Hello ,meri age -47 year hai, meri hba1c-10.8 hai, fasting sugar-273 and pp-345, mai triglimiprex 2 mg (glimepiride 2 mg+pioglitazone 15 mg+metformin 500 mg) twice morning and evening. Lekin isse bhi diabetes control ni hui ab mere doctor ne medicine change ki h, unhone (triglycomet forte sr (glibenclamide 5 mg, metformin 1000 mg and pioglitazone 15 mg once daily morning and vildagliptin 50 mg and metformin 500 mg once daily evening, kya ye sahi treatment diya hai unhone.

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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lybrate-user ji, thanks for the query. I have seen the details mentioned. Both hba1c% and fasting glucose level are very high, suggesting present treatment is not helping. As regards starting glibenclamide 5 mg, with metformin 1000 mg & pioglitazone 15 mg (once a day), plus vilda& metformin once, you may have to try for a few days and see. However, glibenclamide is an older compound. Aaj kal isaka upyog jyada nahi kiya jyata. Treatment sahi hai ya nahi ye aap ke result ke baad hi pata lagea. Lekin it is essential to look at your overall lifestyle (jeevan shaili). Because in diabetes dava ke saath aap ka khana, daily exercise aur vajn pe control in cheejon ko bhi dekhana padata hai. Jab glucose control me rahega tabb khali pet 100 mg se kam aur khane ke baad 150 se 160 mg & hba1c% < 6.5% aise rehana chahiye. If you have any questions please do come back. Thanks. 

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