I was diagnosed with type 2 since 2000. I am 66 but I cannot get my blood sugar below 8. On metformin, glycozide and trajenta.

Question

There are multiple reasons why you are unable to get better glycemic control. 1. Duration of diabetes: you have been living with diabetes since 19 years and over time, the insulin producing cells may reduce and the ability to produce insulin by the body is minimal and despite using medications, there is treatment failure. Hence, someone like that requires insulin 2. Drug dose optimisation: your dosage needs to be tweaked and then we can check the response 3. Diet/exercise compliance: despite taking medications, if the patient continues to eat high carb diet, medications may not be enough to control the diabetes 4. Drug compliance: poor drug compliance leads to poor glycemic control. Hope this helps.

Mohammed Zaid · Accepted Answer

There are multiple reasons why you are unable to get better glycemic control. 1. Duration of diabetes: you have been living with diabetes since 19 years and over time, the insulin producing cells may reduce and the ability to produce insulin by the body is minimal and despite using medications, there is treatment failure. Hence, someone like that requires insulin 2. Drug dose optimisation: your dosage needs to be tweaked and then we can check the response 3. Diet/exercise compliance: despite taking medications, if the patient continues to eat high carb diet, medications may not be enough to control the diabetes 4. Drug compliance: poor drug compliance leads to poor glycemic control. Hope this helps.

Neha Jain · Answer

check your blood sugar 
fasting should be around 100 and post meal around 150 than you can get hba1c 7 .
bit titration of your can be done .
start to check reading .

if pp is high diet control is very beneficial.
do exercise also.
tell me dose of your medication and duration. than I can helP you

Pramod Kumar Sharma · Answer

Stick to diabetic diet strictly.
Regular physical exercise is must.
If overweight reduce your weight.
There are other medicines available beside those which you are taking which act by different mechanisms to control your blood sugar.You should discuss with your treating doctor.
Lastly if all oral medicines fail insulin should be tried.