I am diabetic since 2009 now my age is 55 and taking trajenta duo 2.5/500 and glimepiride 2 mg twice daily but my fasting is 180 and pp is 250 whereas hab1c is 9.00. I am vegetarian and also doing some physical activities. What you suggest for good control of my sugar level.

Dr. Zuber Ahmed KhanDiabetologist19yrs exp

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Sir, you have poor blood sugar control. May I suggest you 1) increase your physical activity 2) strict diet control, eat on time, eat slow 3) check your kidney function test, lipid profile, lft, eye checkup for retinopathy. 4) you may need basal insulin for better control of sugars 5) or we can adjust doses of tablets and add some new agents if your all reports are normal I can suggest you medicines once all routine tests are available. Thanks.  

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Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Mr Ajender Singh, Thanks for the query. Inspite of taking Linagliptin, Glimepiride (4 mg) & Metformin , there is no proper control. It means there is a need to look at the whole treatment regimen in detail like 1) Detailed dietary intake, 2)Extent of daily exercise and actual need, 3)Excess weight. With a BMI of 26.6 kgs /Sq meter (Normal < 23 kgs/Sq meter) you have an excess of over 10 kgs. So it is necessary to give a closer look at your current lifestyle. Then if required we may have to upgrade the current treatment. Thanks. 

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Dr. Vyankatesh ShivaneDiabetologist24yrs exp

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You can increase the dose of glimepiride to one and half tablet (3 mg in the morning and evening. Continue trajenta duo as it is. Keep checking your blood sugars regularly.  

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Dr. Pranaw Kumar SharmaDiabetologist5yrs exp

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Not tensive level you take tab triglimiprex 1 1/2 tab b. I. D, and cap pregabanyl at bed time and ano any food restrictions.  

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