My mother 54 years old is diabetic and her fasting sugar in range 130-150 and post lunch is between 270-290. She is taking diamicron 30 mg 500 metformin twice daily and voglibose 0.3 in afternoon. Kindly advise dosage to control sugar. Kindly advise for any changes.

Dr. Prabhakar Laxman JatharEndocrinologist51yrs exp

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Hello, Thanks for the query. I get a feeling that I have answered this query yesterday. Both fasting and PP glucose levels are high. There is a need to upgrade the overall treatment. Following are my observations : 1) Weight is too high with a BMI of 34.04 kgs she is close to grade 2 obesity. This is a major hindrance for better glucose control. 2) There is a need to look at the dietary pattern, extent of daily physical activity and lipid profile details, serum creatinine and urea as well as as HbA1c%. Major change needed is calorie control, weight reduction and may be addition of some more oral anti-diabetic. In this communication we are supposed to give only general guidelines, no drugs can be prescribed. If you are looking for online support please come back with all the details in a private conversation with all the above mentioned details. Thanks. 

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