Hello sir/madam suffering from high sugar level 346 mg/dl taking medicine glimepiride + metformin (2/500 mg) twice a day and vildagliptin + metformin (50/500 mg) once a day but still sugar level is high so please suggest some good medicines with proper doses. Age is 60 years thank you.
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Please change your medicines in this way tab. Vildagliptin and metformin 50/1000 twice daily after breakfast and dinner. Tab. Justoza 10 mg after breakfast 30 min after vildagliptin. Do brisk walking daily. Take small frequent meal. More contact with me on line by paid audio consultation.
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Mr. lybrate-user, thanks for the query. I have seen the details given. From that it is clear that your blood glucose control is not at all good. However, based on very little information that has been provided it is difficult to give any suggestions in relation to achieve better control. Further in this communication we are supposed to give only general guidelines, no drugs can be either recommended or prescribed. So please come back with following details: current fasting, pp glucose levels, hba1c%, lipid profile, dietary details (from morning till diner), extent of daily exercise, age, serum creatinine and urea. Preferably in a private conversation then I will be able to give you specific advise and also prescribe necessary medications. I am sure you are aware that in a well controlled person fbg should be < 100 mg or closer to it. Pp should be 150 to 160 mg & hba1c% < 6.5%. Therefore, please do send the details. If you find on line consultation is not ideal, please consult a good physician locally and get the glucose under proper control. That is absolutely essential, in order to either prevent or postpone the long term complications associated with diabetes mellitus. Please do take necessary action. Thanks.
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MAKE IT GLIM+MET 3/1000 REMOVE VILDA+MET AND START ISTAVEL 100 AFTER BREAKFAST RETEST 2 WKS IF UR SUGARS COMES DOWN PLZ TRANSFER 600 IF U LIKE
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Kindly consult with renal function test hba1c report.
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