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What Do My Blood Sugar Levels Indicate?

Posted on Mon, 22 Aug 2016

Question: Hello Doctor,
I am a diabetic from last 15 years and from past few months by fast sugar is between 140-160 and non-fasting 220-250.

I am strict diet and do walking in the evening for 30-45 minutes.

Insulin - Insulatard 15 units once a day.

Please advise, how i can improvise on the sugar level

Thanks,

Answered by Dr. Dr. Abhay A Mali (3 hours later)

Brief Answer:
Need to modify medicines.

Detailed Answer:
Hi,

Thanks for your question.
Noted your concern.

You need modification in your prescription.
You are on small dose of two oral anti-diabetic medicines (metformin & sitagliptin content of Janumet) and intermediate acting insulin (insulatard).

There is definite scope to increase dose of Metformin & Sitagliptin but it will depend upon
- Your heart status.
- Kidney function.

In such case I may suggest to do -
- HbA1c.
- Complete Blood count.
- Lipid Profile.
- Renal function test.
- Liver function test.
- Urine examination.
- ECG & 2DEcho of heart.

Considering normal heart & kidney function I may increase Tablet Janumet twice a day Before breakfast & dinner.
And Tab containing Metformin 500mg after dinner once a day.

Hope this helps you.

Regards,
Dr. Abhay Mali.
Diabetologist.

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj