I am diabetic patient my age is 42 years female I am suffering from diabetic last 14 I take insulin insulin injection 35 unit early in the morning and glimepiride 3 mg BD and metformin 2 gram and voglibose 0.3 BD ten gliptin. But my diabetic is not in control average diabetic is randomly 240 what I do. High platelet count I take medicine hydroxy urea 500 milligram BD last 10 year all reports of my kft lft lipid profile CBSE is normal.

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Pooja ji, Thanks for the query. I have gone through the details given. In fact you are on quite a lot of drugs, still the control is eluding, is a bit of surprise. Please let me know whether you take a properly planned restricted diet? Do you exercise regularly? With a BMI of 28.125 kgs/Sq meter(normal < 23 kgs/Sq meter), you are fairly over weight. Your ideal body weight should be about 60 kgs, which means there is an excess of 12 kgs. This needs to be reduced. It will help better insulin action and better control. You may enquire about a recent device for monitoring blood glucose levels for 24 hours over 14 days, called a s Libre-Pro, which will help in knowing when glucose levels go very high or very low during the day and based on that drug dosages including Insulin can be adjusted. Thanks. 

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