Dailyglim PM 1 Tablet SR Health Feed

Hello,
your blood glucose is really high for your age. You need to control your blood glucose levels aggressively, otherwise, you will be at a very high risk of diabetes complications as you are young. You need some drastic lifestyle changes and change in medications. When did you do your hba1c (glycosylated hemoglobin)

Hello, Thanks for the query.
Recently some combinations containing multiple drugs are banned. In that case you may have to consult your doctor and aske for substitute prescription. Because that tablet has Glimiperide, Met formin and Pioglitazone. So do consult your doctor. Thanks.

Mr. lybrate-user, Thanks for the query
You have mentioned the drugs and dosage being taken, but there us no mention of blood glucose levels and HbA1c%, so I am unable to know whether glucose is well controlled or not.
Another aspect you are taking 30 mg of Pioglitazone, which is the maximum dose recommended. It is better if that is reduced to 15 mg a day. Please let me know the glucose levels and HbA1c% Then only I can comment. Plus I need to know the diet pattern and extent of exercise,...more

Hi lybrate-user
your blood sugar needs better control. That being said, just a fasting and postprandial is not enough to decide on treatment. You also need HbA1c to correlate and decide on treatment.

Hi, Please do the following test Fasting and pp blood sugar.
Hba1c test.
Hemoglobin.
Kft.
Lft.
Lipid profile.
Tsh.
Ecg.
Urine r/m.
Eye check up.
Consultation with a physician with reports of above tests.

Mr. lybrate-user, thanks for the query.
As per my information these tablets are available in all the places. In case you are not able to get then can go for similar combination other brands like k - pio gm or can take tablets containing glimiperide plus metformin and a separate tablet of pioglitazone. Thanks.

Thanks for your Query.

It seems from your information that you might be having Hypoglycemia around early morning which is causing the upsurge in fasting blood sugar because of hyperactive liver - This is called Somogyi phenomenon.

Your HbA1c is on lower side as per your age.

So you need to reduce the dose of medication a little bit.

For detailed information and advice you can book an online consultation with me on Lybrate. Thank you.

There may be multiple reasons for current problem.
We need more information like any symptoms of hypoglycemia like giddiness, sweating, increased hunger; diet pattern, any associated kidney, heart,liver problem; current hba1c.
You have not even mentioned regarding how many tablets he is taking daily.
Based on limited information provided I may suggest to reduce tablet and get hba1c and creatinine and consult doctor.

I do not prefer to take any vitamin pill if there is no deficiency. But if you want to take then any brand you can take all are equal.

Mr S Murugaraj, The sugar levels are high particularly fasting one. What is the HbA1c%? Plus tell me do you exercise daily regularly for at least 1 hour? What is your dietary pattern? It will be better if you come in a private conversation with all the details, where i will be able to give specific suggestions.