I am 30 years male diabetic from last 3 years I eat everything like sweets in the starting but after one year I avoid all these and my sugar level is controlled 2 years without medicine but now my sugar level is increased its fasting 130 and after 2 hours of meal its 220 without medicine and then I take medicine voglinorm gm1 after medicine my sugar is fasting 90 and after meal its 140 and 150 and another doctor I check and he advised me medicine glimpride and metformin 500 mg which medicine is best for me voglinorm gm1 or glimpride and metformin 500 mg?

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Hello, thanks for the query. I have seen the details mentioned. There is nothing like "which medicine is best" all the drugs used to control diabetes are equally good. Each patient needs different drugs or different combinations for achieving better glucose control. Apart from the drugs most important part of the treatment is diet control and weight management. Looking at your height and weight, with a bmi of 26.19 kg/sq meter (normal < 23 kgs/sq meter) you are already over weight or obese. Your ideal body weight should be around 62 to 63 kg, which means there is an excess of 9 to 10 kgs. That needs to be reduced. We also have to look at your hba1c%, lipid profile and bp readings. Then only appropriate treatment can be decided. If you want on line help then please come back with all the above mentioned details in a private conversation then I will be able to help. Thanks.  

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