I am diabetic using gliptagrate m 500 2 tab per day for bp using metxl 50 and minipress 2.5both night morning telmikind am 1 tab morning in addition ecosprin av 75 daily night on tab I am aged about 61 years my problem is tension eyes burning morning time stomach problem pl advice is necessary to change the medicines sugar levels 131/ 220 before and after.

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Mr. lybrate-user, thanks for the query. I have seen the details given. Your glucose levels are a bit high. Ideally fbg should be < 100 mg or closer to 100 mg & pp should be 150 to 170 mg & hba1c% <7 % above 60 years and <6.5% below 60 years (not given). To suggest any changes in medication I need to know your hba1c%, extent of daily exercise, dietary pattern, serum creatinine & urea plus lipid profile. Another aspect with a bmi of 25 kgs/sq meter (normal < 23 kgs/sq meter) you are a bit over weight. Your ideal body weight should be about 56 kg. So my suggestion is please come back with all the above mentioned details in a private conversation as in this communication we are supposed to give only general guide lines, no drugs can be recommended or prescribed. So I await your information. Incase you are not keen on getting online consultation, please do contact your local physician as it is important to achieve a stricter glucose control for preventing or delaying the complications associated with diabetes. If you have any questions please do come back. Thanks. 

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