Low blood sugar on regular basis
My mother has type 2 diabetes and recently started having repeated low sugar episodes around noon. Earlier, her blood sugar was often around 230 mg/dL in the morning, then dropped to 77 mg/dL or lower around 12:00 pm, almost daily. She wakes at 5:00 am, eats breakfast at 7:30 am (egg + chapati), and again at 10:00 am (dosa + dates), but was still getting low sugar before lunch. Her medicines are metformin 500 mg and glimepiride 1 mg, along with atenolol, amlodipine, rosuvas-F10, telma, and veltam. She had also completed a course of Faronem for UTI. Today her sugar was 140 fasting and 209 two hours after lunch, and she did not have a low episode today. She also complains that when her sugar gets low, her urine seems to stop / does not clear properly. Please review whether her diabetes medicines, especially glimepiride, could be causing the noon lows and whether the urinary symptom needs evaluation.
