Since last 5 years I am heaving diabetics but it was perfectly under control. I am taking amaryl 2 mg and janumet 50/500 mg twice daily. But since last few days ppb is 176 and ppbs 220. Pl help me what medicine will be best as these medicine I am taking for last 4 years.
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Mr. lybrate-user, thanks for the query. I have seen the details given. Your fasting glucose is quite high. Pp glucose is also high. Have checked the hba1c%? That will give a better idea about last three months control. Another important aspect is your weight, with a bmi (body mass index) of 30.46 kgs/sq meter (normal < 23 kgs/sq meter. Which means you have an excess of 19 kgs. Therefore, weight reduction is an important thing which you have to look very seriously. It appears current treatment needs to be upgrade plus we have to look at your diet, extent of exercise and weight reduction effort. So if you are interested in proper treatment advise, please come back with all the necessary details in a private conversation (paid consultation). In this communication we are supposed to give only general guidelines and no drugs can be recommended. Or else please do consult your local physician and get the necessary upgrad done. Thanks.
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Hello lybrate-user this is Dr. alwin christopher md geriatrician would be better to know your age looking at your sugars, it is getting little off control recently in top of good dose of sugar tablets looks like your insulin reserve is slightly on the lower side, soon if this state persist need long acting insulin as add on therapy would suggest little change in your medicines tab gemer v2 2/500/0.2 mg 1-0-0 tab glycomet gp 2/850 mg 0-0-1 tab januvia 50 mg 1-0-1 tab pantocid 40 mg 1-0-0 check your sugar after 10 days both fasting and 2 hour post breakfast and respond back.
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1.no alcohol 2. Reduce body weight 3. No smoking/ tobacco/drugs/ avoid pollution 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine and further advise contact on private consults good luck.
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