I am a diabetic patient for the last 2-3 years. As per doctor's advice, I am taking glytrin met 1000 tab and gluconorm sr 500 tab, one tablet each daily in the morning after the meal. Earlier sugar levels were normal, bur for the last six months or little more, sugar level (fasting) is around 140 and pp around 190. My age is 66 and weight 87 kgs. Please suggest. Change of medicine, if required. Thanks.

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Hello, Thanks for the query. I have seen the details given. Fasting glucose should ideally be around 100 mg and PP 150 to 170 mg and HbA1c% < 7. However, 190 mg PP glucose is not bad. It can be better controlled by diet conntrol and weight reduction. Because looking at your weight and height it is quite clear that with a BMI of 32.92 kgs/Sq meter (Normal < 23kgs/Sq meter), you are already in grade one obesity and probably going towards grade 2. There is an excess of over 25 plus kgs. This is an invitation for having high blood glucose. So even if there is a reduction of 5 to 8% of your current weight, there will be much better glucose control. So please give a closer look at your diet pattern and extent of daily exercise. There is no need to change any drugs. Thanks. 

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