I am having type 2 diabetes for more than a year. The pp and fasting remains 100 and 110 almost a year. But hba1c remains 8.38-8.28 range in 4 consecutive tests in a gap of 3 months each. Doctor have prescribed metformin 500 mg twice daily. Should I take voglibose in addition? I have started the medication for just 15 days.

Dr. Prabhakar Laxman JatharEndocrinologist52yrs exp

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Hello, thanks for the query. I have seen the details mentioned. It is surprising to know that if fbg & pp 100 mg & 110 mg, still the hba1c% is as high as 8.28 to 838 % because if hba1c% is 8,28 % then average blood glucose is 191 mg & if it is 8.38% then average is 194 mg. So there seems to be something wrong in this, for diagnosing t2 dm fbg has to be equal to or more than 126 mg & pp has to be 200 mg and above. Hba1c% has to be equal to or above 6.5%. So there is a need to look at all the values in detail. As regards the adding voglibose to the treatment, no comments can be made without knowing your weight, height, extent of daily exercise, dietary pattern etc. Therefore, if you are looking for clear answer please come in a private conversation with following information: current fbg, pp, dietary pattern, extent of daily exercise, weight, height, lipid profile and current treatment with dosage. Then only I will be able to guide. Thanks.  

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