I have had really really bad reflux and cannot sleep or feel like eating?

I am 60 years old and a diabetic.
I used to take kombyglyze 500 x 1 per day however it was not lowing my morning sugars. I had to see a different doctor recently and she put me on metformin 1000 x 2 per day plus weekly injections of bydureon and since then my sugars have been low but I have had really really bad reflux and cannot sleep or feel like eating. I have heavy breathing and generally feel just tired. Please help me . I am also taking medication for reflux, high blood pressure and cholesterol. I am feeling so unwell



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Ayman Darrag
6:54 am

It sounds good that your sugar level is settled now..
For the reflux; I recommend a number of steps to treat your self.
1-avoid eating 4hours before bed or lying down.
2-omit fat,caffeine,citrus fruits,high fat milk products completely from diet .
3-start a deep breathing exercise daily training.
4-eat small meals 6 times daily.5-increase your fiber intake .
6-drink plenty of water in every hour basis .
7-then start taking if needed only ganaton 50mg before meals.
8-if symptoms did not become better..start a proton pump inhibitor like nexium 40 every morning.
Then think about GI endoscopy ..
Thanks

Ahmed Fawzy
9:48 am

Hi
In my opinion metformin and bydureon can cause sever reflux , drink alot of water avoid and dark color drinks (coffee soda ) drink low fat milk , avoid acidic fruits and juice ( orange and lemon )
2 pills of zantac can fix the problem ( taken when needed )

Good Luck

Masr Fawzy
1:43 pm

You r on drugs which will cause u refux ..
U mentioned cholesterol , your sugar is controlled only by adding combination of 2 drugs with high dose…
I assume that your weight is crossing the centiles ..
I can tell you, once you change your life style, do exercises and decrease your weight, at that time , you ill need no longer all these drugs,
Take for now,
Omeprazole , stop drinking soda or coffee or even spicy foods,
Make an interval bet eating and sleeping.. 1 hour at least,
Sleep with 45° , not totally flat…

MAHAVEER PATIL
7:31 am

hi,
you should change your eating habits.
avoid spicy and junk food.
keep tea to a minimum.
dinner should be taken atleast 3 hours before sleeping.
get a upper GIscopy done.
hiatus hernia must be ruled out.
thanks