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What Causes High Fasting Blood Sugar Levels In The Morning?
Question: I am having diabetes from last 8 years my HIBC is 7.4
I am taking Gem 2 and Zita 100mg and night I am taking Gulocunurm 1000
But my morning readaing is 140-155
it is ok or I have to change the medician
I am taking Gem 2 and Zita 100mg and night I am taking Gulocunurm 1000
But my morning readaing is 140-155
it is ok or I have to change the medician
Brief Answer:
Your fasting sugars is high- increase medications
Detailed Answer:
Hi XXXX,
Welcome to HCM. I have gone through the question and understand your concerns.
Please let me know the content of Gem 2 tablet ? Is it Glimepiride 2 mg or a combination of Glimepiride 2 & Metformin 500mg? or you have mistyped it for Gemer 2?
In Diabetes, the target is fasting blood glucose less than 130 mg/dl and HbA1c less than 7%. Your values are slightly above target. Three options to control it
Option 1:
Improve lifestyle modifications- diet control and regular aerobic exercise.
Option 2:
Increase the dose of medications. You can increase either Metformin or glimiperide dose ( Gem 2 or Gluconorm) by 1 tablet. Zita 100 is maximum dose of medicine.
Option 3:
Add once daily basal insulin like Lantus. If you are comfortable with insulin injections, this is the ideal option to decrease your fasting blood glucose.
Hope I have answered your questions. If you have any further queries I will be happy to help you.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Your fasting sugars is high- increase medications
Detailed Answer:
Hi XXXX,
Welcome to HCM. I have gone through the question and understand your concerns.
Please let me know the content of Gem 2 tablet ? Is it Glimepiride 2 mg or a combination of Glimepiride 2 & Metformin 500mg? or you have mistyped it for Gemer 2?
In Diabetes, the target is fasting blood glucose less than 130 mg/dl and HbA1c less than 7%. Your values are slightly above target. Three options to control it
Option 1:
Improve lifestyle modifications- diet control and regular aerobic exercise.
Option 2:
Increase the dose of medications. You can increase either Metformin or glimiperide dose ( Gem 2 or Gluconorm) by 1 tablet. Zita 100 is maximum dose of medicine.
Option 3:
Add once daily basal insulin like Lantus. If you are comfortable with insulin injections, this is the ideal option to decrease your fasting blood glucose.
Hope I have answered your questions. If you have any further queries I will be happy to help you.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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