I am t2dm diabetes patient since 10 yrs. In last 3 months tablets changed by my doctor. Taking metformin 500/glimepiride 2 mg at morning and glimepiride 0.5 mg at night. Three times very low sugar level 70 mg reached. Went to local doctor. He told to take metformin 250 mg +glimepiride 2 mg at morning and metformin 250 mg at night. One diataal-d vitamin tablet at morning and pregabalin 75 mg at night. But I am unable to contact my main doctor. Below past 3 month test reports. Date / fbs / ppbs / cholesterol / triglycerides 06.03.20/127 mg/244 mg/174/296 14.04.20 / 99 / 239 /184 / 328 12.05.20. / 83 / 164/ 176 / 184 b.urea is 20 mg /dl.

Dr. Col V C GoyalGeneral Physician46yrs exp

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get latest blood sugar f/pp tested and if possible HBa1c for readjustment of medicines , goos luck 

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Dr. K. Pratheba NandhakumarDiabetologist17yrs exp

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Hello, your blood sugar has been moderately controlled on seeing first 2 reports and well controlled in latest report so you can now reduce the morning dose of drug to t.glimepride 1 mg with metformin 500 mg continue t.metformin 250 at night. Total cholesterol seems to be normal, high triglyceride levels which should be less than 150 may be due to poorly controlled blood sugar which is evident from first 2 reports. So maintain proper diet, walk for 30 minutes and let me know the blood sugar report after 1 month.  

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Dr. Pramod Kumar SharmaEndocrinologist42yrs exp

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Stop metformin at night, because your fasting sugar is low.  

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Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, Thanks for the query. I have seen the details given. I do not see any very low glucose levels at all. Hypoglycemic (low glucose) level is when blood glucose goes < 70 mg. Then that may cause certain symptoms, like mild shivering, uneasiness, blurred vision, clouded thinking, giddiness sweating etc. The levels shown are in fact fairly high particularly after food ones. Another aspect metformin hardly causes low glucose. If at all any drug contributes to that then it is Glimiperide. Reducing Metformin by 250 mg has no effect and in fact may reduce your glucose control. Ideally in a well controlled diabetes patient FBG should be < 100 mg or closer to 100 mg, PP 150 to 170 mg & HbA1c% < 6.5 %(not mentioned), considering your young age. If you have any questions please do come back. Thanks. 

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