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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sugar Levels Are Above Normal, Taking Gluconorm. Should I Change Medication?

I am a diabetic type 2 and BP, which us under contreol. I take Gluconorm 500 mg twice, but at times my sugar levels are above normal range. I am taking these medicines for the last six years. The H1AiBC1 is 7.2%/.Do I need to change the medicines or dosage
Wed, 15 Jan 2014
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Pathologist and Microbiologist 's  Response
Hello,

HbA1c of more than 7 % indicates poor control of blood sugar.
Metformin alone may not be enough in this stage.
I would advice my patient to increase the dosage of metformin as 500 mg twice a day. Add sulfonylurea group of oral hypoglycemic drug like glimipride. This will stimulate the secretion of insulin and control the blood sugar. To know the effect repeat the HbA1c after 3 months.
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Sugar Levels Are Above Normal, Taking Gluconorm. Should I Change Medication?

Hello, HbA1c of more than 7 % indicates poor control of blood sugar. Metformin alone may not be enough in this stage. I would advice my patient to increase the dosage of metformin as 500 mg twice a day. Add sulfonylurea group of oral hypoglycemic drug like glimipride. This will stimulate the secretion of insulin and control the blood sugar. To know the effect repeat the HbA1c after 3 months.