I am diabetic since 4 year .i am taking glimprid 2 mg and pioglitazone 15 mg, I can't take metformin because due to it stomach become upset. At present my hb1c is 8. My bp is normal. Please give me suggestions.

hello start homoeopathic treatment with above medicines. it helps to control sugar levels and slowly cut off allopathic medicines.. you can consult me online for homeopathic treatment and guidance  

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Dr. Col V C GoyalGeneral Physician46yrs exp

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1.no alcohol 3. No smoking/ tobacco/drugs/ avoid pollution 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. Less 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 consults. Good luck.  

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Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details mentioned. Your hba1c% is high, which means present treatment is not helping enough. Ideally in a well controlled diabetes patient's fbg should be < 100 mg or closer to 100 mg, pp 150 to 160 mg & hba1c% < 6.5%. So there is a need to look at overall treatment that includes your dietary pattern, extent of daily exercise, present medication and need to upgrade, lipid profile, serum creatinine and urea (since age is not mentioned) plus your bmi is over 25.4 kgs/sq meter (normal < 23 kgs/sq meter) which means your over weight with an excess of 9 plus kgs. So please come back with all the necessary details so that I can give specific suggestions. It is better if you come in a private conversation, where I can prescribe required medication. In this communication we are supposed to give general guidelines only. If not interested, please consult your local physician as there is a definite need for upgrading the treatment. Thanks. 

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Dr. Pramod Kumar SharmaEndocrinologist42yrs exp

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yes,you can take metformin, take it after food to avoid stomach upset. 

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