Hi, thanks for posting in HCM
I have understood your concern
1. your post prandial sugars are high so you needs increase in the morning dose as a tablet or basal
insulin.
I can suggest you to take tab.januvia50mg once in the morning , recheck the sugars after one week and needs dose adjustment.
if not getting controlled with tablets , better to take low dose basal insulin.
2. reason for giddiness may be due to
hypotension or
vertigo. or
uncontrolled blood sugars or
I can suggest you to get done
ECG
ECHO
BP check while having giddiness
tab.
vertin 8 mg twice daily for 5 days
3. your weight is more and that is also contributing to uncontrolled sugars
suggest you to reduce weight by regular exercise and diet control.
hope this helps you
any further questions please let me know
thanks