Sir I have blood sugar fasting 165 and after food 230 now doctor advised for 3 times medicine aferfood metformin hydrochloride/Glibenclamide 500 mg/2.5 mg (Emivanz). I started only one week. Is it possible for me to stop once the sugar level come to normal. Please advise.

Dr. Nash KamdinGeneral Physician27yrs exp

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Dear Lybrateuser, - Depending on your blood sugar control with medication & the lifestyle changes the continuation or stoppage of medication will be done on the advise of your treating doctor - a strict diet & exercise regime has to be followed to bring your blood sugar levels in the normal range - avoid sweet, fried, processed & junk foods, have more of fruits & vegetables, whole grains, beans, legumes including pulses, lentils, peas, sprouts, nuts - do regular exercise like walking, jogging, swimming for 30-40 min, do mild weight lifting at least twice a week, also include yoga & deep breathing daily morning to reduce your blood sugar levels & keep it under control - reduce weight by diet & exercise - take diet & medication as advised, also monitor blood sugar before & after exercise, meals as advised - chew your food well, do not skip meals, have meals on time.  

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Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Hello, Thanks for the query. If your blood glucose levels are FBG 165 mg & PP 230 mg, then taking oral antidiabetic medicine 3 times a day is rather too much. Please check your HbA1c% also and come back. The present drug combination recommended Metformin + Glibenclamide 2.5 mg once may be ok. But it is better if more recent drugs like glimepiride, tenelgliptin etc are used rather than Glibenclamide. Please remember diabetes once diagnosed will remain with you for lifetime. There is no question of stopping the trratment once blood glucose level is normalised. Because if you stop the treatment again the levels will go up and there can be a number of long term serious complications. If you have any doubts please come back. Thanks. 

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