I am 45, weighing 63 kg, BMI of 22, diabetic for the last 12 years. I have been taking Diamicron Mr. 30 mg (one tablet bbf) for the past 8 years. I achieved very good control when I started the tablet. Over the last two years, however, the HbA1c has slowly started to deteriorate, increasing to 6.5 (currently) from the excellent level of 6.0 (2 years ago). I also feel tiredness and weakness. My other reports like lipid, renal and liver are within normal limits. Doctor suggests me to stop Diamicron and try tiomate M (20 mg /1000 mg) one tablet bbf. Is this new tablet successful?

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Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Mr. lybrate-user, Thanks for the query. I have gone through the details given. Usually when diabetes goes on for many years, there is a tendancy to have reduced glucose control, resulting in increased HbA1c%. Hence, some additional treatment is required. Depending upon the severity of the situation or glucose levels, drugs can be selected. There is no need to stop the earlier drug, only addition can be done. Thanks.

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