Sir I am diabetic for ten years. On teneligliptin 20 mg, repace 50 mg novastat 5 mg. Hb1ac 6.4 .lipid profile alright. 40 minutes 5 kilometer everyday morning walking. Weight 58 kg, height 5.11 inch. Moderate diet. Pps 140. But fbs 133 .is my diabetic medicine not enough to sustain til morning? Please please suggest as I can not go to see a doctor in lockdown.
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Either reduce your calory intake in the evening or devide your walk into 2.5km morning and evening .
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Please submit fresh blood and urine sugar report.
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Kindly continue same drug and just walk 10 min in the evening and 10 min in the morning And secondly ur HBA1c is normal and ur fasting and ppbs also normal
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First of all, you r not a pre-diabetic, diabetic one so, only teneligliptin is not enough to address your diabetic pathophysiology and cardiovascular safety profile. Secondly, only walking is not the sole exercise a diabetic should do .next, for your queries, the answer should be high blood sugar at morning hours is quite common due to. 1. Taking a high carb diet at dinner 2. Low dose medicine not appropriate to control fasting properly 3. Impaired fasting hyperglycemia 4. Dawn phenomenon 5. Somogyi effect 6.taking extra snacks in midnight so, please go for cgms or smbg at midnight to look into what makes your sugar high at morning. You are very young. Seems to be not in good control. Be cautious. Its silent killer. Whats about hba1c and weight loss program. Check out more at www.fightdiabetes.co.in.
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You can take tab glycomet 500 mg one tablet in the night after dinner to control your fasting. Actually your hba1c is quite normal. It is only fasting hyperglycaemia is the problem. It should get controlled with glycomet only. Further if you tighten your diet, you can gradually stop glycomet as well.
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