I have diabetes since 20 years. My fasting sugar is 130 and post lunch is 200. This is because of oral medicines and exercise. Following is my medicine :1. Triglynase 2 (2 tablets twice) 2. Tenuzulix 2 MF (1 tablet before lunch. How can I further lower the sugar level.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Mr. lybrate-user, Thanks for the query. Your blood glucose control is not too bad. Ideally FBG should be < 100 mg, PP 150 to 160 mg. There needs a stricter control on diet & may be increased amount of physical activity per day. Since you are already on maximal dose of Glimiperide (4 mg) & 30 g of Pioglitazone (30 mg). Usually better not exceed 15 mg. So my suggestion is please look at your diet and physical activity level and make necessary changes. That should help rather than further adding any more drug. Thanks.  

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