I am a diabetic patient my fasting blood sugar is 137 and post random sugar is 259 after taking gepride m3 forte in the morning, inogla 20 MG in afternoon and in evening glimepiride m2 forte please suggest what should I do have to control blood sugar thanks.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Hello, Thanks for the query. It appears you are already on more than recommended dose of Glimepiride (3 + 2 mg). Ideally 4 mg is considered as the upper limit even though the manufacturers mention it can be given up to 8 mg per day. Beyond 4 mg there is very little benefit. Plus you are also taking Tenelegliptinin 20 mg. Ideally fasting glucose should be < 100 mg, PP 150 to 160 mg & HbA1c% should be < 6.8. Since there is no mention of that, it is difficult to know. It looks like there has to be closer scrutiny of your diet and exercise, because one major reason for uncontrolled or high blood glucose is more than necessary food intake and less or nil exercise. In addition there are other options also if one wants to consider. I would suggest please come in a private conversation with following information: dietary patter, extent of daily exercise, HbA1c%, lipid profile, creatinine and urea levels. Then I will be able to guide specifically. Or else please get intouch with local diabetologist and upgrade the treatment. Thanks. 

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