My mother is diabetic and taking jalra m after breakfast and gluconorm g4 before breakfast and before dinner. She started taking lantus injection 10iu after dinner from last week. Ffbs=179 & ppbs 280 hba1c=10.8. Please advice.
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Hello, thanks for the query. From the details given she is on multiple medications. The dose of glimiperide is rather too high. Ideally it should not be given more than 4 mg at the most 6 mg a day. She is taking 8 mg. That has hardly any benefit than a lower dose. Plus it is always good to give insulin (glargine) before food. Her fasting and pp levels are high, suggesting improper control. Therefore, it is necessary to know following information: present diet pattern, daily physical activity, serum creatinine, urea and microalbuminuria, plus lipid profile. Because it is necessary to her kidney functions. Thanks.
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Since the blood sugar levels are still not well controlled, you have to go back for regular health check up and repeat the meds to monitor the situation. Have patience, as it may take some more time for the body to respond positively. Ensure that your mother understands the importance of following a very disciplined and healthy lifestyle. Her weight also needs to be taken care of. You can talk to a dietitian for a diet chart suitable for her needs. With a systematic approach towards balanced diet and daily exercise regimen along with appropriate treatment, the insulin resistance can be addressed more deligently. Keep up the follow-up as suggested by your doctor. You can update all the details again for further clarification.
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