Given your history of a heart attack six months ago and the current significantly elevated blood glucose levels (RBS 260 mg/dL, FBS 370 mg/dL), your
diabetes appears to be poorly controlled. It’s concerning, especially in the context of cardiovascular disease, as uncontrolled diabetes increases the risk of further cardiac complications. The current regimen of metformin 500 mg and glimepiride may be insufficient. I strongly recommend immediate re-evaluation of your diabetes management plan. This may include optimizing oral medications, considering insulin therapy for better glycemic control, and assessing for diabetes-related complications. Regular monitoring, dietary adjustments, and lifestyle changes are also crucial. Please consult to initiate appropriate treatment and prevent further complications.
Thank you !!