Hello, Thank you for your query. I understand your concerns. For ideal blood glucose control the fasting blood glucose should be less than 110 mg/dl, the 2 hour post prandial blood glucose should be less than 160-170 mg/do. I am not sure of your mother s age as these values are patients who are less than 55-60 years old and who are reasonably in good health. As a person becomes older or if there is a diabetic patient who has multiple problems, then these target values would also be a little higher as too tight control of an elderly person s blood glucose will cause them to have low blood glucose ( hypoglycaemia) and this can cause in serious complications. I am also not sure how often your mother is taking the Glycimark M and the Vogo 0.2 mg. Assuming your mother is less than 60 years old and that she is reasonably good health, if she is taking Glycimark M 40/500 only once a day then it can be increased to twice a day ( 15 -30 min before breakfast and before dinner). If she is already taking this tablet twice a day, then she can increase the dose of this, she can take Glycimark M 80/500 twice a day. Recheck her blood glucose levels in 2 weeks . If her blood glucose is still high then she can take Vogo 0.2 mg either twice a day ( if previously she has been taking it only once ) or up to three times a day ( if she has been taking it only twice a day). If at any point she experienced low blood glucose symptoms like sweating, hunger, dizziness, fast heart beat, mood changes etc, then it is the Glycimark-m that is causing the symptoms and she needs to reduce the dose of this. The immediate treatment of low blood glucose is by taking a tablespoon of honey/sugar, sugar candies, glass of fruit juice or regular Pepsi/coke etc . This should be followed by a carbohydrate snack like sandwich, milk with 2 biscuits, fruit etc within the next 1 hour. her blood pressure is fine and she needs to continue with her Olvance and Crevan-F. I hope this answer has helped you. Regards Dr Sunita Sayammagaru