Dianorm Total 60mg/15mg/500mg Tablet SR Health Feed

Hello, thanks for the query.
I have seen the details. Your fasting & pp glucose levels are too high. In fact you need a much stronger correction. More drugs are needed. What is the hba1c%? Ideally in a well controlled person fasting should be < 100 mg or closer to 100 mg, pp 150 to 170 mg & hba1c% <6.8% (not mentioned). Therefore, your doctor has suggested the newer tratment. Metformin dosage is up to 2500 mg per day. Looking at your age (53 years), there is a greater need for achieving a mu...more

Hi if your sugar levels are in control, then there is no need to change medications or add any for the time being. However, person with t2 diabetes at some point of time in the treatment may have go in for insulin injections. Right now for you this stage is not there.

Metformin acts peripherally at the tissue level and Pioglitazone is one of the alternative but depends on patient to patient

Mr metformin can be taken up to 2500 mg per day. But 100 mg is also a high dose only. If it is not causing any gastro intestinal side effects then no problem. It is really good that you have started on insulin because looking at amount of drugs that you are taking, it is necessary for you to shift to insulin. By doing self monitoring of blood sugar daily you can increase the insulin dosage every alternate day till you reach target fasting level. It is good to reduce or take away pioglitazone.

Mr. lybrate-user, Thanks for the query.
The glucose levels mentioned are definitely high. It appears that present (new) treatment is not suiting you. Since no details are mentioned in terms of drugs and dosage, it is difficult to comment. If the previous treatment was giving good results with better glucose control, what was the reason for changing? You should tell the doctor that you were better of with earlier treatment and hence, he should revert you to that. Find out what he says. Or els...more

Not to reduce dose
continue same but take glimipiride metformin sr 1 20 min before breakfast instead lunch
and the other 20 min before dinner.

It seems that the diet also is not being followed. Please follow strict diet and exercise. Continue current medicines and add tab olymprix 20 mg one after breakfast and tab pioz 15 mg one after dinner. Check blood sugars after 10 days and consult your doctor.

First we should measure his lipid profile and hba1c levels in blood and than we can change the drugs

Yes depending upon the state n stage of disease. Add little roasted turmeric to your milk before you consume it. For more details consult me.

Hello, Thanks for the query.
I have seen the query. The details given are too general. As I understand your mother of 67 years has diabetes for 13 years. She was well controlled , but now she is not having proper control due to ( according to you) a ban on certain combination.
First of all the three drug combination brands are still there. Secondly there is no mention about her earlier of current glucose levels (Fasting & PP) as well as HbA1c%. No mention about dietary pattern, weight, ...more