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Suggest treatment for high blood sugar levels despite being on strict diet

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Posted on Fri, 20 May 2016
Question: hi doctor i am diabetic- type 2 since 5 years in spite of regular medication, physical activities & following all diet guidelines my sugar levels continuously remain high ( Fasting 250 + / PP 350 + )

how can i control ?
doctor
Answered by Dr. Abhay A Mali (1 hour later)
Brief Answer:
I may suggest Insulin.

Detailed Answer:
Hi Mr. XXXXXXX

Thanks for your question.
Noted your concern.

You are already on almost 5 different types of medicines.
Tab Gemer PL 2 contains Glimepiride 2mg + Metformin 500mg + Pioglitazone 7.5mg
Tab Istamet contains Sitagliptin 50mg + Metformin 500mg.
Tab Forxiga contains Dapagliflozin 5mg.

Despite of that your blood sugar levels are not under control.

In such case I may suggest to use of insulin particularly night dose of long acting insulin like Insulin Glargine along with current oral medicines
With regular check of blood sugar level.

Along with this one need to consider the possibility of LADA (Latent Autoimmune Diabetes of Adult).

All this need to be discussed with your treating diabetologist.

Regards,
Dr. Abhay Mali.
Diabetologist.
Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. Abhay A Mali (3 hours later)
Tab Gemer PL 2 contains Glimepiride 2mg + Metformin 500mg + Pioglitazone 7.5mg
Tab Istamet contains Sitagliptin 50mg + Metformin 500mg.
Tab Forxiga contains Dapagliflozin 5mg.

above medication just started before 2 days earlier i was taking combiglyze 1 tab daily and i was out of medication before 7 days of last test result i mentioned as above
doctor
Answered by Dr. Abhay A Mali (3 hours later)
Brief Answer:
Be compliant with medicines, exercise & diabetic diet.

Detailed Answer:
Thanks.

In such a case I may suggest to continue current medications as advised by your doctor.
Be compliant with medications, diabetic diet & exercise.
Recheck blood sugar level Fasting & Post-prandial after 2 to 3 weeks.

On the day of blood sugar testing one should maintain the daily routine including meal timings, timings of medicine intake.
Do not make any changes in medications or discontinue any medications without consulting your treating doctor.
After doing blood sugar tests (whatever the test result) continue your medications as advised till you consult your doctor.

There is likely possibility of reduction in number of medicines in future depending upon blood sugar levels.

Hope this helps you.

Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
Answered by
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Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 807 Questions

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Suggest treatment for high blood sugar levels despite being on strict diet

Brief Answer: I may suggest Insulin. Detailed Answer: Hi Mr. XXXXXXX Thanks for your question. Noted your concern. You are already on almost 5 different types of medicines. Tab Gemer PL 2 contains Glimepiride 2mg + Metformin 500mg + Pioglitazone 7.5mg Tab Istamet contains Sitagliptin 50mg + Metformin 500mg. Tab Forxiga contains Dapagliflozin 5mg. Despite of that your blood sugar levels are not under control. In such case I may suggest to use of insulin particularly night dose of long acting insulin like Insulin Glargine along with current oral medicines With regular check of blood sugar level. Along with this one need to consider the possibility of LADA (Latent Autoimmune Diabetes of Adult). All this need to be discussed with your treating diabetologist. Regards, Dr. Abhay Mali. Diabetologist.