Dr, my father is 75 year old, diagnosed type 2 diabetic before three years. Before that it was controlled by food regulations. Dr. prescribed glyciphage g1 forte and it was almost controlled (1 tablet morning and 1 tablet evening after food). Now fasting sugar is 110 average but post food is 280. He is not interested in taking insulin. Kindly advice. What about using a substitute like exermet gm fort.

Dr. Peerzada Ovais AhmadEndocrinologist9yrs exp

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Diabetes is a progressive disease. The oral drugs work as long as the body is producing it’s own adequate insulin. The drugs which he is currently taking stimulates insulin making cells to produce more insulin thus controlling sugars, but with time the insulin making cells don’t make enough insulin to control the metabolic needs thus the sugar levels goes up. So at this point one would ideally need insulin. You have not mentioned his current hba1c and kft. If he is reluctant for insulin. We can try new oral drugs like sglt2 inhibitors. For further details about this you can consult online.  

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