Sir my wife age is61 she is diabetic for the past 10 years now she is taking novomix 30 insulin, 17 units in the morning and night and she is taking glyzambi 25/5 in the night, voglibose m.2 mg three times after food, linagliptin 4 mg in the night and our Dr. Recently prescribe chloroquine 400 mg for diabetic in the night (i don't know how it control diabetic )apart from this telday 20 mg atorlip f is taking now diabetic is controlled fasting 118andpp120 (hba1c 6.5) like wise but is getting hypoglycemia very often what is the reason and the above said medicines are safe in diabetic? Shall we continue the above medicine or we have to reduce the dosage. I s voglibose mand glyzambi is safe. Please explain.

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Hello, Thanks for the query. I have seen the details given. She is definitely on multiple medications for controlling her blood glucose levels. The glucose levels and HbA1c % mentioned show there is very good control achieved. Which also means medications are working very well. One of the draw backs of very strict glucose control is the possibility of hypoglycemic episodes. Major contributor for that is the Insulin. So if there are repeated episodes, then pleas look at the possibility of reducing Insulin dosage by a few units. Chloroquin has been shown to be very beneficial in helping better control of blood glucose along with other drugs. It improves insulin sensitivity and reduces inflammation and also helps Beta cell function. Thanks. 

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