My father age is 65 years. He is suffering from diabetes last 12 years. He is under diabetic treatment & regular ate 1 tab trivoglitor 2 before lunch. Now his FBS is 393 mg/dl and PPBS is 558 mg/dl. What should I do? Kindly help me.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. Lybrate-user, the levels mentioned are exceptionally high, need urgent reduction. It shows that the present treatment is not at all beneficial. Ina controlled diabetes fasting is closer to 100 mg and pp about 150 to 160 mg / 100 ml and hba1c% <7. The above levels can rapidly lead to serious long term complications related to diabetes. It is better if he is shifted to insulin injections. Otherwise it is difficult to control the sugar levels. He should also undergo an eye examination to see if there is diabetic retinopathy. (eyes to examined after dilating the pupil). If you are willing to shift to newer treatment, 

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