I am 37 years old and I am diabetic since 3 years and I am taking prescribe tables regularly but I checked my sugar level randomly it shows 244 after 10 seconds I checked again and it shows 279. I tried in multiple new sugar check machine the is same. My sugar levels is fluctuating. Pls suggest note: I am noticing sugar fluctuations since 4 months tab: istamet 50/500 and fibator.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, thanks for the query. I have sen the details mentioned. The very fact that you glucose shows 244 mg & 279 mg (in different glucometers), is the sign of uncontrolled diabetes. Checking in different machines with a gap can show up variations in levels. But what is significant is that random glucose levels are high. This suggests your current treatment is not adequate. There is no mention of what medications you are on, the dosage of various drugs, fbg, pp glucose & hba1c%, your dietary pattern, weight, height, extent of daily exercise, lipid profile and bp readings. Without having those important details it is difficult to comment any further or suggest anything specific. So you may have to come back with all the above information preferably in a private conversation then I will be able to give specific advice and even prescribe any medication that may be required. If not please contact your physician and get necessary changes done. At your age ideally fbg should be < 100 mg, pp 150 to 160 mg & hba1c% < 6.5%. If this happens then you are able to lead a healthy life and prevent or postpone long term complications associated with diabetes. If you have any questions please do come back. Thanks.  

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