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Diabetic, fasting sugar level is controlled but postprndial is elevated. Taking glimestar. How to reduce it?

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Practicing since : 2006
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I am diabetic since 2000 and my fasting level of sugar is 114 while PP lavel is 270-280 I am taking glimestar 2mg before breakfast and dinner but PP is not control, Pl suggest me remedies to control my PP sugar level and appropriate medicine and food chart.
Posted Sun, 14 Jul 2013 in General Health
Answered by Dr. Basheer Ahamed 2 hours later

Welcome to XXXXXXX Thanks for your query.

Your fasting blood is well controlled.
The optimum may be maintaining below 110 mg/dl.

But your Postprandial blood is very high and not well controlled.
It will be better if you effectively control it between 150 mg/dl to 180 mg/dl.

Good control of blood sugar prevents or postpones diabetes related complication and provides a good quality of life.

Diet plays a major role in controlling blood sugar.
Take low carbohydrate and whole meal with high fiber content.


There are 3 approches.

1. Oral hypoglycemic agents alone.

Add Alpha glucosidase inhibitors like Voglibose with every meal.
This delays the digestion and reduces absorption of glucose thereby reducing postmeal value of blood sugar.

2. Insulin alone.

Any blood sugar value of more then 250 mg/dl need insulin to have it controlled.

3. Combination of OHA's and insulin.

Combination of OHA's and insulin can be taken with the advice of the doctor to effectively control the blood sugar.

Hope the answer helps you.
Pleased to answer other queries.
Above answer was peer-reviewed by
Follow-up: Diabetic, fasting sugar level is controlled but postprndial is elevated. Taking glimestar. How to reduce it? 2 hours later
I sent you the two report, Have you got it before sending advice.
date 8 April 2013, following parameters were there:
1. Glycosylated hemoglobin, EDTA whole bolld 7.2%
2. Mean Plasma Glucose 159.9 mg/dl
Pl prescribe me suitable medicines for coming days.
Pl let me know the doses of voglibose with every meal and how many days i have to take it.
Answered by Dr. Basheer Ahamed 43 minutes later

HbA1c is uncontrolled.
Always try to maintain below 6.5 %.

The recommended dose of Voglibose is 0.2 - 0.3 mg with every major meal or three times a day.

you need to continue it till the postprandial is well controlled.
Above answer was peer-reviewed by
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