Sir I am taking glyciphage 500 mg tablet twice a day, for a month, my fasting sugar reading today was 171. What should I do? I daily take walks for more than 60 minutes in short walks of 15 minutes or more.

Dr. Prabhakar Laxman JatharEndocrinologist52yrs exp

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Hello, thanks for the query. I have seen the details mentioned. It is clear that only metformin 500 mg twice a day is adequate for controlling your blood glucose. So we need to give a detailed look at the overall treatment, which includes: weight, dietary pattern, extent of daily exercise, fasting, pp glucose levels, hba1c%, serum creatinine, urea, bp readings and lipid profile. Ideally at your age in a well controlled diabetes patient fbg should be < 100 mg or closer to 100 mg, pp 150 to 170 mg & hba1c% < 6.5%. So my suggestion is please come back with all the necessary details preferably in a private conversation (paid consultation) then I will be able to give specific guidelines and also prescribe if any additional drugs are needed. In this communication we are supposed to give just general guidelines, no drugs can be prescribed. If you do not wish to come for a consultation, then please consult your local physician or diabetes specialist and get the necessary upgrade in the treatment. Because maintaining well controlled glucose level is very essential to prevent or postpone diabetes related long term complications associated with various vital organs. I hope you will take the necessary steps. Thanks. 

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