I am a diabetic and have been taking metmorfin in the form of galvys met 50/500 regularly along with triglismisave. However the sugar levels does not seem to reduce, in spite of all other parameters of balanced diet and regular exercises being followed. Do we need to take them continuously or this mandates a change?

Dr. Amit AroskarAyurvedic Doctor20yrs exp

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Dear, galvus met is a combination of vildagliptin and metformin. Your bmi is 24.5 which is just fine. A proper measure for knowing and managing your diabetes will be to ensure a hba1c below 6.5%. Regarding diet, we indians have high carbohydrate diet. You have to closely observe your plate and you can come up with a better diet plan for yourself. To simplify it, identify the items which are carb rich in your plate and try to compensate the same with protein and fibres, for eg cut down a roti and increase sabji, dal or salad. To have a better control you can do a monthly self glucose monitoring 3 times a day and keep a track of your food with it. Check fasting sugar, sugar one hour prior your lunch and 2 hrs post lunch, and note down the details of your breakfast and lunch items. Modify as per my earlier suggestions and within a week you will see your blood sugar level responding. Best of luck. 

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