My fasting sugar level is 200 and after breakfast and lunch my sugar level is 250 and I have taken glimepiride 2/500 for bd and one tab teneligliptin 20 please give me suggestion for pioz 15.
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Hi, looking at your sugar it implies your insulin reserve is low. Better to go for insulin regarding pioz, not recommended for routine use, can use if signs of insulin resistance is more with closer follow up for signs of fluid retention.
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Yes, you can start it once daily with breakfast.
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You have not mentioned your weight. If weight is on higher side pioglitazone may cause further weight gain and edema of feets. You can take / start pioglitazone under supervision of your doctor. The second option is increasing glimepiride to 3 mg and metformin to the 1000 (3/1000) bd and continue teneligliptin instead of starting pioglitazone if dose is changed you should check your blood sugars in a weeks time. Follow diet and exercise strictly.
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Hello, Thanks for the query. Based on given details there is no way to tell whether Pioglitazone 15 mg can be taken. But if you want then that is your choice. Because treatment of diabetes is not just taking anumber of drugs. It includes diet, exercise, weight control and drugs. Plius there is a need to know HbA1c%, lipid profile, BP. Thanks.
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At the age of 37 years if you are on 4 mg glimeperide, it seems you should be more careful with your dietary patterns & exercise schedule as these are the basics of standard glycemic management. Pioglitazone as discussed is good in young diabetics who have short duration but can cause weight gain .if you are obese, sglt-2 inhibitors might give you better results. Medications are just the toppings, the base should be disciplined lifestyle.
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Hello, your blood glucose is really high for your age. You need to control your blood glucose levels aggressively, otherwise, you will be at a very high risk of diabetes complications as you are young. You need some drastic lifestyle changes and change in medications. When did you do your hba1c (glycosylated hemoglobin)
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