My wife is having diabetes and taking one tablet of janumet 50/500 and amaryl3 twice daily. Besides that she is also taking cardace 5 and met xl 2.5/25 one tab daily. Her blood pressure is perfectly ok. Blood sugar was under controls but since last one month it is 167 fasting and 267 after food. Pl advise how to controls blood sugar. She is 52 years.

Dr. Sana MansooriDiabetologist5yrs exp

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Sir she is pretty young we can start her on tablets which will preserve her beta cell function and revere diabetes she is on high dosage of oral hypoglycemic agents and still sugar is not under control we should control her sugar fasting should be less than 130 and post lunch should be less than 180 for prevention of diabetic related complications like neuropathy, nephropathy,retinopathy and others.  

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Dr. Giridharan VDiabetologist7yrs exp

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Do hba1c (three months average sugar) and kidney function test.  

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Dr. M S SeshadriEndocrinologist49yrs exp

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Dear lybrate-user, your wife is overweight by about 8 kg and she needs to reduce weight gradually to about 53-55 kg. Focus on the diet reduce carbohydrate (rice wheat) take enough proteins and vegetables, avoid all sweets and sugar, walk for 5-6 kg per day and you will find that her sugars get under control. As she reduces weight if she has low sugar symptome reduce amaryl dose regards  

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