I am 54 years and suffering diabetes and high blood pressure for last 10 yrs. My diabetes and bp not stable. Hb1ac 8.3,acr (albumin cretin ratio 404) fasting blood sugar 266 & bp150/80. After that my doctor has changed medicine from last one week. Now taking in morning gudformin g2, tedia 20, advog 0.3 and safe telm 40. After lunch advog 0.3 mg (voglibose )and after dinner gluformin g1, advog 0.3 & crevast a20. Now my fasting sugar came 155-160 & after 2 hrs of meal is between 190-200. Advise on which medication shd I take or its ok. Thanks sandy.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Mr Sandeep, Thanks for the query. I have seen the details given. Based on given information there is no way to suggest any change or addition or deletion of medication. To suggest any change I need to know following things : dietary pattern, extent of daily exercises plus lipid profile and serum creatinie and urea values. I am sure you are aware in a well controlled diabetic patient FBG should be < 100 mg or closer to 100 mg, PP should be 150 to 170 mg and HbA1c% < 6.8%. Considering your age.your current values are quite high. Most of the time there is no need to keep changing the drugs. What is needed is adapting a modified lifestyle. That is reduce caloric intake, cut down on simple carbs, add complex carbs in diet. Increase intake of pulses. Increase intake of green leafy vegetables,salads and fruits. Exercise regularly over 1 hour every day. Refrain from smoking and alcohol. Reduce deep fried foods and foods made from maida. Avoid all bakery items. Still if you are looking for online help please come with all the details in a private conversation(paid consultation) as in this communication we are supposed to give only general advice. No drugs can be prescribed. Thanks. 

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Dr. Milind PatilEndocrinologist14yrs exp

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Continue all medicines. Repeat fasting pp after 1 month. at that time you can see the response. You can consult me at that time. right now the prescription looks ok 

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Dr. Alwin Thilak ChristopherDiabetologist7yrs exp

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Hi, after the recent change in medicine, your sugar levels are much better keep a closer watch on your fasting sugars repeat your sugars (both fasting and 2 hours post breakfast) after a week, if fasting more than 140, then your night dose is to be adjusted check your sugars on 27/4/29 and get a consultation.  

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