At present my fasting blood sugar is 86 and HbA1C is 6.3. I consume the the three medicine: 1. Amaryl 1 mg 2. Gluformin XL 1000 mg. 3. PioPod 15. Should I continue this? Plse suggest me.

Dr. Manish SachdevEndocrinologist27yrs exp

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Dear, your sugars are well controlled with this therapy. Hba1c is also excellently controlled. But I observe that your bmi is slightly higher. In this context piopod 15 may lead to weight gain. Although it's a very good medicine to make insulin act better, weight gain negates it's good effect. You can use other newer drugs with good track records in place of piopod. But if you are comfortable with existing treatment then all the three medicines are available as a single tablet too which can reduce the number of tablets and expenses too. Also amaryl 1 mg may make you feel low on sugar sometimes manifesting as excessive hunger or tremors. So observe sugar levels at home at various different time i. E before lunch, before dinner or randomly at 6 pm. This will help you to detect low sugar if any. 

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