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Suggest treatment for high blood sugar levels

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Posted on Mon, 11 May 2015
Question: Hello Dr,
My name is XXXX, my age is 37 years and weight 78 Kgs. I am taking a dosage of Metride 2Mg in the morning empty stomach. I checked blood sugar empty stomach on 20th March it was 286 now today when I check it was 296 please advise.
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Answered by Dr. Tushar Kanti Biswas (20 minutes later)
Brief Answer:
Control of diabetes

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
It seems your diabetic state is not under control with Metride 2Mg (Combination of Glimepiride 2 mg & Metformin 500 mg).Adequate control means fasting blood sugar should have been 100 mg%.
Options are:
To achieve better control,one needs to add DPP-4 inhibitors or gliptins, either Stagliptin or Vidagliptin probably 100 mg/day.
Total dose of metformin may also be increased to 1500 mg/day.
A basal insulin like (insulin glargine) 10 units s.c. at bedtime will help achieve target blood sugar level,when added to oral hypoglycemic drugs(OHA).
These are all prescription drugs.I have only mentioned additional oral hypoglycemic drugs and basal insulin,since your fasting blood sugar is quite high with your present medication.You need to discuss with your local physician or diabetologist.






Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Tushar Kanti Biswas

Internal Medicine Specialist

Practicing since :1975

Answered : 1920 Questions

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Suggest treatment for high blood sugar levels

Brief Answer: Control of diabetes Detailed Answer: Hi, Thank you for your query. I can understand your concerns. It seems your diabetic state is not under control with Metride 2Mg (Combination of Glimepiride 2 mg & Metformin 500 mg).Adequate control means fasting blood sugar should have been 100 mg%. Options are: To achieve better control,one needs to add DPP-4 inhibitors or gliptins, either Stagliptin or Vidagliptin probably 100 mg/day. Total dose of metformin may also be increased to 1500 mg/day. A basal insulin like (insulin glargine) 10 units s.c. at bedtime will help achieve target blood sugar level,when added to oral hypoglycemic drugs(OHA). These are all prescription drugs.I have only mentioned additional oral hypoglycemic drugs and basal insulin,since your fasting blood sugar is quite high with your present medication.You need to discuss with your local physician or diabetologist. Regards Dr. T.K. Biswas M.D. XXXXXXX