My husband is 29 years old. He has fasting sugar 230 and post fasting 324 sometimes 400. Doctor has described him gemer p1, one tablet before breakfast and one tablet before dinner. What is the right thing to do and follow as I am very much concerned and worried.

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Hello, Thanks for the query. I have seen the details mentioned. The glucose levels mentioned are very high. Since you have not mentioned following his weight, height, extent of daily exercise, HbA1c% & lipid profile, it is difficult to comment. The treatment suggested seems a bit inadequate, so there is a need to look at the overall approach towards treating the condition. Just giving a tablet is not the treatment of diabetes. There is a need to look at overall lifestyle. If that is done one can achieve a really good control. Plus the person is too young to ignore all these aspects. So if you are interested please come back in a private conversation (paid consultation with all the above information then I will be able to give specific guidance and also prescribe necessary medication if required. In this communication we are supposed to give only general guide lines, no drugs can be recommended. Please understand it is very essential to achieve a strict blood glucose control with FBG < 100 mg, PP 150 to 160 mg & HbA1c% < 6.5%, to prevent diabetes associated long term complications damaging various systems and vital organs. So please think over and decide. You can even talk to the concerned doctor about this. Thanks. 

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