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I am using 2 mg glimepiride twice morning and night, metformin 500 mg before breakfast and istamet tab 50/500 twice a day after lunch and dinner along with 20 units of lantus insulin. My hba1c is 7.9 and reactive hyperglycemia for pp, fluctuating between 190 and 220 with fasting sugars between 100 and 110. I am 52 and lean frame of 5.8with 68 kgs. Do I need to change medication to achieve target 6.5 hba1c.


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