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My sugar is not under control
Hello Doctor Good morning
I am diabetic since 6/7 years,normaly my sugar was always under control around 110/140. But now from last 5/6 months it is high fasting around 200 /pp around 275.
Now medicines doses also increased by my doctor.
Janumet 50/500-twice a day
Glimpiride 2mg
Gliclazide-60mg
(metformin-500mg by other doctor)
Still sugar is 200/275
HBA 1c is 8.1 3 months back,now in July 2020 it is 7.9
This ratio is after doing daily 1 hour excercise/walking/yoga.
I have two queries..
My one government doctor is saying to take Janumet 50/500 and Glimpiride 2mg in the morning both all together. And at night after dinner only Metformin 500mg.
Another one advised me to take Janumet 50/500one morning and one evening.
And Gliclazide -60mg in the evening.(not prescribed Metformin at evening)
My sugar is not controlled, please advise me how to take dose and how it will be under control.
Best Regards
Answers (2)
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Hi
In my opinion you may need injection insulin for the time being until your blood sugar levels gets controlled and later again you can adjust the oral medicine dosage. Better to consult your doctor to initiate insulin dosage.
Another option is to change your oral medication dosage as
Tab zoryl M3 forte before breakfast
Tab.trivolibo forte 2 before lunch
Tab Teniva M 20/500 before dinner.
For 1 week
Next Steps
Test your blood sugar levels after 1 week.
Then Consult your doctor for dose titration.
Health Tips
Always be cautious about hypoglycemic attacks during dose changes
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Dr. Kakalee K Saha
Diabetologist
25 yrs exp
Mumbai
GLICLAZIDE and GLIMEPIRIDE are not given together..u need to consult a doctor who treats diabetes.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.