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What Causes Elevated Postprandial Glucose Levels?

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Posted on Tue, 4 Aug 2015
Question: I am type 2 diabatic and my blood sugar level Fasting 120 and pp is 220 i am taking medicen metafomin 500 twice and gimepride4mg twice
doctor
Answered by Dr. Saumya Mittal (1 hour later)
Brief Answer:
Diet modified and exercise needed

Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
The fasting sugars are ok.
It's the PPBS that's rising. I would ideally suggest that you change your diet pattern.
However, I am sure you have already done that.
So I would like to consider the possibility of hiking the dose.
I am also assuming this is the regular pattern. I won't suggest change on the basis of 1 test.

First , diet change if not already done so.
Second change from plain metformin to extended release forms of metformin.
Addition of sitagliptin may be considered thereafter.

I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck. Dr Mittal.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Saumya Mittal (9 minutes later)
CAN YOU SUGGEST NAME OF MEDICEN OF EXTENDED RELEASE
doctor
Answered by Dr. Saumya Mittal (2 minutes later)
Brief Answer:
most commonly used is Glycomet SR

Detailed Answer:
There are many medicines.
The most commonly used is Glycomet SR.
It comes in many strengths and you can continue the same dose you are taking now. If needed, it can be made 1 gm from 500 mg at a later date.
Best of luck.
Dr Mittal
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2897 Questions

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What Causes Elevated Postprandial Glucose Levels?

Brief Answer: Diet modified and exercise needed Detailed Answer: Hi, I am Dr Mittal. I have read your message. I think I can help you. The fasting sugars are ok. It's the PPBS that's rising. I would ideally suggest that you change your diet pattern. However, I am sure you have already done that. So I would like to consider the possibility of hiking the dose. I am also assuming this is the regular pattern. I won't suggest change on the basis of 1 test. First , diet change if not already done so. Second change from plain metformin to extended release forms of metformin. Addition of sitagliptin may be considered thereafter. I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck. Dr Mittal.