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Have high Blood sugar level. On gluconorm, metformin, glimperide. Medication?

My father is 75 and have Bloodsugar level is 200-300 and Hba1c is over 8.He is taking GluconormPG2( Metformin 1 gm,glimperide 2 mg and pioglitazone 30 mg) as the sugar level is not coming down then doctor prscribed Gluconorm g 4 forte(glimperide 4mg and metformin 1gm).but still it is not coming down.what should i do?shoud i use other medicine? Rbc 5.5,Hb 10.8,Hematocrit 33.5,Mean corpuscular vol 60.6,Red cell distribution width 16.0,Glucose pp-242,Cholesterol 130,Triglycerides 84 HDL- 46,Direct LDL cholesterol 65 ,Creatinine 1.1 ,Uric acid 5.8,Alanine Aminotransferase 25.
Asked On : Mon, 17 Dec 2012
Answers:  1 Views:  81
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
Let me know the status of blood sugar fasting & postprandial along with renal function test.
Your father should take above prescribed medicine twice in day 30 minutes before the meals.
He should also take DPP-IV inhibitors if renal function test is absolutely normal under guidance of treating doctor.
You should consult with internal medicine specialist/ endocrinologist.
He should also go for serum C peptide level to know the status of insulin formation in body.
Those patients who are suffering from type II diabetes, they may require insulin therapy at any stage of their life due to permanent destruction of beta cells in pancreas. In such cases, insulin is the only mode of therapy.
Take care,
Dr. Mayank Bhargava
Answered: Mon, 17 Dec 2012
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