Hi, I am a 30 years old Working professional. I was diagnosed with Diabetes when I was 25 years old. I have changed a lot of medicines but the sugar is never normal. However, it has no effects on the Kidney, eyes, foot. Currently I am taking metformin 500 MG + glimepiride 1 mg. I do not want to go on very heavy dosage, since I have tried that in the past, but it has not worked out for me. I am also taking Noni juice and have also tried some Ayurveda medicines. Nothing has been successful. Kindly Suggest what should I do to bring my sugar to normal.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. lybrate-user, Thanks for the query. Your information is very general. There is no mention of actual blood glucose levels like current fasting, Pp levels and HbA1c%. To control blood glucose three things are needed, 1) Appropriate drugs, based on the need of individual person, 2) Strict dietary control, that is taking exact diet based on ideal body weight, extent of daily physical activity and glucose levels. 3) Daily regular exercise to burn extra blood glucose. Only modern medicines have specific role in controlling blood glucose or providing insulin needed for reducing the glucose. Also reducing the insulin resistance and making available insulin work better. Ayurvedic drugs have very little role, even though a lot of claims are made. The product mentioned (Noni), again has really no role to play. If you follow proper treatment guidelines and then diet and exercise diabetes can be well controlled. But as there are no relevant details are given I can not make any comments or give any suggestions. Please understand strict blood glucose control is a necessity to prevent long term complications associated with diabetes. Thanks.  

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