Hello doctor I have been taking afoglip m 500 mg in the morning after breakfast and carbophage 1000xr in the night for 7 years. Then last whole year with diet and exercise I slowly came off these medications was only taking carbophage xr 250 mg in the night past 3 months. Last month my hba1c was 6.9 and fasting 110, so now I have been taking carbophage xr 500 mg last 3 weeks now my fasting is 109, and 2 hrs pp after lunch or dinner is 170. Besides I have developed some numbness, tingling pain in feet .can you please suggest what I can do any medicine to take lower my sugar?

Dr. Prabhakar Laxman JatharEndocrinologist52yrs exp

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Hello, thanks for the query. Madam, I have gone through the details mentioned. It is good to know you have been able to control the glucose levels better since some time. The levels mentioned (fasting & pp) are quite good so is the hba1c%. As regards the development of tingling & numbness in the feet, these symptoms are almost always seen when diabetes is present for a few years. This is due to the development of peripheral neuropathy, which a common long term consequence of diabetes seen in a large number of patients. This does tend to develop even when the control is fairly good. In this situation apart from maintaining well controlled glucose level, regular exercise and continuing to lead a modified lifestyle, certain drugs may be needed to control troublesome symptoms present. So please let me know your height, weight, dietary pattern and extent of daily exercise. Also let me know the serum creatinine and urea through the private conversation, so that I will be able to give specific guidance and prescribe the necessary medication if required. In this communication we are supposed to give only general guide lines, no drugs can be recommended. Thanks. 

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