I have fasting sugar 165. Then after breakfast and having okamet 500 (metformin) it is pp 250 after 1 hr 45 minutes. Pls suggest what else can I do to lower it?

Question

Mr. lybrate-user, thanks for the query. Both fasting and pp glucose levels are quite high. Ideally fbg should be < 100 mg or closer to 100 mg, pp 150 to 170 mg & hba1c% < 6.8%(not mentioned). It is clear that current treatment is not adequate, needs to be upgraded. Additional medication/s are needed, plus there is a need to give a re-look at your diet pattern and the extent of daily exercise being done. So please consult your concerned physician or diabetologist and get the necessary improvement in treatment done. Or if you want online help, please come back with all the above mentioned details in a private conversation (paid consultation), then I will be able to give specific guidelines and even prescribe the necessary medications. In this communications we are supposed to give only general guidelines. Thanks.

Prabhakar Laxman Jathar · Accepted Answer

Mr. lybrate-user, thanks for the query. Both fasting and pp glucose levels are quite high. Ideally fbg should be < 100 mg or closer to 100 mg, pp 150 to 170 mg & hba1c% < 6.8%(not mentioned). It is clear that current treatment is not adequate, needs to be upgraded. Additional medication/s are needed, plus there is a need to give a re-look at your diet pattern and the extent of daily exercise being done. So please consult your concerned physician or diabetologist and get the necessary improvement in treatment done. Or if you want online help, please come back with all the above mentioned details in a private conversation (paid consultation), then I will be able to give specific guidelines and even prescribe the necessary medications. In this communications we are supposed to give only general guidelines. Thanks.