question-icon

What causes high fasting blood sugar level?

default
Posted on Sat, 19 Jul 2014
Question: My fasting Sugar remains high inspite of taking the medication. Will addition of Glynase 5mg to current medication help. If yes, when it needs to be taken before or after food..
doctor
Answered by Dr. Minal Mohit (3 hours later)
Brief Answer:
Yes it can help you.

Detailed Answer:
dear sir, hi! you are diabetic and managed on metformin and dpp4 inhibitor. you said your fasting remains high but how high? what us your weight ? and do you follow diet and exercise schedule. ? one small change from januvia to vildagliptine metformin 50/1000 gm combination twice one before breakfast and one before dinner. start diet restriction and regular walk for 45 min a day. metformin voglibose 0.3/500 for lunch can solve your problem. try for 10 days and let me know your fasting and pp. regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Minal Mohit (6 minutes later)
My weight is 105 kgs and height 5'11"..I am overweight and trying to control with deiet and walking..I normnally gi for a three km brisk walk..

Thank you Dr XXXXXXX .I will change to Vidagliptine Metformin 50/1000 gm combination twice and take metformin voglibose 0.3/500 at Lunch..
In that case do I still need to add Glynase?
doctor
Answered by Dr. Minal Mohit (17 hours later)
Brief Answer:
review after 10 days.

Detailed Answer:
Dear XXXXXXX whether you will need glynase or any other molecule we will know after reviewing your fasting and post meal glucose after 10 -15 days of new plan. meanwhile focus on weight loss, increase your walk to 5 km and make your diet plan more strict. regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Minal Mohit (3 minutes later)
Thank you Doctor for your advice..Shall keep you posted on my Fasting and post meal glucose..
doctor
Answered by Dr. Minal Mohit (5 minutes later)
Brief Answer:
thanks!

Detailed Answer:
Sure mr. XXXXXXX , you can post reports directly to me by making a choice. regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Minal Mohit (3 minutes later)
Sure I will do that..
doctor
Answered by Dr. Minal Mohit (1 hour later)
Brief Answer:
thanks!

Detailed Answer:
you are welcome!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Minal Mohit

Endocrinologist

Practicing since :1998

Answered : 838 Questions

premium_optimized

The User accepted the expert's answer

Share on
What causes high fasting blood sugar level?

Brief Answer: Yes it can help you. Detailed Answer: dear sir, hi! you are diabetic and managed on metformin and dpp4 inhibitor. you said your fasting remains high but how high? what us your weight ? and do you follow diet and exercise schedule. ? one small change from januvia to vildagliptine metformin 50/1000 gm combination twice one before breakfast and one before dinner. start diet restriction and regular walk for 45 min a day. metformin voglibose 0.3/500 for lunch can solve your problem. try for 10 days and let me know your fasting and pp. regards!