I am 49 yes, and having diabetes since last 8 years, currently I am taking medicine reclide Mr. 60, once 15 mins. Prior to me breakfast. I still see my fasting sugar is around 200+ and around 300 post breakfast. What should I do to bring the level within limits. Pls advice.

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Mr. lybrate-user, thanks for the query. From the details given it is clear that present treatment is not at all helping in controlling blood glucose. There is a need for up grading the present treatment, plus there is a need to give a close look at your diet and extent of exercise being done. In a well controlled diabetes fasting glucose should be < 100 mg, pp 150 to 160 mg & hba1c% < 6.8%. You not mentioned anything about hba1c%. Therefore, please consult your diabetologist or physician and get the necessary upgrade or if you are looking for online help, please come back with following details: fasting, pp glucose levels, hba1c%, diet pattern, extent of daily exercise, lipid profile, bp readings and creatinine level in a private conversation (paid consultation), then I will be able to give specific guidance and even prescribe necessary medication. In this communication we are supposed to give general guide lines only. No drugs can be prescribed. Please understand it is very essential for you to upgrade the treatment urgently to prevent long term complications. Thanks. 

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