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Diabetic type2. Taking ploglip MF7.5 + walaphage 500. How to decrease fasting sugar level. Should I change medicine?

I m suffering from Diabeic type2. I take Ploglip MF7.5 +Walaphage500 (one tablet each)before lunch & Ploglip MF7.5 +Walaphage850mg (one tablet each) at dinner Blod sugar emains high in fasting139 & 105 for pp2bs Pl. advice how can I bring down fasting sugar. I am suffering since 15 yrs. & 66yrs old Male Pl advuse any change in medicines I don t have any side effects so far Thanking SBKSHATRIYA VADODARA YYYY@YYYY
Asked On : Wed, 4 Jul 2012
Answers:  3 Views:  83
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Question is related to
Diseases and Conditions
Drug/Medication
Diabetologist 's  Response
DEAR SIR/MADAM

PIOGLITAZONE AND METFORMIN, BOTH ARE INSULIN SENSITIZERS, ITS ACTIONS ARE VERY LIMITED ON FASTING BLOOD SUGARS.

SECONDLY PIOGLITAZONE IS ASSOCIATED WITH FRACTURES AND BLADDER CANCER, SO IT IS BANNED BY INDIAN GOVERNMENT RECENTLY 2 DAYS BACK. SO YOU MIGHT NOT GET THESE MEDICINES OVER THE COUNTER.

IF YOU WANT TO CONTROL FASTING VALUES THEN ADD ONE SECRETOGOGUES SUCH AS GLIMEPERIDE 1 MG AT NIGHT TIMES, YOUR FASTING SUGARS WILL COME DOWN. BUT WATCH OUT FOR HYPOGLYCEMIA.

THANKS
Answered: Mon, 1 Jul 2013
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Internal Medicine Specialist Dr. Arindam Ray's  Response
you can take metformin(walaphage) upto 2 gm /day.....recently there is big controversy on pioglitazone(?banned),so preferably stop this drug....low dose long acting insulin is other option,like glargine..starting dose can be 10-12 u s/c at 7 pm....it better controls ur fasting blood sugar,without risk of hypoglycemia....check ur serum creatinine,HbA1C....
Answered: Wed, 3 Jul 2013
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1 Doctor agrees with this answer

General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello
You must control your sugar meticulously.
It is not possible for a doctor online to treat you since it requires various parameters and constant monitoring.
You must consult your doctor regularly and take his help in controlling not only diabetes but also any other associated complications,if any.
I hope you understand this.
Thanks
Answered: Sat, 14 Jul 2012
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