I am taking metformin 500 morning and night. Glucose level is stabilised after two months. But feeling hungry from 10 am to 6 pm. Hba1c is 7.2.fbs 130 and bps 230. Unable to reduce fbs below 130. Feeling hungry below this level body tired. Whether I can reduce morning dose to 250 mg metformin. Geriatric specialist says 130 is normal. Kindly advice.

Dr. Col V C GoyalGeneral Physician43yrs exp

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1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. No sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine and further advise contact on private chat.  

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