I am 64 years, having diabetes for last 20 years. My present hba 1c is 7.4 with fiasp insulin 7-7-7+ 15 tujeo. My problem is ,i am getting fasting level is coming to 130 to 140 mg. Pps also at times more than 200 after 2 hours of meal finishing. My Dr. says, I need not worry pp after 2 hours. It may come down after 4 hours since quick action insulin will work upto 4 hours. Is it correct? I want to reduce my hba 1c to 7%. I am taking vildagliptin 100 mg sr also. Pl advice me. I am taking these in the morning time instead of night fearing hypo in the night. Pl advice any changes? Prabhakar rao v exgm--fin ntpc now in vijayawada.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have seen the details mentioned. Your hba1c% (7.4%) is marginally high. So there is really no reason to worry as your doctor has already mentioned. As regards fbg of 130 to 140 mg & similarly pp > 200 mg, both these can be corrected by either reducing the carb intake at night & during the day. Or by increasing insulin dosage by just 2 units at night. That will bring down fbg & later pp will also be down. You may consider this. Thanks.  

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Dr. Rushali AngchekarHomeopathy Doctor10yrs exp

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Hello blood sugar levels are high. I suggest you to take homoeopathic treatment along with above medicines to control sugar levels. Once sugar levels are in control you can cut off allopathic tablets. You can consult me online for treatment. Its completely safe.  

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Dr. Sujit BhattacharyaEndocrinologist32yrs exp

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Your post prandial treatment needs to be optimised with a modified regime so as to get to target hba1c.  

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