Dear Mr. Parikh
You have not mentioned 'when' the sugars are 180-200 ? Are they before you eat or after eating ? Acarbose
only reduces the post prandial (after meal) sugars. It has no effect on fasting sugars (or before meal sugars). For control of the fasting sugars we need to titrate your other medication. Before we do that I need to know what is you HbA1c
). HBA1c tells about your sugar control since the last 3 months.
Please let us know the HbA1c status, the medications you are taking and your following sugar values
1. Fasting (pre breakfast)
2. 2 hr post lunch
3. 2 hr post dinner
5. 2 hr post dinner / bed time
We need atleast 3-4 values each to get a good overall judgement of your diabetes
status. Once you let us know these values we may be able to titrate your medications.
Dr. Om Lakhani
http://www.healthcaremagic.com/doctors/dr-om-lakhani/60313 (online expert diabetes care consultantion)