My blood sugar is not in control .i am taking amaryl 2 mg twice daily and janumet 50/500 twice daily. But not in control. My age is 62 and diabetic since last two years. Pl advice.

Question

Mr. lybrate-user, thanks for the query. I have seen the details given, looking at the weight and height your bmi is 30.46 kg/sq meter (normal < 23 kg? Sq meter), which means there is an excess of over 18 kgs. This also causes excess blood glucose levels, so there is a need to reduce the weight. So please look at that aspect. At your age the ideal glucose levels should be < 100 mg & pp should be 150 to 170 mg & hba1c% < 6.5%. So there is a need to upgrade the treatment. Plus there is a need to look at your overall treatment which includes fasting, pp glucose, hba1c%, dietary pattern & extent of daily exercise as well as serum creatinine and urea. So please come back with all these details in a private conversation so that I will be able to guide and prescribe necessary drugs too. Thanks.

Prabhakar Laxman Jathar · Accepted Answer

Mr. lybrate-user, thanks for the query. I have seen the details given, looking at the weight and height your bmi is 30.46 kg/sq meter (normal < 23 kg? Sq meter), which means there is an excess of over 18 kgs. This also causes excess blood glucose levels, so there is a need to reduce the weight. So please look at that aspect. At your age the ideal glucose levels should be < 100 mg & pp should be 150 to 170 mg & hba1c% < 6.5%. So there is a need to upgrade the treatment. Plus there is a need to look at your overall treatment which includes fasting, pp glucose, hba1c%, dietary pattern & extent of daily exercise as well as serum creatinine and urea. So please come back with all these details in a private conversation so that I will be able to guide and prescribe necessary drugs too. Thanks.

Santhosh C Abraham · Answer

Perhaps you might need more medication or insulin. Would like to know your revent hba1c. Please consult a physician and make appropriate changes.

Pranaw Kumar Sharma · Answer

Please stop all previous medicines and start medicines adviced by me, tablet triglimiprex 1 half tablet morning and half tablet evening, capsule pregabanyl 1 capsule at bed time in night. And please not keep food restriction takes all types of food and enjoy your life.