I am on metformin 500 mg twice a day my fasting sugar level is 92 and pp level is 164. Do I have to change medicine?

Question

Hello, Thanks for the query.
I have seen the information mentioned. Your glucose levels are quite good, so no need to change the medication. However, looking at your weight and height, with a BMI of  40.83 kgs/Sq meter, you are in morbid obesity category. Your ideal body weight should be about 56 kgs. Which means there is an excess of 42 kgs. This is the major culprit for your high blood glucose. Even if you reduce about 10 to 15 kgs the glucose levels will come down drastically. Because of excess body fat there is lot of fat stored around vital organs like liver, pancreas, kidneys and stomach. This causes insulin resistance. In such situation in spite of having adequate enough Insulin there is no proper glucose control Hence reducing fat is very vital. If you have any questions please do come back/ Thanks.

Prabhakar Laxman Jathar · Accepted Answer

Hello, Thanks for the query.
I have seen the information mentioned. Your glucose levels are quite good, so no need to change the medication. However, looking at your weight and height, with a BMI of  40.83 kgs/Sq meter, you are in morbid obesity category. Your ideal body weight should be about 56 kgs. Which means there is an excess of 42 kgs. This is the major culprit for your high blood glucose. Even if you reduce about 10 to 15 kgs the glucose levels will come down drastically. Because of excess body fat there is lot of fat stored around vital organs like liver, pancreas, kidneys and stomach. This causes insulin resistance. In such situation in spite of having adequate enough Insulin there is no proper glucose control Hence reducing fat is very vital. If you have any questions please do come back/ Thanks.

Pramod Kumar Sharma · Answer

No, continue same medicine and monitor blood sugar.

Anshul Singhai · Answer

lybrate-user yes your prescription needs to be addressed. Your fasting blood sugar is acceptable but pp blood sugar is not. Plan for hba1c to get accurate status of diabetes control. Moreover your bmi is 29.96, which states that you are obese. So you also needs to plan for lft, lipid profile and usg abdomen and rule out fatty liver. Possibly, you are having metabolic syndrome, so you also needs to measure bp. Take control of your health.

S.K. Tandon · Answer

No
Continue the same medicines. 
Take them after breakfast and dinner. 
Do life style modifications also.

Karuna Chawla · Answer

Yes it's well controlled. But better to check your hba1c. As it gives better idea of sugar control. Along with medicines follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains. U can take (moderate amount) grapes. Apples. Berries. Citrus fruits. Papaya. U should avoid sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans fats sugar, cake, pastries mithai/sweets chocolate fruits like mango, litchi etc. White bread, pasta fruit-flavored yogurt. Sweetened breakfast cereals. Flavored coffee drinks. Honey 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or soaked almonds or any seasonal fruit. No only biscuits or rusk will not do. 2. Take your breakfast every day. Don't skip it. 3. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit, a cup of curd/milk etc 4. Finish your dinner at least 2 hours before going to sleep. 5. Maintain active life style 6. Avoid fast foods, spicy n fried foods 7.take a lot of green vegetables n fruit. 8. Drink lot of water. 9.curd is good for u. Exercise in the form of yoga, cycling, swimming, gymming, walking etc. Do suryanamaskar for good health regularly for more details you can consult me.