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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Uncontrolled Diabetes

Hello I Diagnosed with diabetes type 2 about 5 years ago.I started my medications with half a metformin pill daily and my blood sugar was controlled for about one year.after that,it wasn t adequate and I gradually increase my metformin intake to 3 per day.it was good up to 4 years and finally I add Glyclazide to my prescription too.again started with half a pill but gradually increased to 3 per day.Now,I use 3 glyclazide 80mg and 3 metformin per day and still my blood sugar is high.what s wrong with me and what should I do?
Tue, 23 Sep 2014
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General & Family Physician 's  Response
welcome to hcm,
short answer you may need a an insulin regimen to control your sugar levels
i would like to know your fasting and postprandial blood sugar results. first.
all the anti diabetic medications act in the betacells of the pancreas.
beta cells secrete insulin
these beta cells get damaged gradually by long term use of diabetic medications
and a time comes when most of the beta cells are damaged. and there will be a need for supplimenting insulin from outside.
apart from medications
anerobic exercises
and diet control are must
hope this explains
Dr.Amarnath




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Diabetologist Dr. M. Vamsi Krishna's  Response
Hi, I had gone through your query and understood your concerns.
There is nothing to get alarmed because this is a natural happening in the course of diabetes progression.
I am sorry for the situation you are in.
in my opinion you are taking medication in good dose.
in type 2 diabetes there will be progressive destruction of beta cells which will reduce the effectiveness of therapy. but you did not mentioned anything about your diet and exercise.
diet and exercise plays very important role in diabetes we can say that without them your diabetes treatment is incomplete.
kindly write back to us with your height and weight for diet suggestions and planning
regards
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Suggest Treatment For Uncontrolled Diabetes

welcome to hcm, short answer you may need a an insulin regimen to control your sugar levels i would like to know your fasting and postprandial blood sugar results. first. all the anti diabetic medications act in the betacells of the pancreas. beta cells secrete insulin these beta cells get damaged gradually by long term use of diabetic medications and a time comes when most of the beta cells are damaged. and there will be a need for supplimenting insulin from outside. apart from medications anerobic exercises and diet control are must hope this explains Dr.Amarnath