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Dr. Andrew Rynne
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Suggest remedies for high blood sugar

Answered by
Dr.
Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 805 Questions

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Posted on Tue, 7 Jun 2016 in Diabetes
Question: I am a Diabetic and sometimes I take Glyciphage, Walaphage SR500 and Voglibose. My blood sugar is somewhere between 140 to 180 post lunch. Which medicine is better for me.
doctor
Answered by Dr. Abhay A Mali 8 hours later
Brief Answer:
I may suggest Metformin in optimal dose.

Detailed Answer:
Hi,

Thanks for your question.
Noted your concern.

Tab Walaphage and Glucophage contains Metformin.
Metformin help in reducing insulin resistance which is the basic pathology in Type 2 Diabetes Mellitus.
Tab Voglibose slows the absorption of sugar in small intestine.

In such scenario I may suggest Metformin 1500 to 2000 mg per day in divided doses considering normal kidney and heart function.
With regular medication one need to monitor blood sugar levels (fasting & post-prandial) monthly accordingly further changes in medications can be done.

Along with this I may suggest -
- Diabetic diet with consulting near by dietitian.
- Regular exercise as tolerated. Usually I recommend 150 min of moderated degree physical exercise per week.
- IInvestigations like HbA1c, Lipid Profile, Renal function test, Urine albumin creatinine ratio.

Hope this you.

Regards,
Dr. Abhay Mali.
Diabetologist.
Above answer was peer-reviewed by : Dr. Naveen Kumar
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