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Suggest Treatment For Uncontrollable Blood Sugar Levels
Question: Until 2 months ago my diabetes blood tests were in the 6.0 range. last 2 months have gone up to the 8 range. meds were 2000 metformin twice daily plus glimepiride 4mg increased to twice daily. Morning testing has risen from low -med 100's to mis-high 100's and last 2 days into low 200's. I watch my diet, exercise little and am 6' weigh 227, 75 yrs old. what is going on.
Brief Answer:
Your treatment needs to be closely reviewed!
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about these blood sugar values which have been out of control. Your A1C is very representative of the increases in blood sugars that you have reported.
In the management of diabetes, we know that at a certain pint, oral drugs alone may not be able to control the blood sugar and we may need insulin for this. You are already at the maximum dosage of metformin and high enough doses of glimepiride. I will will suggest that you doctor review your treatment fully and if there are no other reasons which could explain this recent out of control values, insulin should be considered at least in the mean time to get your blood glucose controlled.
At your age, I will not expect vigorous exercise. I know the weight is also an issue but cannot be controlled in the short run. Considering other options like insulin seem to make more sense. Ask your doctor about this and hear what he says.
I hope this helps. I wish you well. Thank you for using our services and feel free to ask for more information and clarifications if need be.
Your treatment needs to be closely reviewed!
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about these blood sugar values which have been out of control. Your A1C is very representative of the increases in blood sugars that you have reported.
In the management of diabetes, we know that at a certain pint, oral drugs alone may not be able to control the blood sugar and we may need insulin for this. You are already at the maximum dosage of metformin and high enough doses of glimepiride. I will will suggest that you doctor review your treatment fully and if there are no other reasons which could explain this recent out of control values, insulin should be considered at least in the mean time to get your blood glucose controlled.
At your age, I will not expect vigorous exercise. I know the weight is also an issue but cannot be controlled in the short run. Considering other options like insulin seem to make more sense. Ask your doctor about this and hear what he says.
I hope this helps. I wish you well. Thank you for using our services and feel free to ask for more information and clarifications if need be.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
would an endocrinologist visit be helpful?
Brief Answer:
Yes, and specifically a Diabetologist!
Detailed Answer:
Hi,
The best specialist to consult would be and endocrinologist/Diabetologist. This would shed more light on what options need to be considered. I wish you well.
I am ready and pleased to respond to more concerns if you have any at this time.
Yes, and specifically a Diabetologist!
Detailed Answer:
Hi,
The best specialist to consult would be and endocrinologist/Diabetologist. This would shed more light on what options need to be considered. I wish you well.
I am ready and pleased to respond to more concerns if you have any at this time.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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