Hello, my current hba1c stands at 5.9. Average blood sugar at fasting is 95-105 and after dinner is 135-150. I'm currently on the dose of metformin hydrochloride sr of 500 mg and wants to reduce it. I'm following all the precautions with brisk walks. Whether metformin hydrochloride sr 250 mg should be taken after breakfast once in a day or it should be taken twice a day i.e.one in morning after breakfast and one in evening after dinner or it is sufficient to take only one in a day after breakfast in the morning as asked above. This question regarding the dose arises as hba1c is under control and I want to reduce the dose of metformin hydrochloride sr 500 mg tablet to 250 mg tablet.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, Thanks for the query. The details given show that you have excellent control of blood glucose. So why not continue the same? What is your weight, height, dietary pattern a and extent of daily exercise? Since the control is so very good with present dosage, I really do not see why take a chance and get in to a situation where glucose levels will go up again? Thanks. 

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Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

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Follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains. U can take (moderate amount) grapes. Apples. Berries. Citrus fruits. Papaya. U should avoid sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans fats sugar, cake, pastries mithai/sweets chocolate fruits like mango, litchi etc. White bread, pasta fruit-flavored yogurt. Sweetened breakfast cereals. Flavored coffee drinks. Honey 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or soaked almonds or any seasonal fruit. No only biscuits or rusk will not do. 2. Take your breakfast every day. Don't skip it. 3. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc 4. Finish your dinner at least 2 hours before going to sleep. 5. Maintain active life style 6. Avoid fast foods, spicy n fried foods 7.take a lot of green vegetables n fruit. 8. Drink lot of water. 9.curd is good for u. Exercise in the form of yoga, cycling, swimming, gymming, walking etc. Do suryanamaskar for good health regularly for more details you can consult me.  

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