I am taking trimetaday v2 in morning gand azulix mf1 before dinner. My sugar ranges between 250 to 350 during the day. We have a family heredity of high sugar which ranges between 200 to 400 between my siblings. Should I shift to insulin or increase dose of oral medicine. My brother is on insulin since last one year his sugar ranges between 150 to 300. suggest.

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Hello, Madam the glucose levels mentioned are very high, suggesting uncontrolled diabetes. This means 1) present medication is not adequate enough, there is a need to up grade the therapy. 2) one has to give a closer look at your diet and extent of exercise. 3) since there is no mention of weight and height, those details also need to be looked at. Ideal bmi should be < 23 kgs/sq meter. There are other drug options like sglt - 2 inhibitors which can help in achieveing better control, but to suggest any specific treatment I need to know current fasting, pp glucose levles, hba1c%, diet pattern, extent of exercise being done daily, lipid profile, serum creatinine and bp readings. As regards taking injection insulin, even if you shift to that, there is a need to give a clsoer look at the diet, exercise and weight control. (since weight & height are not mentioned, I have no way to make any specific comment). Thanks. 

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