Dr. I am from kerala. My present hba1c is 8.7. I am taking glycomet gp2 forte for past 20 years. Can I take pioglitazone 30 in the afternoon to control by diabetes. Glycomet gp2 forte intake is 1-0-1. Tnk you.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Thanks for the query. HbA1c% 8.7 is high. At your age it should be maintained < 6.8. Apart from that it is important to know current fasting and PP glucose levels. Another important aspect is your weight and BMI. With a BMI of 31.98 kgs /Sq meter, yu are in grade 1 obesity. This needs to be addressed first. Your ideal weight should be 65 kgs, which means there is an excess of 22 kgs. Weight reduction will help in better control of blood glucose. In this communication we can only give general guidelines, no drug prescription can be given. So it would be better if you come in a private conversation with following details: fasting, PP glucose levels, diet pattern and extent of daily exercise and lipid profile. Then I will be able to give specific guidance. And prescription if needed. Thanks.  

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