar will not drop due to the above reason.
So you are safe.
yes it can --surgery related stress can cause spike in blood sugar.
That is why a hemoglobin A1c level should be checked which measures the blood sugar average over 3 month period.
Also your medications addrall and allegra D can increase the blood sugar level.
that does suggest diabetes.
But this is a mild disease now.
And you should see improvement with onglyza.
And since the gallbladder is out, your sugar should improve.
No--it is the inflammation related to the gallbladder that can cause elevated blood sugar.
Any inflammation in the body can increase the stress hormone levels which cause high blood sugar.
Gallbladder itself has no role with blood sugar level.
correct in about 3 months.