Doctor, I am having dm for 20+ years. Hypertension for same period. The combination of amlong 50/5 + monotrate 20+ clopidrogel + telmisartan 40 has controlled hypertension very well. However dm control is not satisfactory with metformin 1gram + glimepiride 4 mg with breakfast and galvus met 50/500 + glimepiride 4 mg at dinner. Of late fasting is 130+ and pp is around 240. I am 70 years old, walk for 60 minutes on treadmill 4 times a week. What change can I do to control the dm part please (my hb1ac is 7.5). Want to avoid insulin as far as possible.

Dr. Javed ParvezCardiologist7yrs exp

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Monotrate is for coronary artery disease, and clopidogrel is again a blood thinner used for coronary artery disease, and these are not drugs for hypertension. You require a complete evaluation for coronary artery disease incuding an ecg, tmt, 2d echo and a coronary angiogram depending on the results of above tests. Visit a cardiologist nearby. Coming to diabetes similary you need to consult an endocrinologist who are specialists in diabetes management. There are much better drugs available which can be used in place of what you are using currently. Need to put down some weight may be 2- 3 kgs, cut down on your free calorie intake like rice ,junk foods, take more complex carbohydrates like fruits ,salads, change towards a healthy disciplined lifestyle will help you to achieve your goal. For a more precise advice visit an endocrinologist nearby, do not go buy google search or over the counter medications available at pharmacy.  

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