Thanks for writing to us.
You have not indicated whether you have developed any symptoms of Hypoglycemia
when you were given T.Glymestar. If you have not had any symptoms of low blood sugar
at all ,the previous correction was good.The present doctor would have felt that FBS of 126mg% was an overcorrection.The overcorrection always has a risk of hypoglycemia and the OHA induced hypoglycemia is more difficult to correct as it is known for relapses and an admission to hospital is always warranted.
Anyway continue the present doctor's prescription as Glyciphage
will not produce over-correction at all and is the first choice for a newly diagnosed patient as well.It may take a few more days to normalise and body to adjust for an entirely new mechanism of Blood Sugar control.FBS of 168mg% and PPBS of 238mg% is high only.Keep PPBS at 180-200mg% and Fasting at 126mg%(at which you are declared Diabetic & it warrants diet and excercise and above 140mg% medicines-text book)
The doctor telling you to take Lipikind 10 at bedtime is logical as HMG-CoA reductase
is very active at night and produces Cholesterol
maximum at nights and that has to be blocked at night to effectively check the Lipid Profile
must have been in mcg and not 150 mg as mentioned.I think it is a Typo-error.
If you are not satisfied with the new doctor's giving Glyciphage you may go ahead with Glimestar and consult the old physician later if the Sugar level does not subside.
Wishing you a speedy recovery.,
Dr Lt Cdr ASN Bhushan.