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Dr. Andrew Rynne

Family Physician

Exp 50 years

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kindly forward this to a diabetologist Dear Doctor, i am

Answered by
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Dr. Phanindra Dulipala

Diabetologist

Practicing since :2008

Answered : 629 Questions

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Posted on Thu, 20 Dec 2018 in Diabetes
Question: kindly forward this to a diabetologist
Dear Doctor, i am 75 year old and had type ii diabetes since 2012.Right from the begining i am
taking glycomet 500 mg twice daily. Since a month i am taking 500 mg sr one a day.yesterday i got my glucose levels checked. The fasting level is 128 and pp level is 141. My Hb A1 c is 6.5 and mean blood glucose is 154 . i must say right from 2012 my fasting level is always shows and oscillates between 115 to 130. It has never come down below 110. Despite the fact i take two pulkas only in the night. My Hb a1 never above d 6.5 in all these 6 years . i am walking for 4 km for the last 30 years.my questions are ------
1.do i have to revert to the earlier dosage i.e 500 mg twice a day?
2.Orelse do i have to add full or half of 500 mg glycomet in the night after dinneralso?
3.Or do you suggest any new medicine in addition to 500 sr glycomet?
4.What are the correct and actual glucose levels for fasting and post prandal.
kindly take some time kindly advise me .
doctor
Answered by Dr. Phanindra Dulipala 2 hours later
Brief Answer:
Add 250mg in the evening

Detailed Answer:
Hello sir I have gone through your query and understood your concerns.

Let me answer question by question.
1. add 250mg dose of sane tablet in the evening also
2. normal sugar levels are 70 to 110 Fasting
and 120 to 160 post prandially.

Using this for twenty days, please check sugar levels again.

Thank you.
Wishing you good health.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Phanindra Dulipala 1 hour later
Dear Doctor
Thanks for your advise. i am told by my physician that diabetics have separate glucose levels fasting 130 and post lunch 160. is this correct ?. The fasting level 80 to 110 , he said that it is for non diabetics. Will there be such differentiation. I am not clear on this.Please advise
doctor
Answered by Dr. Phanindra Dulipala 1 minute later
Brief Answer:
Hello sir

Detailed Answer:
Sir, a glucose level up-to 120 Fasting is OK. And postprandial upto 160 is OK. The variation of 10 is acceptable.

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